Visits & medical services prices at SSM Health St. Anthony Hospital - Oklahoma City
Oklahoma City, OK · every code in this section with a posted price and a Medicare benchmark.
302 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) | $6,442.15 | $11,713 | 0.9× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $105.60 | $192 | 0.9× |
| Acoustic Reflex Testing (92568) | $105.60 | $192 | 2.9× |
| Actigraphy Testing Recording Analysis I&R (95803) | $231.55 | $421 | 4.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $51.70 | $94 | 1.3× |
| Airway Inhalation Treatment (94640) | $273.35 | $497 | 1.3× |
| Airway resistance by oscillometry (94728) | $191.40 | $348 | 1.5× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $432.30 | $786 | 3.5× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$754.05–$767.80 | $1,371–$1,396 | varies |
| Analyze neurostim no prog (95970) | $57.42 | $104.40 | 0.4× |
| Analyze Neurostim Simple (95971) | $1,048.85 | $1,907 | 11.5× |
| Analyze Pacemaker System (93724) | $3,358.85 | $6,107 | 11.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $97.90 | $178 | 6.8× |
| Application on-body injector (96377) | $211.20 | $384 | 4.7× |
| Arrhythmia Induction (93618) | $3,290.10 | $5,982 | 2.8× |
| Assessment of aphasia per hr (96105) | $509.30 | $926 | 5.2× |
| Audiometry Air & Bone (92553) | $273.90 | $498 | 2.2× |
| Auditory Function, 60 Min (92620) | $400.40 | $728 | 3.2× |
| Basic vestibular evaluation (92540) | $191.95 | $349 | 0.9× |
| Behavral qualit analys voice (92524) | $314.60 | $572 | 2.9× |
| Bioimpedance Cv Analysis (93701) | $266.20 | $484 | 2.1× |
| Blink reflex test (95933) | $78.54 | $142.80 | 1.4× |
| Brief Emotional/Behav Assmt (96127) | $4.36 | $7.92 | 0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$608.88–$764.94 | $1,107.05–$1,390.80 | varies |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,242.80 | $5,896 | 0.4× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$111.10–$127.60 | $202–$232 | varies |
| Car seat/bed test 60 min (94780) | $130.90 | $238 | 3.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $912.45 | $1,659 | 4.4× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$814–$935.55 | $1,480–$1,701 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,987.70–$2,285.80 | $3,614–$4,156 | varies |
| Cardioversion elective internal (92961) | $707.85 | $1,287 | 1.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $79.20 | $144 | 3.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $9,221.30 | $16,766 | 3.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,476.70 | $13,594 | 2.4× |
| Cbt 1st hour (94644) | $278.30 | $506 | 2.2× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$103.95–$119.90 | $189–$218 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$103.95–$119.90 | $189–$218 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$326.70–$374.55 | $594–$681 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$198–$227.70 | $360–$414 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $1,571.35 | $2,857 | 4.9× |
| Chemotherapy Into Cns (96450) | $456.50 | $830 | 1.4× |
| Chemotherapy Unspecified (96549) | $50.05 | $91 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$271.15–$312.40 | $493–$568 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$486.75–$559.90 | $885–$1,018 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$477.40–$548.35 | $868–$997 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $157.30 | $286 | 0.5× |
| Chest Wall Manipulation (94668) | $86.35 | $157 | 0.7× |
| Color/duplex Doppler, complete (93975) | $1,560.90 | $2,838 | 6.8× |
| Color/duplex Doppler, limited (93976) | $700.70 | $1,274 | 7.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $89.65 | $163 | 2.8× |
| Comprehensive Hearing Test (92557) | $273.90 | $498 | 2.2× |
| Conditioning Play Audiometry (92582) | $283.80 | $516 | 2.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $213.18 | $387.60 | 1.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $68.64 | $124.80 | 1.2× |
| Continuous Pulse Ox (94762) | $458.15 | $833 | 3.7× |
| Coronary Art/Grft Angio S&I (93455) | $6,595.05 | $11,991 | 2.1× |
| Coronary Artery Angio S&I (93454) | $6,475.70 | $11,774 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$432.30–$864.60 | $786–$1,572 | varies |
| Cpt initial (94667) | $176 | $320 | 1.4× |
| Critical care first hour (99291) | $3,338.50 | $6,070 | 4.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$259.05–$298.10 | $471–$542 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $246.95 | $449 | 2.0× |
| Dialysis One Evaluation (90945) | $689.15 | $1,253 | 1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $769.45 | $1,399 | 3.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $542.30 | $986 | 5.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,171.50 | $2,130 | 5.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $585.75 | $1,065 | 5.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,291.40 | $2,348 | 5.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $645.15 | $1,173 | 6.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $345.40 | $628 | 1.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $172.70 | $314 | 1.7× |
| Duplex Scan Hemodialysis Access (93990) | $198 | $360 | 2.0× |
| Duplex up extrem art bilat (93930) | $879.45 | $1,599 | 3.8× |
| Duplex up extrem art unilat/ltd (93931) | $440 | $800 | 4.4× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $246.95 | $449 | 2.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $432.30 | $786 | 3.5× |
| Ear and throat examination (92502) | $1,713.25 | $3,115 | 3.3× |
| Ear Protector Evaluation (92596) | $154.55 | $281 | 4.3× |
| ECG/monitoring and analysis (93271) | $473.55 | $861 | 5.2× |
| Echo Congenital Complete (93303) | $2,636.70 | $4,794 | 5.0× |
| Echo Heart Xthoracic,Limited (93308) | $752.95 | $1,369 | 3.3× |
| Echo transesophag montr cardiac pump functj (93318) | $2,474.45 | $4,499 | 4.7× |
| Echo transesophageal (93312) | $2,175.80 | $3,956 | 4.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,818.30 | $3,306 | 3.5× |
| Eeg 41-60 Minutes (95812) | $846.45 | $1,539 | 4.1× |
| EEG awake and asleep (95819) | $973.50 | $1,770 | 4.7× |
| EEG awake drowsy (95816) | $972.40 | $1,768 | 4.7× |
| EEG cerebral death evaluation (95824) | $466.40 | $848 | 1.3× |
| EEG cont rec w/video by tech min 8 channels (95700) | $336.60 | $612 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$931.06–$931.15 | $1,692.84–$1,693 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $336.60 | $612 | 1.6× |
| EEG w/o vid 2-12hr cont mntr (95707) | $336.60 | $612 | 1.6× |
| EEG w/o vid ea 12-26hr intmt (95709) | $633.60 | $1,152 | 1.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $633.60 | $1,152 | 1.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $336.60 | $612 | 1.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $633.60 | $1,152 | 1.8× |
| EKG signal averaged (93278) | $143.55 | $261 | 2.5× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $42.37 | $77.04 | 0.5× |
| Electrical Stimulation Ea 15 Min (97032) | $136.40 | $248 | 9.3× |
| Electrocardiogram Tracing (93005) | $292.60 | $532 | 5.2× |
| Electrocochleography (92584) | $533.50 | $970 | 4.3× |
| Electroconvulsive Therapy (90870) | $2,267.65 | $4,123 | 2.7× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $4,853.20 | $8,824 | 0.6× |
| Electrophysiology Evaluation (93642) | $3,344 | $6,080 | 2.9× |
| Emergency Dept Visit Level 2 (99282) | $661.10 | $1,202 | 4.5× |
| Emergency Dept Visit Level 3 (99283) | $1,018.05 | $1,851 | 3.9× |
| Emergency Dept Visit Level 4 (99284) | $1,624.15 | $2,953 | 4.0× |
| Emg 3 Extremities (95863) | $749.65 | $1,363 | 6.1× |
| Emg 4 Extremities (95864) | $941.60 | $1,712 | 7.6× |
| Endomyocardial Biopsy (93505) | $2,933.70 | $5,334 | 1.0× |
| Ep & ablate supravent arrhyt (93653) | $12,802.90 | $23,278 | 0.5× |
| Ep & ablate ventric tachy (93654) | $12,802.90 | $23,278 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,465.15 | $13,573 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $6,876.65 | $12,503 | 0.9× |
| Er level 1 (99281) | $392.70 | $714 | 4.8× |
| Er level v (99285) | $2,427.15 | $4,413 | 4.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $374.55 | $681 | 3.0× |
| Evaluate pt use of inhaler (94664) | $160.05 | $291 | 0.8× |
| Evaluate Speech Production (92522) | $314.60 | $572 | 2.8× |
| Evaluate Swallowing Function (92610) | $267.30 | $486 | 3.2× |
| Evaluation of speech fluency (92521) | $387.20 | $704 | 2.9× |
| Evoked Auditory Test,Limited (92587) | $203.50 | $370 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $83.05 | $151 | 2.3× |
| External ECG rec>7d<15d recording (93246) | $136.95 | $249 | 3.8× |
| External Ecg Scanning Analysis Report (93226) | $597.30 | $1,086 | 10.5× |
| Extracranial Bilat Study (93880) | $1,466.30 | $2,666 | 6.4× |
| Extracranial Uni/Ltd Study (93882) | $385 | $700 | 3.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,425.05 | $2,591 | 2.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $361.35 | $657 | 1.8× |
| Gi tract capsule endoscopy (91110) | $995.94 | $1,810.80 | 1.1× |
| Group Therapeutic Procedures (97150) range across 8 matching MRF lines |
$78.10–$257.40 | $142–$468 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,746.55 | $17,721 | 3.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,009.25 | $1,835 | 1.5× |
| Holter monitor recording (93225) | $490.05 | $891 | 3.8× |
| Icd Device Interrogate (93289) | $41.58 | $75.60 | 1.2× |
| Ilr Device Interrogate (93291) | $36.30 | $66 | 1.3× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $52.80 | $96 | 0.9× |
| Immunization administration (90471) | $138.60 | $252 | 2.0× |
| Insert/Place Heart Catheter (93503) | $3,183.40 | $5,788 | 2.1× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,179.55 | $5,781 | 0.4× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$3,179.55 | $5,781 | 0.4× |
| Intracranial Complete Study (93886) | $883.30 | $1,606 | 3.8× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$3,626.70 | $6,594 | 0.5× |
| Iontophoresis 15 min (97033) | $113.85 | $207 | 6.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$143.55–$165 | $261–$300 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$191.95–$220.55 | $349–$401 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$302.50–$348.15 | $550–$633 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$168.85–$194.15 | $307–$353 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$201.85–$232.10 | $367–$422 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$191.95–$220.55 | $349–$401 | varies |
| L Hrt Art/Grft Angio (93459) | $7,771.50 | $14,130 | 2.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,406.90 | $2,558 | 6.8× |
| Mechanical chest wall oscillation per session (94669) | $174.90 | $318 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $75.76 | $137.75 | 2.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $88.55 | $161 | 2.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $56.10 | $102 | 3.3× |
| Motion Fluoroscopy/Swallow (92611) | $258.50 | $470 | 2.8× |
| Multiple Sleep Latency Test (95805) | $1,707.75 | $3,105 | 2.1× |
| Muscle Test 2 Limbs (95861) | $963.60 | $1,752 | 7.5× |
| Muscle Test One Limb (95860) | $586.30 | $1,066 | 4.6× |
| Nasopharyngoscopy (92511) | $232.10 | $422 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $169.40 | $308 | 0.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $197.45 | $359 | 1.0× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $67.98 | $123.60 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $354.75 | $645 | 0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $673.20 | $1,224 | 1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $293.70 | $534 | 1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $539 | $980 | 1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $134.64 | $244.80 | 0.4× |
| Nerve conduction studies 13 or more studies (95913) | $151.14 | $274.80 | 0.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $377.30 | $686 | 1.8× |
| Nerve conduction studies 5-6 studies (95909) | $79.86 | $145.20 | 0.4× |
| Nerve conduction studies 7-8 studies (95910) | $102.96 | $187.20 | 0.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $119.46 | $217.20 | 0.3× |
| Neurobehavioral Status Exam (96116) | $76.82 | $139.68 | 0.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $83.82 | $152.40 | 0.7× |
| Neuromuscular Reeducation (97112) | $89.10 | $162 | 2.7× |
| Optokinetic Nystagmus Test (92544) | $242 | $440 | 2.0× |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$103.40–$377.85 | $188–$687 | varies |
| Oral Speech Device Eval (92597) | $273.35 | $497 | 3.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $62.70 | $114 | 1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $157.85 | $287 | 3.4× |
| Oscillating Tracking Test (92545) | $242 | $440 | 1.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$26.14–$41.25 | $47.52–$75 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $37.62 | $68.40 | 1.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $49.50 | $90 | 2.4× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $60.59 | $110.16 | 2.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $72.47 | $131.76 | 3.5× |
| Ot eval high complexity (97167) | $433.40 | $788 | 4.3× |
| Ot Eval Low Complex (97165) | $240.90 | $438 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $314.05 | $571 | 3.1× |
| Ot manual therapy 15 min (97140) | $105.60 | $192 | 3.8× |
| Ot paraffin bath (97018) | $82.50 | $150 | 13.7× |
| Ot Re-Eval Est Plan Care (97168) range across 4 matching MRF lines |
$132–$248.60 | $240–$452 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $226.60 | $412 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $98.45 | $179 | 0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $271.70 | $494 | 1.3× |
| Perq Transcath Cls Aortic (93591) | $12,623.60 | $22,952 | 0.7× |
| Perq Transcath Cls Mitral (93590) | $12,623.60 | $22,952 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,789.65 | $14,163 | 1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $9,364.85 | $17,027 | 0.8× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$362.45–$1,052.15 | $659–$1,913 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $149.60 | $272 | 2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $149.60 | $272 | 2.6× |
| Plethysmography (94726) range across 2 matching MRF lines |
$503.80–$604.56 | $916–$1,099.20 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$40.92–$187.55 | $74.40–$341 | varies |
| Pm device progr eval dual (93280) | $48.18 | $87.60 | 1.3× |
| Pm device progr eval multi (93281) | $48.84 | $88.80 | 1.4× |
| Pm/Icd Remote Tech Serv (93296) | $33.66 | $61.20 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $6,312.35 | $11,477 | 7.6× |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,417.60 | $8,032 | 5.3× |
| Positional nystagmus test (92542) | $242 | $440 | 1.9× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $13.86 | $25.20 | 0.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $8,501.35 | $15,457 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $9,364.85 | $17,027 | 0.8× |
| Prq Card Stent/Ath/Angio (92933) | $9,364.85 | $17,027 | 0.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $8,361.10 | $15,202 | 0.8× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $12,962.95 | $23,569 | 0.7× |
| Psychiatric diagnostic evaluation (90791) | $127.60 | $232 | 0.7× |
| Pt Eval High Complex (97163) | $417.45 | $759 | 4.3× |
| Pt eval low complex 20 min (97161) range across 9 matching MRF lines |
$116.05–$126.72 | $211–$230.40 | varies |
| Pt Eval Mod Complex (97162) | $233.75 | $425 | 2.4× |
| Pt gait training 15 min (97116) | $121 | $220 | 4.2× |
| Pt group caregiver training (97552) | $102.85 | $187 | 4.7× |
| Pt mechanical traction (97012) | $83.60 | $152 | 5.8× |
| Pt Re-Eval Est Plan Care (97164) range across 4 matching MRF lines |
$101.20–$204.60 | $184–$372 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $4.62 | $8.40 | 0.1× |
| Pulm function test by gas (94727) | $115.50 | $210 | 0.6× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$172.70–$600.60 | $314–$1,092 | varies |
| Pulmonary Stress Testing (94618) | $223.85 | $407 | 1.7× |
| Pure Tone Audiometry Air (92552) | $105.60 | $192 | 0.8× |
| R Hrt Art/Grft Angio (93457) | $9,717.40 | $17,668 | 3.1× |
| R hrt coronary artery angio (93456) | $8,242.30 | $14,986 | 2.6× |
| Refill/Maint Portable Pump (96521) | $262.35 | $477 | 1.3× |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$226.05–$259.05 | $411–$471 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $65.01 | $118.20 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $243.65 | $443 | 6.8× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $152.91 | $278.02 | 0.7× |
| Respiratory flow volume loop (94375) | $33.66 | $61.20 | 0.2× |
| Right Heart Cath (93451) | $4,644.20 | $8,444 | 1.5× |
| Right ventricular recording (93603) | $2,991.45 | $5,439 | 2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $239.25 | $435 | 1.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $652.85 | $1,187 | 5.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $298.10 | $542 | 6.2× |
| Select picture audiometry (92583) | $105.60 | $192 | 1.9× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$103.40–$162.80 | $188–$296 | varies |
| Sensory Integration Ea 15 Min (97533) | $71.50 | $130 | 1.2× |
| Sleep study unattended (95806) | $784.85 | $1,427 | 3.8× |
| Slp caregiver training 1st 30 min (97550) | $91.30 | $166 | 1.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $784.85 | $1,427 | 3.8× |
| Speech Audiometry Complete (92556) | $105.60 | $192 | 1.9× |
| Speech audiometry threshold (92555) | $105.60 | $192 | 1.9× |
| Speech sound lang comprehen (92523) | $345.95 | $629 | 1.5× |
| Spirometry (94010) | $336.05 | $611 | 1.6× |
| Spontaneous Nystagmus Test (92541) | $242 | $440 | 1.9× |
| Standardized Cognitive Performance Testing (96125) | $337.15 | $613 | 3.3× |
| Stenger Test Speech (92577) | $393.25 | $715 | 1.1× |
| Stenger Test, Pure Tone (92565) | $105.60 | $192 | 1.9× |
| Stress Tte Only (93350) | $1,551.55 | $2,821 | 3.0× |
| Surfactant Admin Thru Tube (94610) | $276.10 | $502 | 1.3× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,217.15–$1,398.65 | $2,213–$2,543 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $151.80 | $276 | 6.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $151.80 | $276 | 7.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $122.10 | $222 | 3.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $157.30 | $286 | 5.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $268.95 | $489 | 2.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 2 matching MRF lines |
$151.80–$174.90 | $276–$318 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$169.68–$195.80 | $308.50–$356 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$304.15–$349.80 | $553–$636 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $613.80 | $1,116 | 3.0× |
| Therapeutic Activities (97530) | $85.25 | $155 | 2.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,622.40 | $4,768 | 7.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $78.65 | $143 | 2.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $38.50 | $70 | 1.1× |
| Tone Decay Test (92563) | $75.35 | $137 | 2.1× |
| Transcath Closure of Asd (93580) | $14,011.80 | $25,476 | 0.8× |
| Tte w/doppler, complete (93306) | $2,546.50 | $4,630 | 4.8× |
| Tte W/O Doppler Complete (93307) | $1,789.15 | $3,253 | 7.8× |
| Tx atrial fib pulm vein isol (93656) | $12,802.90 | $23,278 | 0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$101.75–$354.20 | $185–$644 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 4 matching MRF lines |
$22.55–$89.10 | $41–$162 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$130.90–$150.15 | $238–$273 | varies |
| Tympanometry (92567) | $94.60 | $172 | 2.6× |
| Tympanometry and reflex threshold measurements (92550) | $105.60 | $192 | 0.5× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$1,532.85–$4,648.05 | $2,787–$8,451 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $625.90 | $1,138 | 4.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $992.75 | $1,805 | 4.8× |
| Valvuloplasty aortic valve (92986) | $7,976.65 | $14,503 | 1.5× |
| Valvuloplasty mitral valve (92987) | $13,234.10 | $24,062 | 1.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $633.60 | $1,152 | 1.8× |
| Veeg 2-12 hr intmt mntr (95712) | $336.60 | $612 | 0.9× |
| Veeg 2-12 hr unmonitored (95711) | $336.60 | $612 | 1.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $633.60 | $1,152 | 1.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $633.60 | $1,152 | 1.8× |
| Veeg ea 12-26hr cont mntr (95716) | $1,185.80 | $2,156 | 1.4× |
| Vent Mgmt Inpat Init Day (94002) | $2,212.10 | $4,022 | 3.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,512.50 | $2,750 | 2.5× |
| Visual Evoked Potential Test (95930) | $485.10 | $882 | 2.3× |
| Visual reinforcement audiometry (vra) (92579) | $283.80 | $516 | 1.4× |
| Vital capacity, total (94150) | $235.40 | $428 | 1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$63.25–$84.15 | $115–$153 | varies |
| Whirlpool Therapy (97022) | $130.90 | $238 | 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.