Visits & medical services prices at SSM Health St. Mary's Hospital - Madison
Madison, WI · every code in this section with a posted price and a Medicare benchmark.
236 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $5,570.95 | $10,129 | 0.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $76.45 | $139 | 1.9× |
| Aep neurodiagnostic i&r (92653) | $1,021.35 | $1,857 | 4.9× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$260.15–$298.65 | $473–$543 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $112.75 | $205 | 7.9× |
| Behavral qualit analys voice (92524) | $442.75 | $805 | 4.0× |
| Blink reflex test (95933) | $187 | $340 | 3.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $312.40 | $568 | 0.9× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,648.15 | $6,633 | 0.5× |
| C motor evoked uppr limbs (95928) | $599.50 | $1,090 | 0.7× |
| C motor evoked upr&lwr limbs (95939) | $599.50 | $1,090 | 0.7× |
| Canalith repositioning proc (95992) | $108.90 | $198 | 2.7× |
| Car seat/bed test 60 min (94780) | $81.95 | $149 | 2.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $490.60 | $892 | 2.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$549.45–$631.40 | $999–$1,148 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,321.10–$1,519.65 | $2,402–$2,763 | varies |
| Cardioversion elective internal (92961) | $1,309 | $2,380 | 2.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $53.90 | $98 | 2.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $9,662.95 | $17,569 | 3.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,114.70 | $14,754 | 2.6× |
| Cbt 1st hour (94644) | $151.25 | $275 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $299.20 | $544 | 4.3× |
| Chemo Ia Push (96420) | $463.65 | $843 | 1.4× |
| Chemo IV infusion addl hr (96415) | $152.35 | $277 | 2.2× |
| Chemo IV push addl drug (96411) | $273.90 | $498 | 3.9× |
| Chemotherapy Into Cns (96450) | $862.40 | $1,568 | 2.7× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $707.85 | $1,287 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $270.60 | $492 | 3.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $677.05 | $1,231 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $273.90 | $498 | 0.9× |
| Chest Wall Manipulation (94668) | $168.30 | $306 | 1.3× |
| Color/duplex Doppler, complete (93975) | $767.80 | $1,396 | 3.3× |
| Color/duplex Doppler, limited (93976) | $661.65 | $1,203 | 6.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $93.50 | $170 | 2.9× |
| Continuous Pulse Ox (94762) | $315.70 | $574 | 2.5× |
| Coronary Art/Grft Angio S&I (93455) | $7,146.70 | $12,994 | 2.3× |
| Coronary Artery Angio S&I (93454) | $6,400.35 | $11,637 | 2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $451.55 | $821 | 2.1× |
| Cpt initial (94667) | $266.20 | $484 | 2.1× |
| Critical care first hour (99291) | $2,955.70 | $5,374 | 3.7× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $599.50 | $1,090 | 1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) | $523.05 | $951 | 2.7× |
| Dialysis One Evaluation (90945) | $407 | $740 | 1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $746.90 | $1,358 | 7.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,491.60 | $2,712 | 6.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,339.80 | $2,436 | 13.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,532.85 | $2,787 | 6.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,278.75 | $2,325 | 12.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,590.60 | $2,892 | 6.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $795.30 | $1,446 | 7.8× |
| Duplex Scan Hemodialysis Access (93990) | $132 | $240 | 1.3× |
| Duplex up extrem art bilat (93930) | $1,449.25 | $2,635 | 6.3× |
| Duplex up extrem art unilat/ltd (93931) | $929.50 | $1,690 | 9.2× |
| Echo Congenital Complete (93303) | $963.05 | $1,751 | 1.8× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$441.65–$598.95 | $803–$1,089 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $2,308.90 | $4,198 | 4.4× |
| Echo transesophageal (93312) | $973.50 | $1,770 | 1.8× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $803 | $1,460 | 1.5× |
| EEG awake and asleep (95819) | $699.60 | $1,272 | 3.3× |
| EEG awake drowsy (95816) | $728.20 | $1,324 | 3.5× |
| EEG cont rec w/video by tech min 8 channels (95700) | $293.70 | $534 | 1.4× |
| Eeg Sleep Only (95822) | $806.85 | $1,467 | 3.8× |
| Electrical Stimulation Ea 15 Min (97032) | $112.75 | $205 | 7.7× |
| Electrocardiogram Tracing (93005) | $179.85 | $327 | 3.1× |
| Electroconvulsive Therapy (90870) | $1,296.90 | $2,358 | 1.6× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $5,115.55 | $9,301 | 0.7× |
| Electrophysiology Evaluation (93642) | $1,921.15 | $3,493 | 1.6× |
| Emergency Dept Visit Level 2 (99282) | $652.85 | $1,187 | 4.4× |
| Emergency Dept Visit Level 3 (99283) | $1,062.60 | $1,932 | 4.0× |
| Emergency Dept Visit Level 4 (99284) | $1,441 | $2,620 | 3.6× |
| Endomyocardial Biopsy (93505) | $3,726.25 | $6,775 | 1.2× |
| Ep & ablate supravent arrhyt (93653) | $17,878.30 | $32,506 | 0.7× |
| Ep & ablate ventric tachy (93654) | $27,806.90 | $50,558 | 1.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $6,844.75 | $12,445 | 0.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $6,826.05 | $12,411 | 0.9× |
| Er level 1 (99281) | $436.15 | $793 | 5.3× |
| Er level v (99285) | $2,294.05 | $4,171 | 4.0× |
| Evaluate pt use of inhaler (94664) | $234.85 | $427 | 1.1× |
| Evaluate Speech Production (92522) | $442.75 | $805 | 4.0× |
| Evaluate Swallowing Function (92610) | $526.90 | $958 | 6.2× |
| Evaluation of speech fluency (92521) | $442.75 | $805 | 3.3× |
| External Ecg Scanning Analysis Report (93226) | $559.35 | $1,017 | 9.8× |
| Extracranial Bilat Study (93880) | $703.45 | $1,279 | 3.0× |
| Extracranial Uni/Ltd Study (93882) | $435.05 | $791 | 4.3× |
| Eye exam w anesth; complete (92018) | $1,971.75 | $3,585 | 0.9× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $506 | $920 | 1.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $235.40 | $428 | 1.2× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,069.75 | $1,945 | 1.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,747.90 | $3,178 | 2.1× |
| Group Therapeutic Procedures (97150) | $50.60 | $92 | 2.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $10,396.10 | $18,902 | 3.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,335.40 | $2,428 | 2.0× |
| Holter monitor recording (93225) | $360.25 | $655 | 2.8× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$180.40–$213.40 | $328–$388 | varies |
| Icd device progr eval dual (93283) | $173.25 | $315 | 4.8× |
| Icd Device Progr Eval Mult (93284) | $206.25 | $375 | 5.7× |
| Ilr Device Eval Progr (93285) | $112.20 | $204 | 3.1× |
| Ilr Device Interrogate (93291) | $297.55 | $541 | 10.6× |
| Immunization administration (90471) | $133.10 | $242 | 1.9× |
| Insert/Place Heart Catheter (93503) | $708.95 | $1,289 | 0.5× |
| Interrogate Subq Defib (93261) | $185.35 | $337 | 5.1× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,648.15 | $6,633 | 0.5× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$3,648.15 | $6,633 | 0.5× |
| Intracranial Complete Study (93886) | $471.90 | $858 | 2.0× |
| Intraventricular pacing (93612) | $4,191.55 | $7,621 | 0.6× |
| Iontophoresis 15 min (97033) | $111.65 | $203 | 5.9× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$122.65–$141.35 | $223–$257 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$438.35–$505.45 | $797–$919 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$122.65–$141.35 | $223–$257 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$134.75–$154.55 | $245–$281 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$212.85–$243.65 | $387–$443 | varies |
| L Hrt Art/Grft Angio (93459) | $8,855 | $16,100 | 2.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $441.10 | $802 | 2.1× |
| Mechanical chest wall oscillation per session (94669) | $276.65 | $503 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $62.70 | $114 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $69.85 | $127 | 1.9× |
| Motion Fluoroscopy/Swallow (92611) | $719.95 | $1,309 | 7.9× |
| Multiple Sleep Latency Test (95805) | $2,547.05 | $4,631 | 3.1× |
| Muscle Test 2 Limbs (95861) | $452.10 | $822 | 3.5× |
| Muscle Test One Limb (95860) | $272.25 | $495 | 2.1× |
| Narcosynthesis (90865) | $141.35 | $257 | 0.8× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$103.40–$118.25 | $188–$215 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $878.90 | $1,598 | 4.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $439.45 | $799 | 2.1× |
| Needle electromyography larynx (95865) | $174.90 | $318 | 1.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $347.60 | $632 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $2,226.95 | $4,049 | 5.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $210.65 | $383 | 1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $289.30 | $526 | 0.7× |
| Nerve Conduction Studies 1-2 Studies (95907) | $331.10 | $602 | 1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,345.85 | $2,447 | 3.7× |
| Nerve conduction studies 13 or more studies (95913) | $1,198.45 | $2,179 | 3.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $522.50 | $950 | 2.5× |
| Nerve conduction studies 5-6 studies (95909) | $460.90 | $838 | 2.2× |
| Nerve conduction studies 7-8 studies (95910) | $645.70 | $1,174 | 1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $829.40 | $1,508 | 2.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $135.30 | $246 | 1.1× |
| Neuromuscular Reeducation (97112) | $106.70 | $194 | 3.3× |
| Oral Function Therapy (92526) | $271.15 | $493 | 3.2× |
| Oral Speech Device Eval (92597) | $472.45 | $859 | 6.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $113.30 | $206 | 2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $104.50 | $190 | 2.3× |
| Ot eval high complexity (97167) | $393.80 | $716 | 3.9× |
| Ot Eval Low Complex (97165) | $204.60 | $372 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $289.30 | $526 | 2.9× |
| Ot manual therapy 15 min (97140) | $110.55 | $201 | 4.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $123.75 | $225 | 3.1× |
| Ot Re-Eval Est Plan Care (97168) | $126.50 | $230 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $234.30 | $426 | 1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $127.60 | $232 | 1.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $479.60 | $872 | 2.3× |
| Peripheral arterial disease rehab per session (93668) | $98.45 | $179 | 1.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,974.45 | $14,499 | 1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $8,448 | $15,360 | 0.8× |
| Phlebotomy therapeutic (99195) | $157.30 | $286 | 1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $153.45 | $279 | 2.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $147.95 | $269 | 2.6× |
| Physical Performance Test (97750) | $111.10 | $202 | 3.3× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$183.15–$210.65 | $333–$383 | varies |
| Pm device progr eval dual (93280) | $162.25 | $295 | 4.5× |
| Pm device progr eval multi (93281) | $194.15 | $353 | 5.4× |
| Pm Device Progr Eval Sngl (93279) | $116.60 | $212 | 3.2× |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$175.45–$201.85 | $319–$367 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$3,509–$4,385.70 | $6,380–$7,974 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$3,572.80–$4,466.55 | $6,496–$8,121 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,941.30 | $7,166 | 4.7× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $185.35 | $337 | 5.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $143.55 | $261 | 4.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $7,153.30 | $13,006 | 0.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $8,448 | $15,360 | 0.8× |
| Prq Card Stent/Ath/Angio (92933) | $15,199.80 | $27,636 | 0.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $8,448 | $15,360 | 0.8× |
| Psych diag eval w/med srvcs (90792) | $134.20 | $244 | 0.8× |
| Psychiatric diagnostic evaluation (90791) | $468.60 | $852 | 2.7× |
| Pt Eval High Complex (97163) | $513.15 | $933 | 5.2× |
| Pt eval low complex 20 min (97161) | $251.90 | $458 | 2.6× |
| Pt Eval Mod Complex (97162) | $343.20 | $624 | 3.5× |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$105.05–$112.75 | $191–$205 | varies |
| Pt Re-Eval Est Plan Care (97164) | $142.45 | $259 | 2.1× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$158.95–$253 | $289–$460 | varies |
| Pulmonary Stress Testing (94618) | $240.35 | $437 | 1.9× |
| R Hrt Art/Grft Angio (93457) | $9,061.25 | $16,475 | 2.9× |
| R hrt coronary artery angio (93456) | $8,317.10 | $15,122 | 2.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,109.20 | $14,744 | 2.6× |
| Rem interrog icpms <30 d phys/qhp (93297) | $99 | $180 | 2.7× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $133.10 | $242 | 3.7× |
| Remote 30 Day Ecg Tech Supp (93229) | $1,634.05 | $2,971 | 4.5× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $411.40 | $748 | 2.0× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $275.55 | $501 | 1.3× |
| Right Heart Cath (93451) | $5,592.95 | $10,169 | 1.8× |
| Right ventricular recording (93603) | $754.05 | $1,371 | 0.6× |
| Self Care Mngment Training (97535) | $110.55 | $201 | 3.4× |
| Sensory Integration Ea 15 Min (97533) | $111.65 | $203 | 1.8× |
| Short-latency somatosens ep std upr limbs (95925) | $608.85 | $1,107 | 2.9× |
| Sleep study attended (95807) | $1,364 | $2,480 | 3.8× |
| Sleep study unattended (95806) | $1,013.10 | $1,842 | 4.8× |
| Slp caregiver training 1st 30 min (97550) | $108.35 | $197 | 2.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $940.50 | $1,710 | 4.5× |
| Somatosensory Testing (95938) | $1,143.45 | $2,079 | 1.4× |
| Speech sound lang comprehen (92523) | $442.75 | $805 | 2.0× |
| Spirometry (94010) | $162.80 | $296 | 0.8× |
| Ssep lower limbs (95926) | $608.85 | $1,107 | 2.9× |
| Standardized Cognitive Performance Testing (96125) | $317.35 | $577 | 3.1× |
| Stress Tte Only (93350) | $711.70 | $1,294 | 1.3× |
| Surfactant Admin Thru Tube (94610) | $92.40 | $168 | 0.4× |
| Temp transcutaneous pacing (92953) | $985.05 | $1,791 | 1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $126.50 | $230 | 5.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $126.50 | $230 | 6.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $111.65 | $203 | 3.8× |
| Ther/Proph/Diag Inj Ia (96373) | $236.50 | $430 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$135.85–$156.75 | $247–$285 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$438.35–$505.45 | $797–$919 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $374.55 | $681 | 1.8× |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$111.53–$120.45 | $202.78–$219 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,279.30 | $2,326 | 3.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $37.95 | $69 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $34.10 | $62 | 0.9× |
| Transcath Closure of Asd (93580) | $10,687.60 | $19,432 | 0.6× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $315.70 | $574 | 3.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $128.70 | $234 | 3.6× |
| Tte w/doppler, complete (93306) | $1,856.80 | $3,376 | 3.5× |
| Tx atrial fib pulm vein isol (93656) | $22,629.75 | $41,145 | 0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $267.85 | $487 | 3.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$135.85–$156.75 | $247–$285 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$99–$3,260.95 | $180–$5,929 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $37.95 | $69 | 1.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $218.90 | $398 | 1.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $664.95 | $1,209 | 3.2× |
| Valvuloplasty aortic valve (92986) | $6,511.45 | $11,839 | 1.2× |
| Veeg 2-12 hr unmonitored (95711) | $609.95 | $1,109 | 2.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $3,083.30 | $5,606 | 8.5× |
| Vent Mgmt Inpat Init Day (94002) | $2,071.85 | $3,767 | 3.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,566.40 | $2,848 | 2.6× |
| Vital capacity, total (94150) | $163.35 | $297 | 1.3× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $752.95 | $1,369 | 0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $59.95 | $109 | 1.9× |
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.