Visits & medical services prices at SSM Health Saint Louis University Hospital
St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.
341 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) | $18,150 | $33,000 | 2.3× |
| Actinotherapy Ultraviolet Light (96900) | $24.42 | $44.40 | 0.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $62.15 | $113 | 1.5× |
| Advncd Care Plan 30 Min (99497) | $80.78 | $146.88 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $79.99 | $145.44 | 0.4× |
| Aep neurodiagnostic i&r (92653) | $325.60 | $592 | 1.5× |
| Aep threshold estimation mlt frequencies i&r (92652) | $325.60 | $592 | 1.5× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$119.90–$138.05 | $218–$251 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $26.14 | $47.52 | 0.7× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $117.15 | $213 | 0.9× |
| Analyze neurostim no prog (95970) | $100.10 | $182 | 0.8× |
| Analyze Neurostim Simple (95971) | $100.10 | $182 | 1.1× |
| Analyze Pacemaker System (93724) | $771.65 | $1,403 | 2.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $66.55 | $121 | 4.6× |
| Application on-body injector (96377) | $166.65 | $303 | 3.6× |
| Arrhythmia Induction (93618) | $2,625.15 | $4,773 | 2.2× |
| Audiometry Air & Bone (92553) | $42.90 | $78 | 0.3× |
| Basic vestibular evaluation (92540) | $335.50 | $610 | 1.6× |
| Behavral qualit analys voice (92524) range across 7 matching MRF lines |
$124.74–$400.40 | $226.80–$728 | varies |
| Blink reflex test (95933) | $310.20 | $564 | 5.2× |
| Breath hydrogen/methane test (91065) | $1,089.55 | $1,981 | 5.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $457.60 | $832 | 1.2× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$2,805 | $5,100 | 0.4× |
| C motor evoked uppr limbs (95928) | $323.40 | $588 | 0.4× |
| C motor evoked upr&lwr limbs (95939) | $1,844.70 | $3,354 | 2.1× |
| Caloric vestibular test w/rec bi monothermal (92538) | $481.80 | $876 | 2.2× |
| Caloric Vstblr Test W/Rec (92537) | $362.45 | $659 | 2.8× |
| Canalith repositioning proc (95992) | $109.45 | $199 | 2.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,128.60 | $2,052 | 5.2× |
| Cardiopulmonary exercise testing (94621) | $1,089.55 | $1,981 | 2.9× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$605–$695.75 | $1,100–$1,265 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,549.35–$1,782 | $2,817–$3,240 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $36.85 | $67 | 1.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,800 | $16,000 | 2.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,700 | $14,000 | 2.4× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$335.50–$385.55 | $610–$701 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $130.35 | $237 | 1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $130.35 | $237 | 1.8× |
| Chemo Ia Push (96420) | $627.55 | $1,141 | 1.9× |
| Chemo Intralesional Over 7 (96406) | $389.40 | $708 | 1.8× |
| Chemo intralesional up to 7 (96405) | $170.50 | $310 | 2.4× |
| Chemo IV infusion addl hr (96415) | $220 | $400 | 3.1× |
| Chemo IV push addl drug (96411) | $212.30 | $386 | 2.9× |
| Chemother Prolong Infuse W/Pump (96416) | $765.05 | $1,391 | 2.3× |
| Chemotherapy Into Cns (96450) | $713.90 | $1,298 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $212.30 | $386 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $639.10 | $1,162 | 1.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $439.45 | $799 | 1.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $471.90 | $858 | 1.4× |
| Chest Wall Manipulation (94668) | $100.10 | $182 | 0.8× |
| Cmptr ophth dx img ant segmt (92132) | $21.78 | $39.60 | 0.4× |
| Color/duplex Doppler, complete (93975) | $1,156.10 | $2,102 | 4.8× |
| Color/duplex Doppler, limited (93976) | $778.25 | $1,415 | 7.4× |
| Comprehensive Hearing Test (92557) | $61.38 | $111.60 | 0.5× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $37.62 | $68.40 | 0.6× |
| Computerized Ophthalmic Imaging Retina (92134) | $37.62 | $68.40 | 0.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $285.12 | $518.40 | 2.1× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $56.63 | $102.96 | 1.0× |
| Continuous Pulse Ox (94762) | $369.05 | $671 | 2.9× |
| Corneal Topography (92025) | $18.02 | $32.77 | 0.3× |
| Coronary Art/Grft Angio S&I (93455) | $6,600 | $12,000 | 2.0× |
| Coronary Artery Angio S&I (93454) | $7,150 | $13,000 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $846.45 | $1,539 | 3.9× |
| Cpt initial (94667) | $393.80 | $716 | 3.0× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $26.40 | $48 | 0.1× |
| Critical care first hour (99291) | $3,113 | $5,660 | 3.8× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $391.60 | $712 | 1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$79.21–$501.05 | $144.02–$911 | varies |
| Dialysis One Evaluation (90945) | $862.40 | $1,568 | 2.1× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $64.02 | $116.40 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $669.35 | $1,217 | 2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $240.90 | $438 | 2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $825 | $1,500 | 3.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $450.45 | $819 | 4.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $950.40 | $1,728 | 4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $475.20 | $864 | 4.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,355.20 | $2,464 | 5.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $677.60 | $1,232 | 6.5× |
| Duplex Scan Hemodialysis Access (93990) | $352 | $640 | 3.4× |
| Duplex up extrem art bilat (93930) | $952.60 | $1,732 | 4.0× |
| Duplex up extrem art unilat/ltd (93931) | $418.55 | $761 | 4.0× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $61.38 | $111.60 | 0.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $93.06 | $169.20 | 0.7× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $155.76 | $283.20 | 1.2× |
| Ear and throat examination (92502) | $1,013.10 | $1,842 | 1.9× |
| ECG/monitoring and analysis (93271) | $1,322.20 | $2,404 | 13.9× |
| Echo Congenital Complete (93303) | $829.40 | $1,508 | 1.5× |
| Echo Heart Xthoracic,Limited (93308) | $445.50 | $810 | 1.9× |
| Echo transesophag montr cardiac pump functj (93318) | $1,066.45 | $1,939 | 1.9× |
| Echo transesophageal (93312) | $2,712.60 | $4,932 | 5.0× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $829.40 | $1,508 | 1.5× |
| Eeg 41-60 Minutes (95812) | $1,355.75 | $2,465 | 6.3× |
| EEG awake and asleep (95819) | $1,240.80 | $2,256 | 5.7× |
| EEG awake drowsy (95816) | $891 | $1,620 | 4.1× |
| EEG cerebral death evaluation (95824) | $1,252.90 | $2,278 | 3.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $794.20 | $1,444 | 3.7× |
| EEG extended monitoring 61-119 minutes (95813) | $2,518.45 | $4,579 | 11.6× |
| Eeg Sleep Only (95822) | $1,258.95 | $2,289 | 5.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $469.15 | $853 | 2.2× |
| EEG w/o vid 2-12hr cont mntr (95707) | $469.15 | $853 | 2.2× |
| EEG w/o vid ea 12-26hr intmt (95709) | $898.70 | $1,634 | 2.4× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $898.70 | $1,634 | 2.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $469.15 | $853 | 2.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $898.70 | $1,634 | 2.4× |
| EKG signal averaged (93278) | $889.90 | $1,618 | 15.1× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $68.11 | $123.84 | 0.7× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $52.27 | $95.04 | 0.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $46.33 | $84.24 | 1.2× |
| Electrical Stimulation Ea 15 Min (97032) | $109.45 | $199 | 7.4× |
| Electrocardiogram Tracing (93005) | $255.20 | $464 | 4.3× |
| Electroconvulsive Therapy (90870) | $1,084.05 | $1,971 | 1.3× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $14,219.15 | $25,853 | 1.8× |
| Electrophysiology Evaluation (93642) | $2,518.45 | $4,579 | 2.1× |
| Emergency Dept Visit Level 2 (99282) | $598.95 | $1,089 | 3.9× |
| Emergency Dept Visit Level 3 (99283) | $1,037.85 | $1,887 | 3.8× |
| Emergency Dept Visit Level 4 (99284) | $1,676.40 | $3,048 | 4.0× |
| Emg 3 Extremities (95863) | $1,129.15 | $2,053 | 8.8× |
| Emg 4 Extremities (95864) | $1,646.70 | $2,994 | 12.8× |
| Endomyocardial Biopsy (93505) | $3,685 | $6,700 | 1.2× |
| Ep & ablate supravent arrhyt (93653) | $24,200 | $44,000 | 0.9× |
| Ep & ablate ventric tachy (93654) | $23,100 | $42,000 | 0.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $19,373.20 | $35,224 | 2.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $12,592.80 | $22,896 | 1.6× |
| Er level 1 (99281) | $311.30 | $566 | 3.7× |
| Er level v (99285) | $2,475 | $4,500 | 4.1× |
| Ergonovine provocation test (93024) | $348.15 | $633 | 0.8× |
| Esophageal Capsule Endoscopy (91111) | $2,526.70 | $4,594 | 2.8× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,840.30 | $3,346 | 4.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $55.77 | $101.40 | 0.4× |
| Evaluate pt use of inhaler (94664) | $198 | $360 | 0.9× |
| Evaluate Speech Production (92522) range across 7 matching MRF lines |
$119.46–$338.80 | $217.20–$616 | varies |
| Evaluate Swallowing Function (92610) range across 9 matching MRF lines |
$132–$396.55 | $240–$721 | varies |
| Evaluation of speech fluency (92521) | $222.75 | $405 | 1.7× |
| Exercise test for bronchospasm (94617) | $811.80 | $1,476 | 6.1× |
| External Ecg Scanning Analysis Report (93226) | $1,301.85 | $2,367 | 22.0× |
| Extracranial Bilat Study (93880) | $880 | $1,600 | 3.7× |
| Extracranial Uni/Ltd Study (93882) | $754.05 | $1,371 | 7.2× |
| Eye exam w anesth; complete (92018) | $3,461.15 | $6,293 | 1.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $190.85 | $347 | 1.0× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $251.90 | $458 | 1.1× |
| Fluorescein angiography (92235) | $89.10 | $162 | 0.4× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $219.12 | $398.40 | 1.0× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $543.40 | $988 | 0.6× |
| Fundus photography (92250) | $78.46 | $142.66 | 0.6× |
| Gastric motility studies (91020) | $777.70 | $1,414 | 2.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,355.75 | $2,465 | 3.6× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $1,065.90 | $1,938 | 4.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$931.15–$1,162.70 | $1,693–$2,114 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$1,230.27–$2,526.70 | $2,236.86–$4,594 | varies |
| Gi wireless capsule measure (91112) | $2,580.60 | $4,692 | 2.8× |
| Gonioscopy (92020) | $35.80 | $65.09 | 0.3× |
| Group Therapeutic Procedures (97150) | $45.10 | $82 | 2.5× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $7,150 | $13,000 | 2.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$862.40–$1,108.80 | $1,568–$2,016 | varies |
| High altitude simulation test (94452) | $159.50 | $290 | 1.2× |
| Holter monitor recording (93225) | $784.85 | $1,427 | 5.9× |
| Hubbard tank 15 min (97036) | $151.80 | $276 | 4.4× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $89.10 | $162 | 1.5× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $81.40 | $148 | 1.4× |
| Immunization administration (90471) | $62.15 | $113 | 0.9× |
| Ingestion challenge test initial 120 minutes (95076) | $116.42 | $211.68 | 0.3× |
| Insert/Place Heart Catheter (93503) | $2,695 | $4,900 | 1.7× |
| Interrogate Subq Defib (93261) | $43.45 | $79 | 1.2× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,044.35 | $3,717 | 0.3× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$2,747.80 | $4,996 | 0.4× |
| Intracranial Complete Study (93886) | $1,509.20 | $2,744 | 6.3× |
| Intracutaneous tests w/allergenic extracts (95024) | $7.92 | $14.40 | 0.1× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$66.55–$85.25 | $121–$155 | varies |
| Irrig Drug Delivery Device (96523) | $187 | $340 | 3.2× |
| Ischemic limb exercise test (95875) | $1,861.20 | $3,384 | 14.4× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$103.95–$149.60 | $189–$272 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$358.60–$423.50 | $652–$770 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$154–$177.10 | $280–$322 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$121–$138.60 | $220–$252 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$232.65–$267.30 | $423–$486 | varies |
| L Hrt Art/Grft Angio (93459) | $8,800 | $16,000 | 2.7× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $3,262.60 | $5,932 | 1.0× |
| Liver Elastography W/O Imag W/I&R (91200) | $242.55 | $441 | 1.9× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $1,854.05 | $3,371 | 2.2× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $1,854.05 | $3,371 | 2.2× |
| Mechanical chest wall oscillation per session (94669) | $139.70 | $254 | 0.6× |
| Methacholine challenge (94070) | $887.70 | $1,614 | 2.4× |
| Motility study esophagus (91010) | $1,760.55 | $3,201 | 4.7× |
| Motion Fluoroscopy/Swallow (92611) | $326.70 | $594 | 3.6× |
| Muscle Test 2 Limbs (95861) | $832.70 | $1,514 | 6.2× |
| Muscle Test Hemidiaphragm (95866) | $164.45 | $299 | 1.3× |
| Muscle Test Nonparaspinal (95870) | $416.35 | $757 | 3.1× |
| Muscle Test One Limb (95860) | $416.35 | $757 | 3.1× |
| Nasal function studies (92512) | $39.60 | $72 | 0.2× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$257.95–$297 | $469–$540 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,453.10 | $2,642 | 6.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $726.55 | $1,321 | 3.4× |
| Needle electromyography larynx (95865) | $284.35 | $517 | 2.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $338.80 | $616 | 1.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $969.10 | $1,762 | 4.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $448.80 | $816 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$348.70–$400.95 | $634–$729 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$464.75–$612.15 | $845–$1,113 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $402.05 | $731 | 1.9× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,928.30 | $3,506 | 5.2× |
| Nerve conduction studies 13 or more studies (95913) | $2,263.80 | $4,116 | 6.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $796.40 | $1,448 | 3.7× |
| Nerve conduction studies 5-6 studies (95909) | $1,005.95 | $1,829 | 4.7× |
| Nerve conduction studies 7-8 studies (95910) | $1,089.55 | $1,981 | 2.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,592.80 | $2,896 | 4.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $486.20 | $884 | 3.8× |
| Neuromuscular Reeducation (97112) | $91.30 | $166 | 2.8× |
| Nitric oxide expired gas determination (95012) | $150.70 | $274 | 4.0× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $45.20 | $82.19 | 0.3× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $105.64 | $192.08 | 0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $74.12 | $134.77 | 0.6× |
| Ophth medical xm&eval intermediate estab pt (92012) | $34.06 | $61.92 | 0.3× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $32.34 | $58.80 | 0.2× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $11.59 | $21.08 | 0.2× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $18.95 | $34.46 | 0.3× |
| Oral Function Therapy (92526) range across 11 matching MRF lines |
$89.76–$335.50 | $163.20–$610 | varies |
| Oral Speech Device Eval (92597) | $258.50 | $470 | 3.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $103.40 | $188 | 2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $115.50 | $210 | 2.5× |
| Ot eval high complexity (97167) range across 7 matching MRF lines |
$243.10–$321.75 | $442–$585 | varies |
| Ot Eval Low Complex (97165) | $187 | $340 | 1.9× |
| Ot Eval Moderate Complexity (97166) range across 9 matching MRF lines |
$106.76–$214.50 | $194.10–$390 | varies |
| Ot manual therapy 15 min (97140) | $71.50 | $130 | 2.6× |
| Ot paraffin bath (97018) | $101.20 | $184 | 16.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $118.25 | $215 | 2.9× |
| Ot Re-Eval Est Plan Care (97168) | $169.95 | $309 | 2.5× |
| Oxygen Uptake Rest Indirect (94690) | $343.75 | $625 | 5.8× |
| Patch/Application Test Specify Number Tests (95044) | $12.05 | $21.91 | 0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $309.10 | $562 | 1.4× |
| Percutaneous tests w/allergenic extracts (95004) | $5.94 | $10.80 | 0.0× |
| Perq Transcath Cls Aortic (93591) | $33,389.40 | $60,708 | 1.8× |
| Perq Transcath Cls Mitral (93590) | $16,600.10 | $30,182 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,800 | $16,000 | 1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $8,800 | $16,000 | 0.8× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$165–$271.15 | $300–$493 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $117.01 | $212.75 | 2.0× |
| Physical Performance Test (97750) | $66.55 | $121 | 2.0× |
| Plethysmography (94726) | $315.70 | $574 | 0.8× |
| Pm device progr eval dual (93280) | $68.20 | $124 | 1.8× |
| Pm/Icd Remote Tech Serv (93296) | $111.65 | $203 | 3.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $12.60 | $22.91 | 0.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $43.45 | $79 | 1.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $67.10 | $122 | 1.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22.44 | $40.80 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $36.30 | $66 | 0.8× |
| Prq Card Angio/Athrect 1 Art (92924) | $22,550 | $41,000 | 2.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $13,750 | $25,000 | 1.2× |
| Prq Card Stent/Ath/Angio (92933) | $27,500 | $50,000 | 1.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $8,235.70 | $14,974 | 0.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) unusually low: confirm this is the full procedure |
$6,050 | $11,000 | 0.3× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $11,387.75 | $20,705 | 1.0× |
| Psych diag eval w/med srvcs (90792) | $222.20 | $404 | 1.2× |
| Psychiatric diagnostic evaluation (90791) | $259.05 | $471 | 1.5× |
| Pt Eval High Complex (97163) | $225.50 | $410 | 2.3× |
| Pt eval low complex 20 min (97161) | $224.95 | $409 | 2.3× |
| Pt Eval Mod Complex (97162) range across 9 matching MRF lines |
$106.26–$214.50 | $193.20–$390 | varies |
| Pt gait training 15 min (97116) | $71.50 | $130 | 2.5× |
| Pt group caregiver training (97552) | $36.85 | $67 | 1.7× |
| Pt mechanical traction (97012) | $60.50 | $110 | 4.2× |
| Pt Re-Eval Est Plan Care (97164) range across 9 matching MRF lines |
$72.60–$176 | $132–$320 | varies |
| Pulm function test by gas (94727) | $260.15 | $473 | 1.2× |
| Pulmonary service/procedure (94799) range across 5 matching MRF lines |
$183.29–$419.10 | $333.25–$762 | varies |
| Pulmonary Stress Testing (94618) | $283.25 | $515 | 2.1× |
| Pure Tone Audiometry Air (92552) | $46.26 | $84.11 | 0.3× |
| R Hrt Art/Grft Angio (93457) | $7,700 | $14,000 | 2.4× |
| R hrt coronary artery angio (93456) | $7,700 | $14,000 | 2.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,150 | $13,000 | 2.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $173.80 | $316 | 4.6× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $305.25 | $555 | 1.4× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $265.10 | $482 | 1.2× |
| Right Heart Cath (93451) | $6,600 | $12,000 | 2.0× |
| Right ventricular recording (93603) | $5,282.20 | $9,604 | 4.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $153.12 | $278.40 | 1.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $42.90 | $78 | 0.9× |
| Self Care Mngment Training (97535) | $82.50 | $150 | 2.5× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $32.26 | $58.65 | 0.5× |
| Short-latency somatosens ep std upr limbs (95925) | $1,760.55 | $3,201 | 8.1× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $335.50 | $610 | 2.6× |
| Slp caregiver training 1st 30 min (97550) | $90.20 | $164 | 1.7× |
| Somatosensory Testing (95938) | $3,017.85 | $5,487 | 3.5× |
| Speech Audiometry Complete (92556) | $41.58 | $75.60 | 0.7× |
| Speech audiometry threshold (92555) | $27.06 | $49.20 | 0.5× |
| Speech sound lang comprehen (92523) range across 14 matching MRF lines |
$227.04–$708.40 | $412.80–$1,288 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$220–$253 | $400–$460 | varies |
| Spirometry (94010) | $343.75 | $625 | 1.6× |
| Ssep lower limbs (95926) | $1,760.55 | $3,201 | 8.1× |
| Standardized Cognitive Performance Testing (96125) | $234.30 | $426 | 2.3× |
| Stenger Test Speech (92577) | $33 | $60 | 0.1× |
| Stress Tte Only (93350) | $981.20 | $1,784 | 1.8× |
| Subq Infusion Additional Pump Infusion Site (96371) | $2,928.20 | $5,324 | 40.6× |
| Temp transcutaneous pacing (92953) | $658.35 | $1,197 | 1.0× |
| Testing Autonomic Nervous System Function (95923) | $310.20 | $564 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $91.30 | $166 | 4.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $91.30 | $166 | 4.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $85.25 | $155 | 2.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $114.84 | $208.80 | 1.1× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$315.15–$361.90 | $573–$658 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$143.55–$161.15 | $261–$293 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$379.50–$427.90 | $690–$778 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $270.05 | $491 | 1.2× |
| Therapeutic Activities (97530) | $91.30 | $166 | 2.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,091.20 | $1,984 | 2.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $59.95 | $109 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $69.30 | $126 | 1.8× |
| Trans Care Mgmt 14 Day Disch (99495) | $198 | $360 | 1.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $198 | $360 | 1.5× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$8,250 | $15,000 | 0.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $558.25 | $1,015 | 5.3× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $145.20 | $264 | 3.9× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $360.25 | $655 | 2.8× |
| Tte w/doppler, complete (93306) | $2,585 | $4,700 | 4.7× |
| Tte W/O Doppler Complete (93307) | $566.50 | $1,030 | 2.4× |
| Tx atrial fib pulm vein isol (93656) | $32,450 | $59,000 | 1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 7 matching MRF lines |
$132–$338.80 | $240–$616 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$160.60–$184.80 | $292–$336 | varies |
| Tympanometry (92567) | $34.98 | $63.60 | 0.9× |
| Tympanometry and reflex threshold measurements (92550) | $27.72 | $50.40 | 0.1× |
| Unlis neurological/neuromuscular dx px (95999) | $221.10 | $402 | 1.7× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$3,493.60–$4,649.70 | $6,352–$8,454 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $1,519.10 | $2,762 | 11.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $409.75 | $745 | 3.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $611.60 | $1,112 | 2.8× |
| Valvuloplasty aortic valve (92986) | $3,850 | $7,000 | 0.7× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$5,115 | $9,300 | 0.4× |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$4,731.65 | $8,603 | 0.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,355.75 | $2,465 | 3.6× |
| Veeg 2-12 hr intmt mntr (95712) | $469.15 | $853 | 1.3× |
| Veeg 2-12 hr unmonitored (95711) | $726.55 | $1,321 | 3.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $898.70 | $1,634 | 2.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,355.75 | $2,465 | 3.6× |
| Veeg ea 12-26hr cont mntr (95716) | $1,682.45 | $3,059 | 2.0× |
| Vent Mgmt Inpat Init Day (94002) | $1,860.10 | $3,382 | 3.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,767.15 | $3,213 | 2.9× |
| Visual Evoked Potential Test (95930) | $1,676.40 | $3,048 | 7.8× |
| Visual Field Exam Extended (92083) | $40.92 | $74.40 | 0.3× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $34.32 | $62.40 | 0.6× |
| Vital capacity, total (94150) | $164.45 | $299 | 1.3× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,742.95 | $3,169 | 2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $60.50 | $110 | 1.9× |
| Whirlpool Therapy (97022) | $103.40 | $188 | 6.6× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $29.70 | $54 | 0.8× |
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.