Visits & medical services prices at St. Bernards Medical Center
Jonesboro, AR · every code in this section with a posted price and a Medicare benchmark.
313 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) range across 2 matching MRF lines |
$705.25–$9,863.75 | $1,085–$15,175 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $52 | $80 | 1.4× |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$55.25–$100.75 | $85–$155 | varies |
| Airway Inhalation Treatment (94640) range across 23 matching MRF lines |
$18.20–$250.25 | $28–$385 | varies |
| Airway resistance by oscillometry (94728) | $204.75 | $315 | 1.7× |
| Analyze neurostim complex (95972) | $152.75 | $235 | 1.7× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$65–$133.25 | $100–$205 | varies |
| Analyze Pacemaker System (93724) range across 2 matching MRF lines |
$354.25–$390 | $545–$600 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $16.25 | $25 | 1.1× |
| Application on-body injector (96377) | $48.75 | $75 | 1.1× |
| Arrhythmia Induction (93618) | $1,579.50 | $2,430 | 1.4× |
| Assessment of aphasia per hr (96105) | $133.25 | $205 | 1.4× |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$110.50–$370.50 | $170–$570 | varies |
| Audiometry Air & Bone (92553) | $165.75 | $255 | 1.4× |
| Basic vestibular evaluation (92540) | $204.75 | $315 | 1.0× |
| Behavral qualit analys voice (92524) | $107.25 | $165 | 1.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $178.75 | $275 | 2.2× |
| Bfb training ea addl 15 min (90913) | $48.75 | $75 | 1.5× |
| Biofeedback training any modality (90901) | $48.75 | $75 | 1.2× |
| Bioimpedance Cv Analysis (93701) | $19.50 | $30 | 0.2× |
| Blink reflex test (95933) range across 4 matching MRF lines |
$65–$136.50 | $100–$210 | varies |
| Breath hydrogen/methane test (91065) | $175.50 | $270 | 0.9× |
| Brief Emotional/Behav Assmt (96127) range across 6 matching MRF lines |
$6.50–$48.75 | $10–$75 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$35.75–$406.25 | $55–$625 | varies |
| Bundle of his recording (93600) | $4,182.75 | $6,435 | 0.6× |
| Caloric Vstblr Test W/Rec (92537) | $204.75 | $315 | 1.7× |
| Canalith repositioning proc (95992) | $52 | $80 | 1.3× |
| Car seat/bed test 60 min (94780) | $58.50 | $90 | 1.7× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$74.75–$406.25 | $115–$625 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$403–$406.25 | $620–$625 | varies |
| Cardiopulmonary resuscitation (92950) range across 8 matching MRF lines |
$295.75–$406.25 | $455–$625 | varies |
| Cardioversion (92960) range across 9 matching MRF lines |
$185.25–$851.50 | $285–$1,310 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$308.75–$851.50 | $475–$1,310 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $29.25 | $45 | 1.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$464.75–$4,182.75 | $715–$6,435 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$370.50–$4,182.75 | $570–$6,435 | varies |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$65–$149.50 | $100–$230 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $364 | $560 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$68.25–$81.25 | $105–$125 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$55.25–$81.25 | $85–$125 | varies |
| Chemo Intralesional Over 7 (96406) | $266.50 | $410 | 1.3× |
| Chemo intralesional up to 7 (96405) | $87.75 | $135 | 1.3× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$68.25–$81.25 | $105–$125 | varies |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$68.25–$81.25 | $105–$125 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 3 matching MRF lines |
$364–$403 | $560–$620 | varies |
| Chemotherapy Into Cns (96450) | $419.25 | $645 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$81.25–$217.75 | $125–$335 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$364–$403 | $560–$620 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 3 matching MRF lines |
$234–$263.25 | $360–$405 | varies |
| Chest Wall Manipulation (94668) | $149.50 | $230 | 1.2× |
| Chron Care Mgmt Srvc 20 Min (99490) | $45.50 | $70 | 0.5× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$302.25–$315.25 | $465–$485 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$136.50–$139.75 | $210–$215 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $39 | $60 | 1.2× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $35.75 | $55 | 0.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 3 matching MRF lines |
$146.25–$175.50 | $225–$270 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $48.75 | $75 | 0.9× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$351–$4,182.75 | $540–$6,435 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$305.50–$4,182.75 | $470–$6,435 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $250.25 | $385 | 1.2× |
| Cpt initial (94667) | $149.50 | $230 | 1.2× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$230.75–$952.25 | $355–$1,465 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$71.50–$234 | $110–$360 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $312 | $480 | 2.6× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$117–$529.75 | $180–$815 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$42.25–$315.25 | $65–$485 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$29.25–$139.75 | $45–$215 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $136.50 | $210 | 1.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$48.75–$315.25 | $75–$485 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 8 matching MRF lines |
$136.50–$139.75 | $210–$215 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 7 matching MRF lines |
$169.65–$315.25 | $261–$485 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 9 matching MRF lines |
$35.75–$143 | $55–$220 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $315.25 | $485 | 1.4× |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$136.50–$139.75 | $210–$215 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$48.75–$315.25 | $75–$485 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$29.25–$139.75 | $45–$215 | varies |
| Echo Congenital Complete (93303) range across 4 matching MRF lines |
$344.50–$715 | $530–$1,100 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$55.25–$715 | $85–$1,100 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$107.25–$585 | $165–$900 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $143 | $220 | 0.3× |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$136.50–$715 | $210–$1,100 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 8 matching MRF lines |
$100.75–$715 | $155–$1,100 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$256.75–$406.25 | $395–$625 | varies |
| EEG awake and asleep (95819) range across 4 matching MRF lines |
$269.75–$406.25 | $415–$625 | varies |
| EEG awake drowsy (95816) range across 4 matching MRF lines |
$237.25–$406.25 | $365–$625 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$58.50–$692.25 | $90–$1,065 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $204.75 | $315 | 1.0× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$295.75–$406.25 | $455–$625 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$243.75–$406.25 | $375–$625 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $406.25 | $625 | 2.0× |
| EEG wo vid ea 12-26hr unmntr (95708) | $692.25 | $1,065 | 2.0× |
| EKG signal averaged (93278) range across 2 matching MRF lines |
$19.50–$78 | $30–$120 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $120.25 | $185 | 1.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $52 | $80 | 1.5× |
| Electrical Stimulation Ea 15 Min (97032) range across 9 matching MRF lines |
$19.50–$22.75 | $30–$35 | varies |
| Electrocardiogram Tracing (93005) range across 8 matching MRF lines |
$11.05–$136.50 | $17–$210 | varies |
| Electrophysiology Evaluation (93642) range across 3 matching MRF lines |
$315.25–$1,579.50 | $485–$2,430 | varies |
| Emergency Dept Visit Level 2 (99282) range across 8 matching MRF lines |
$39–$146.25 | $60–$225 | varies |
| Emergency Dept Visit Level 3 (99283) range across 8 matching MRF lines |
$61.75–$263.25 | $95–$405 | varies |
| Emergency Dept Visit Level 4 (99284) range across 8 matching MRF lines |
$113.75–$432.25 | $175–$665 | varies |
| Emg 3 Extremities (95863) range across 4 matching MRF lines |
$143–$204.75 | $220–$315 | varies |
| Emg 4 Extremities (95864) range across 4 matching MRF lines |
$156–$204.75 | $240–$315 | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$31,892.25 | $1,370–$49,065 | 1.3× |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$31,892.25 | $1,825–$49,065 | 1.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$757.25–$9,863.75 | $1,165–$15,175 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $9,863.75 | $15,175 | 1.3× |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,579.50 | $2,430 | 1.4× |
| Er level 1 (99281) range across 8 matching MRF lines |
$22.75–$81.25 | $35–$125 | varies |
| Er level v (99285) range across 8 matching MRF lines |
$165.75–$633.75 | $255–$975 | varies |
| Esoph Atrial Electrogram (93615) | $1,579.50 | $2,430 | 1.4× |
| Esophageal Capsule Endoscopy (91111) | $71.50 | $110 | 0.1× |
| Evaluate pt use of inhaler (94664) | $16.25 | $25 | 0.1× |
| Evaluate Speech Production (92522) | $110.50 | $170 | 1.0× |
| Evaluate Swallowing Function (92610) | $104 | $160 | 1.2× |
| Evaluation of speech fluency (92521) | $139.75 | $215 | 1.0× |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$16.25–$74.75 | $25–$115 | varies |
| External ECG rec>7d<15d recording (93246) range across 3 matching MRF lines |
$16.25–$74.75 | $25–$115 | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$42.25–$78 | $65–$120 | varies |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$48.75–$315.25 | $75–$485 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$29.25–$139.75 | $45–$215 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 5 matching MRF lines |
$91–$715 | $140–$1,100 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $224.25 | $345 | 1.1× |
| Fundus photography (92250) range across 3 matching MRF lines |
$42.25–$146.25 | $65–$225 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$130–$663 | $200–$1,020 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$263.25–$1,121.25 | $405–$1,725 | varies |
| Group Therapeutic Procedures (97150) | $22.75 | $35 | 1.3× |
| Health Behavior Assessment/Re-Assessment (96156) | $97.50 | $150 | 1.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$513.50–$4,182.75 | $790–$6,435 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$100.75–$776.75 | $155–$1,195 | varies |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$27.95–$169 | $43–$260 | varies |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$48.75–$74.75 | $75–$115 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$48.75–$104 | $75–$160 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$48.75–$120.25 | $75–$185 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$32.50–$48.75 | $50–$75 | varies |
| Ilr Device Eval Progr (93285) range across 3 matching MRF lines |
$48.75–$58.50 | $75–$90 | varies |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$32.50–$48.75 | $50–$75 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $22.75 | $35 | 0.3× |
| Immunization administration (90471) range across 47 matching MRF lines |
$29.25–$377 | $45–$580 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$165.75–$2,018.25 | $255–$3,105 | varies |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$48.75–$68.25 | $75–$105 | varies |
| Interrogation vad in person (93750) | $65 | $100 | 0.7× |
| Intraventricular pacing (93612) | $9,863.75 | $15,175 | 1.3× |
| Io anal gast n-stim subsq (95981) range across 2 matching MRF lines |
$32.50–$149.50 | $50–$230 | varies |
| Io ga n-stim subsq w/reprog (95982) range across 2 matching MRF lines |
$48.75–$52 | $75–$80 | varies |
| Iontophoresis 15 min (97033) | $26 | $40 | 1.4× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$39–$71.50 | $60–$110 | varies |
| IV infusion hydration each additional hour (96361) range across 10 matching MRF lines |
$21.45–$61.75 | $33–$95 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 10 matching MRF lines |
$71.50–$273 | $110–$420 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$68.25–$74.75 | $105–$115 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 7 matching MRF lines |
$45.50–$61.75 | $70–$95 | varies |
| IV push initial (96374) range across 11 matching MRF lines |
$63.05–$273 | $97–$420 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$416–$4,182.75 | $640–$6,435 | varies |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$22.75–$195 | $35–$300 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$32.50–$351 | $50–$540 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $35.75 | $55 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $42.25 | $65 | 1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $19.50 | $30 | 1.1× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$42.25–$406.25 | $65–$625 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$97.50–$663 | $150–$1,020 | varies |
| Motion Fluoroscopy/Swallow (92611) | $107.25 | $165 | 1.2× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $523.25 | $805 | 1.2× |
| Multiple Sleep Latency Test (95805) range across 5 matching MRF lines |
$422.50–$1,173.25 | $650–$1,805 | varies |
| Muscle Test 2 Limbs (95861) range across 4 matching MRF lines |
$100.75–$169 | $155–$260 | varies |
| Muscle Test Nonparaspinal (95870) range across 3 matching MRF lines |
$55.25–$169 | $85–$260 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$74.75–$169 | $115–$260 | varies |
| Nasopharyngoscopy (92511) | $204.75 | $315 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $29.25 | $45 | 0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$42.25–$234 | $65–$360 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$48.75–$484.25 | $75–$745 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 4 matching MRF lines |
$78–$204.75 | $120–$315 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 4 matching MRF lines |
$234–$692.25 | $360–$1,065 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 4 matching MRF lines |
$276.25–$692.25 | $425–$1,065 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 4 matching MRF lines |
$97.50–$406.25 | $150–$625 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 4 matching MRF lines |
$117–$406.25 | $180–$625 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 4 matching MRF lines |
$156–$406.25 | $240–$625 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 4 matching MRF lines |
$195–$692.25 | $300–$1,065 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$139.75–$390 | $215–$600 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 4 matching MRF lines |
$48.75–$204.75 | $75–$315 | varies |
| Neuromuscular Reeducation (97112) | $42.25 | $65 | 1.3× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$156–$663 | $240–$1,020 | varies |
| Oral Function Therapy (92526) | $104 | $160 | 1.2× |
| Oral Speech Device Eval (92597) | $87.75 | $135 | 1.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $42.25 | $65 | 0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $55.25 | $85 | 1.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $39 | $60 | 1.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $58.50 | $90 | 2.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $74.75 | $115 | 3.7× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $91 | $140 | 4.5× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $110.50 | $170 | 5.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $19.50 | $30 | 1.4× |
| Ot eval high complexity (97167) | $191.75 | $295 | 1.9× |
| Ot Eval Low Complex (97165) | $97.50 | $150 | 1.0× |
| Ot Eval Moderate Complexity (97166) | $143 | $220 | 1.4× |
| Ot manual therapy 15 min (97140) | $35.75 | $55 | 1.3× |
| Ot paraffin bath (97018) | $9.75 | $15 | 1.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $48.75 | $75 | 1.2× |
| Ot Re-Eval Est Plan Care (97168) | $91 | $140 | 1.3× |
| Ot rom hand (95852) | $22.75 | $35 | 1.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $152.75 | $235 | 1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $152.75 | $235 | 1.3× |
| Penile Vascular Study,Ltd or F/U (93981) | $136.50 | $210 | 1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $250.25 | $385 | 1.2× |
| Perq Transcath Cls Aortic (93591) | $23,344.75 | $35,915 | 1.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 6 matching MRF lines |
$594.75–$7,413.25 | $915–$11,405 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 11 matching MRF lines |
$737.75–$23,344.75 | $1,135–$35,915 | varies |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$22.75–$146.25 | $35–$225 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $74.75 | $115 | 1.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $74.75 | $115 | 1.4× |
| Physical Performance Test (97750) | $45.50 | $70 | 1.3× |
| Plethysmography (94726) range across 3 matching MRF lines |
$35.75–$406.25 | $55–$625 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$48.75–$52 | $75–$80 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$48.75–$78 | $75–$120 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$48.75–$91 | $75–$140 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$48.75–$68.25 | $75–$105 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$42.25–$48.75 | $65–$75 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 9 matching MRF lines |
$260–$1,326 | $400–$2,040 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $74.75 | $115 | 2.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$48.75–$81.25 | $75–$125 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$18.85–$48.75 | $29–$75 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$18.85–$48.75 | $29–$75 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 6 matching MRF lines |
$705.25–$14,742 | $1,085–$22,680 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 11 matching MRF lines |
$659.75–$14,742 | $1,015–$22,680 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 11 matching MRF lines |
$23,344.75 | $1,135–$35,915 | 1.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 11 matching MRF lines |
$659.75–$14,742 | $1,015–$22,680 | varies |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $14,742 | $22,680 | 1.4× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$162.50–$227.50 | $250–$350 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$162.50–$198.25 | $250–$305 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 3 matching MRF lines |
$159.25–$390 | $245–$600 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) range across 2 matching MRF lines |
$3.25–$35.75 | $5–$55 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 2 matching MRF lines |
$48.75–$494 | $75–$760 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 3 matching MRF lines |
$35.75–$159.25 | $55–$245 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$162.50–$211.25 | $250–$325 | varies |
| Pt Eval High Complex (97163) | $191.75 | $295 | 2.0× |
| Pt eval low complex 20 min (97161) | $97.50 | $150 | 1.0× |
| Pt Eval Mod Complex (97162) | $143 | $220 | 1.5× |
| Pt gait training 15 min (97116) | $35.75 | $55 | 1.2× |
| Pt group caregiver training (97552) | $13 | $20 | 0.6× |
| Pt mechanical traction (97012) | $19.50 | $30 | 1.4× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$68.25–$91 | $105–$140 | varies |
| Pt ultraviolet (97028) | $9.75 | $15 | 1.2× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $3.25 | $5 | 0.1× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$48.75–$169 | $75–$260 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$42.25–$152.75 | $65–$235 | varies |
| Quan puplmtry phy/qhp uni/bi (95919) | $165.75 | $255 | 1.3× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$435.50–$4,182.75 | $670–$6,435 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$390–$4,182.75 | $600–$6,435 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$406.25–$4,182.75 | $625–$6,435 | varies |
| Refill/Maint Portable Pump (96521) | $234 | $360 | 1.2× |
| Rem interrog icpms <30 d phys/qhp (93297) | $32.50 | $50 | 0.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $35.75 | $55 | 1.0× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $59.80 | $92 | 1.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $18.20 | $28 | 0.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $19.50 | $30 | 0.6× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $159.25 | $245 | 1.3× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $325 | $500 | 1.6× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $178.75 | $275 | 0.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $78 | $120 | 1.4× |
| Right Heart Cath (93451) range across 3 matching MRF lines |
$172.25–$4,182.75 | $265–$6,435 | varies |
| Right ventricular recording (93603) | $1,579.50 | $2,430 | 1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 7 matching MRF lines |
$29.25–$240.50 | $45–$370 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $22.75 | $35 | 0.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $159.25 | $245 | 1.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $65 | $100 | 1.4× |
| Self Care Mngment Training (97535) | $42.25 | $65 | 1.3× |
| Sensory Integration Ea 15 Min (97533) | $42.25 | $65 | 0.7× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$578.50–$692.25 | $890–$1,065 | varies |
| Slp caregiver training 1st 30 min (97550) | $55.25 | $85 | 1.0× |
| Slp Stdy Unatnd W/Anal (95801) | $65 | $100 | 1.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 13 matching MRF lines |
$32.50–$204.75 | $50–$315 | varies |
| Speech sound lang comprehen (92523) | $240.50 | $370 | 1.1× |
| Spirometry (94010) range across 7 matching MRF lines |
$22.75–$204.75 | $35–$315 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$107.25–$143 | $165–$220 | varies |
| Stress Tte Only (93350) | $94.25 | $145 | 0.2× |
| Subcutaneous Infusion Each Additional Hour (96370) | $45.50 | $70 | 1.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $234 | $360 | 1.2× |
| Subq Infusion Additional Pump Infusion Site (96371) | $68.25 | $105 | 1.0× |
| Surfactant Admin Thru Tube (94610) | $250.25 | $385 | 1.2× |
| Temp transcutaneous pacing (92953) | $607.75 | $935 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $26 | $40 | 1.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $26 | $40 | 1.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $48.75 | $75 | 1.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $35.75 | $55 | 1.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $133.25 | $205 | 1.3× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$26–$273 | $40–$420 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 17 matching MRF lines |
$35.75–$94.25 | $55–$145 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 14 matching MRF lines |
$128.05–$273 | $197–$420 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $201.50 | $310 | 1.0× |
| Therapeutic Activities (97530) | $48.75 | $75 | 1.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$110.50–$715 | $170–$1,100 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 5 matching MRF lines |
$26–$39 | $40–$60 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 5 matching MRF lines |
$16.25–$39 | $25–$60 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 4 matching MRF lines |
$97.50–$159.25 | $150–$245 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$152.75–$230.75 | $235–$355 | varies |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$1,137.50–$23,344.75 | $1,750–$35,915 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 3 matching MRF lines |
$22.75–$48.75 | $35–$75 | varies |
| Tte w/doppler, complete (93306) range across 8 matching MRF lines |
$32.50–$715 | $50–$1,100 | varies |
| Tte W/O Doppler Complete (93307) range across 5 matching MRF lines |
$312–$315.25 | $480–$485 | varies |
| Tx atrial fib pulm vein isol (93656) range across 3 matching MRF lines |
$29,419–$31,892.25 | $1,825–$49,065 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $97.50 | $150 | 1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 8 matching MRF lines |
$26–$65 | $40–$100 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$169–$204.75 | $260–$315 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 8 matching MRF lines |
$110.50–$169 | $170–$260 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 5 matching MRF lines |
$29.25–$204.75 | $45–$315 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$1,517.75–$7,413.25 | $2,335–$11,405 | varies |
| Valvuloplasty mitral valve (92987) | $14,742 | $22,680 | 1.4× |
| Vasopneumatic device (97016) | $19.50 | $30 | 1.6× |
| Veeg 2-12 hr unmonitored (95711) | $406.25 | $625 | 2.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $692.25 | $1,065 | 2.0× |
| Vent Mgmt Inpat Init Day (94002) | $724.75 | $1,115 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $724.75 | $1,115 | 1.3× |
| Vital capacity, total (94150) | $185.25 | $285 | 1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $39 | $60 | 1.3× |
| Whirlpool Therapy (97022) | $22.75 | $35 | 1.4× |
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.