Visits & medical services prices at St. Charles Medical Center Prineville
Prineville, OR · every code in this section with a posted price and a Medicare benchmark.
247 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) | $13,768.58 | $17,210.73 | 1.6× |
| Acupunct W/Stimul 15 Min (97813) | $41.41 | $51.76 | 1.3× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $41.41 | $51.76 | 1.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $84.28 | $105.35 | 1.9× |
| Advncd Care Plan 30 Min (99497) | $279.20 | $349 | 2.5× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$262.66–$497.82 | $328.33–$622.28 | varies |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $863.69 | $1,079.61 | 3.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$37.91–$128 | $47.39–$160 | varies |
| Application on-body injector (96377) | $156.10 | $195.13 | 3.0× |
| Arrhythmia Induction (93618) | $9,691.94 | $12,114.92 | 7.2× |
| Assessment of aphasia per hr (96105) | $432.55 | $540.69 | 4.5× |
| Behavral qualit analys voice (92524) | $516.33 | $645.41 | 4.7× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $115.26 | $144.07 | 1.4× |
| Bfb training ea addl 15 min (90913) | $115.26 | $144.07 | 3.5× |
| Bis Xtracell Fluid Analysis (93702) | $433.66 | $542.07 | 3.0× |
| Blink reflex test (95933) | $861.16 | $1,076.45 | 13.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$624.16–$942.15 | $780.20–$1,177.69 | varies |
| C motor evoked uppr limbs (95928) | $1,310.94 | $1,638.68 | 1.4× |
| C motor evoked upr&lwr limbs (95939) | $1,408.01 | $1,760.01 | 1.5× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$89.76–$115.26 | $112.20–$144.07 | varies |
| Car seat/bed test 60 min (94780) | $284.59 | $355.74 | 6.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,451.34 | $1,814.18 | 6.0× |
| Cardiopulmonary exercise testing (94621) | $1,418.61 | $1,773.26 | 3.4× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$910.38–$1,002.40 | $1,137.97–$1,253 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$678.40–$1,552.60 | $848–$1,940.75 | varies |
| Cardioversion elective internal (92961) | $942.21 | $1,177.76 | 1.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $98.36 | $122.95 | 3.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $11,349.42 | $14,186.78 | 3.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,973.85 | $12,467.31 | 2.8× |
| Cbt 1st hour (94644) | $229.16 | $286.45 | 1.5× |
| Chemo Admin Peritoneal Cavity (96446) | $609.15 | $761.44 | 1.7× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$140.08–$167.48 | $175.10–$209.35 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $167.48 | $209.35 | 2.1× |
| Chemo Ia Push (96420) | $885.20 | $1,106.50 | 2.4× |
| Chemo intralesional up to 7 (96405) | $362.01 | $452.51 | 4.5× |
| Chemo IV infusion addl hr (96415) | $382.78 | $478.48 | 4.8× |
| Chemo IV push addl drug (96411) | $349.63 | $437.04 | 4.4× |
| Chemother Prolong Infuse W/Pump (96416) | $999.30 | $1,249.12 | 2.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $349.63 | $437.04 | 4.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $980.79 | $1,225.99 | 2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $609.15 | $761.44 | 1.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $343.18 | $428.97 | 0.9× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$295.75–$445.77 | $369.69–$557.21 | varies |
| Color/duplex Doppler, complete (93975) | $1,373.40 | $1,716.75 | 5.2× |
| Color/duplex Doppler, limited (93976) | $631.54 | $789.43 | 5.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $289.40 | $361.75 | 2.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $140.66 | $175.82 | 2.1× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$80.80–$467.62 | $101–$584.53 | varies |
| Coronary Art/Grft Angio S&I (93455) | $9,973.85 | $12,467.31 | 2.8× |
| Coronary Artery Angio S&I (93454) | $9,973.84 | $12,467.30 | 2.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$449.08–$1,011.90 | $561.35–$1,264.88 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$901.60–$2,958.77 | $1,127–$3,698.46 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,787.27 | $2,234.09 | 4.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$251.20–$447.30 | $314–$559.12 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$712.39–$2,100.78 | $890.49–$2,625.98 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,019.30 | $1,274.12 | 3.8× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $747.20 | $934 | 6.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$1,054.99–$1,290.52 | $1,318.74–$1,613.15 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$655.26–$860.34 | $819.08–$1,075.43 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,250.95 | $1,563.69 | 4.7× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$397.60–$941.95 | $497–$1,177.44 | varies |
| Duplex Scan Hemodialysis Access (93990) | $688.82 | $861.02 | 5.9× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$1,054.99–$1,290.52 | $1,318.74–$1,613.15 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$70.40–$860.34 | $88–$1,075.43 | varies |
| Echo Congenital Complete (93303) | $742.32 | $927.90 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) | $150.98 | $188.73 | 0.6× |
| Echo r-t 2d w/probe placement only (93313) | $1,759.38 | $2,199.22 | 2.9× |
| Echo transesophageal (93312) | $1,732.30 | $2,165.37 | 2.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,568.14 | $1,960.18 | 2.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $387.94 | $484.92 | 0.6× |
| Eeg 41-60 Minutes (95812) | $1,768.79 | $2,210.99 | 7.4× |
| EEG awake and asleep (95819) | $1,090.74 | $1,363.42 | 4.5× |
| EEG awake drowsy (95816) | $890.77 | $1,113.46 | 3.7× |
| EEG cerebral death evaluation (95824) | $1,247.09 | $1,558.86 | 3.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $890.77 | $1,113.46 | 3.7× |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$2,795.92–$4,850.15 | $3,494.90–$6,062.69 | varies |
| Eeg Sleep Only (95822) | $810.78 | $1,013.47 | 3.4× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,121.34 | $1,401.68 | 2.7× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$57.92–$128 | $72.40–$160 | varies |
| Electrocardiogram Tracing (93005) | $286.49 | $358.11 | 4.4× |
| Electrophysiology Evaluation (93642) | $2,941.77 | $3,677.21 | 2.2× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$132.80–$583.68 | $166–$729.60 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$202.40–$969.78 | $253–$1,212.22 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$386.40–$1,669.02 | $483–$2,086.28 | varies |
| Emg 3 Extremities (95863) | $576.78 | $720.98 | 4.0× |
| Emg 4 Extremities (95864) | $599.83 | $749.79 | 4.2× |
| Endomyocardial Biopsy (93505) | $4,496.66 | $5,620.83 | 1.3× |
| Ep & ablate supravent arrhyt (93653) | $33,100.92 | $41,376.15 | 1.1× |
| Ep & ablate ventric tachy (93654) | $33,100.92 | $41,376.15 | 1.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $9,244.81 | $11,556.01 | 1.1× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $12,050.49 | $15,063.11 | 1.4× |
| Ep Esophageal Recording Atria+Pacing (93616) | $11,082.26 | $13,852.83 | 8.2× |
| Er level 1 (99281) range across 5 matching MRF lines |
$69.60–$1,225.15 | $87–$1,531.44 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$573.60–$2,316.54 | $717–$2,895.67 | varies |
| Ergonovine provocation test (93024) | $780.35 | $975.44 | 1.6× |
| Esoph Atrial Electrogram (93615) | $11,082.26 | $13,852.83 | 8.2× |
| Evaluate pt use of inhaler (94664) | $297.86 | $372.33 | 1.2× |
| Evaluate Speech Production (92522) | $516.33 | $645.41 | 4.6× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$557.98–$569.90 | $697.48–$712.37 | varies |
| Evaluation of speech fluency (92521) | $516.33 | $645.41 | 3.9× |
| Evoked Auditory Test,Limited (92587) | $406.31 | $507.89 | 1.7× |
| External ECG rec>48hr<7d recording (93242) | $284.73 | $355.91 | 6.9× |
| External ECG rec>7d<15d recording (93246) | $284.73 | $355.91 | 6.9× |
| Extracranial Bilat Study (93880) | $1,039.98 | $1,299.97 | 3.9× |
| Extracranial Uni/Ltd Study (93882) | $772.87 | $966.09 | 6.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $873.58 | $1,091.98 | 1.4× |
| Flexible endoscopic eval swallow c/v rec (92612) | $557.98 | $697.48 | 2.8× |
| Fluorescein angiography (92235) | $132 | $165 | 0.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,573.57 | $1,966.96 | 1.6× |
| Group Therapeutic Procedures (97150) range across 5 matching MRF lines |
$49.81–$225.74 | $62.26–$282.17 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,973.85 | $12,467.31 | 2.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,599.29 | $3,249.11 | 3.4× |
| Immunization administration (90471) | $131.05 | $163.81 | 1.6× |
| Insert/Place Heart Catheter (93503) | $3,458.78 | $4,323.47 | 2.0× |
| Intra-atrial pacing (93610) | $6,782.45 | $8,478.06 | 0.8× |
| Intracranial Complete Study (93886) | $920.80 | $1,151 | 3.5× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$97.94–$128 | $122.42–$160 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$201.37–$210.23 | $251.71–$262.79 | varies |
| IV infusion hydration each additional hour (96361) | $246.49 | $308.11 | 4.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $730.89 | $913.61 | 3.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $259.50 | $324.37 | 3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $293.15 | $366.44 | 5.6× |
| IV push initial (96374) range across 2 matching MRF lines |
$319.38–$421.03 | $399.22–$526.29 | varies |
| L Hrt Art/Grft Angio (93459) | $9,973.85 | $12,467.31 | 2.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $68.54 | $85.68 | 2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $74.03 | $92.54 | 2.0× |
| Methacholine challenge (94070) | $1,190.69 | $1,488.36 | 2.9× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$641.26–$773.43 | $801.58–$966.79 | varies |
| Multiple Family Group Psychotherapy (90849) | $275.60 | $344.50 | 1.4× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$258.42–$795.95 | $323.02–$994.94 | varies |
| Muscle Test One Limb (95860) | $205.32 | $256.65 | 1.4× |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$188.64–$448 | $235.80–$560 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $829.28 | $1,036.60 | 3.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $795.95 | $994.94 | 3.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $512.20 | $640.25 | 2.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $634.10 | $792.62 | 1.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $432.99 | $541.24 | 1.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,341.81 | $1,677.26 | 3.2× |
| Nerve conduction studies 13 or more studies (95913) | $1,427.68 | $1,784.60 | 3.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $750.39 | $937.99 | 3.1× |
| Nerve conduction studies 5-6 studies (95909) | $792.13 | $990.16 | 3.3× |
| Nerve conduction studies 7-8 studies (95910) | $738.18 | $922.73 | 1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,024.11 | $1,280.14 | 2.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $464.14 | $580.18 | 3.2× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$102.17–$141.27 | $127.71–$176.59 | varies |
| Newborn resuscitation (99465) | $1,324.71 | $1,655.89 | 1.8× |
| Nitric oxide expired gas determination (95012) | $79.75 | $99.69 | 1.9× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $148.79 | $185.99 | 2.3× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$349.76–$359.94 | $437.20–$449.92 | varies |
| Oral Speech Device Eval (92597) | $641.26 | $801.58 | 9.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$87.98–$128 | $109.98–$160 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$87.98–$128 | $109.98–$160 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $63.61 | $79.51 | 2.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $112.99 | $141.24 | 8.1× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$345.50–$629.27 | $431.87–$786.59 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$314.65–$345.50 | $393.31–$431.87 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$345.50–$472.86 | $431.87–$591.07 | varies |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$109.90–$128 | $137.37–$160 | varies |
| Ot paraffin bath (97018) | $96.74 | $120.93 | 16.1× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 3 matching MRF lines |
$87.98–$128 | $109.98–$160 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$314.65–$345.50 | $393.31–$431.87 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $250.93 | $313.66 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $250.93 | $313.66 | 1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $492.15 | $615.19 | 2.0× |
| Peripheral arterial disease rehab per session (93668) | $146.67 | $183.34 | 2.2× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $34,463.78 | $43,079.73 | 1.7× |
| Perq Transcath Cls Aortic (93591) | $36,773.24 | $45,966.55 | 1.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,947.78 | $14,934.73 | 1.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $18,146.96 | $22,683.70 | 1.4× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$179.63–$302.33 | $224.54–$377.91 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $134.30 | $167.87 | 2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $162.16 | $202.70 | 2.5× |
| Plethysmography (94726) | $720.04 | $900.05 | 1.7× |
| Prq Card Angio/Athrect 1 Art (92924) | $22,782.14 | $28,477.67 | 1.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $18,146.96 | $22,683.70 | 1.4× |
| Prq Card Stent/Ath/Angio (92933) | $18,146.96 | $22,683.70 | 0.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $18,146.96 | $22,683.70 | 1.4× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $40,236.94 | $50,296.18 | 2.0× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $21,703.27 | $27,129.09 | 1.7× |
| Psychiatric diagnostic evaluation (90791) | $854.06 | $1,067.57 | 4.3× |
| Psytx Crisis Initial 60 Min (90839) | $417.46 | $521.82 | 2.1× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $345.50 | $431.87 | 9.2× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$243.28–$472.86 | $304.10–$591.07 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$158.22–$345.50 | $197.77–$431.87 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$314.65–$345.50 | $393.31–$431.87 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$109.90–$128 | $137.37–$160 | varies |
| Pt mechanical traction (97012) | $112.99 | $141.24 | 7.9× |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$158.22–$345.50 | $197.77–$431.87 | varies |
| Pulmonary Stress Testing (94618) | $352.96 | $441.20 | 2.4× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $86.63 | $108.29 | 3.8× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $141.14 | $176.43 | 4.1× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $43.81 | $54.76 | 3.5× |
| R Hrt Art/Grft Angio (93457) | $9,973.85 | $12,467.31 | 2.8× |
| R hrt coronary artery angio (93456) | $9,973.85 | $12,467.31 | 2.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $10,926.56 | $13,658.20 | 3.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $757.81 | $947.26 | 2.1× |
| Refill/Maint Portable Pump (96521) | $597.86 | $747.33 | 2.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $96.10 | $120.13 | 1.5× |
| Right Heart Cath (93451) | $10,926.56 | $13,658.20 | 3.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $442.80 | $553.50 | 2.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$541.33–$651.29 | $676.66–$814.11 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$183.20–$327.78 | $229–$409.72 | varies |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$105.32–$128 | $131.65–$160 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $904.24 | $1,130.30 | 3.8× |
| Slp caregiver training 1st 30 min (97550) | $197.98 | $247.47 | 3.8× |
| Somatosensory Testing (95938) | $1,595.64 | $1,994.55 | 1.7× |
| Speech sound lang comprehen (92523) | $516.33 | $645.41 | 2.3× |
| Spin/Brain Pump Refil & Main (95991) | $867.82 | $1,084.78 | 2.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$361.57–$536.32 | $451.96–$670.40 | varies |
| Ssep lower limbs (95926) | $904.24 | $1,130.30 | 3.8× |
| Standardized Cognitive Performance Testing (96125) | $494.78 | $618.47 | 4.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $133.46 | $166.82 | 2.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $419.92 | $524.90 | 1.8× |
| Temp transcutaneous pacing (92953) | $1,020.72 | $1,275.90 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $112.99 | $141.24 | 5.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $112.99 | $141.24 | 5.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$87.98–$128 | $109.98–$160 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$349.76–$591.34 | $437.20–$739.17 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $123.40 | $154.25 | 2.4× |
| Ther/Proph/Diag Inj Ia (96373) | $282.05 | $352.56 | 1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $156.10 | $195.13 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$426.20–$783.67 | $532.75–$979.59 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$109.90–$128 | $137.37–$160 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,576.85 | $1,971.06 | 3.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $105.82 | $132.27 | 2.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$45.60–$72.38 | $57–$90.47 | varies |
| Transcath Closure of Asd (93580) | $25,862.69 | $32,328.36 | 1.3× |
| Tte w/doppler, complete (93306) | $838.86 | $1,048.57 | 1.4× |
| Tx atrial fib pulm vein isol (93656) | $33,100.92 | $41,376.15 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$324.80–$550.59 | $406–$688.24 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$54.07–$272.06 | $67.59–$340.07 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $317.04 | $396.30 | 6.1× |
| Unlis neurological/neuromuscular dx px (95999) | $432.99 | $541.24 | 3.0× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$252–$604.81 | $315–$756.01 | varies |
| Valvuloplasty aortic valve (92986) | $12,327.86 | $15,409.82 | 1.9× |
| Valvuloplasty mitral valve (92987) | $11,941.18 | $14,926.47 | 0.9× |
| Valvuloplasty pulmonary valve (92990) | $11,941.18 | $14,926.47 | 0.9× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,185.53 | $1,481.91 | 2.9× |
| Veeg 2-12 hr intmt mntr (95712) | $4,037.30 | $5,046.63 | 9.7× |
| Veeg 2-12 hr unmonitored (95711) | $3,822.44 | $4,778.05 | 15.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,185.53 | $1,481.91 | 2.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,185.53 | $1,481.91 | 2.9× |
| Veeg ea 12-26hr cont mntr (95716) | $2,219.04 | $2,773.80 | 2.3× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$1,261.73–$1,742.15 | $1,577.16–$2,177.69 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$1,261.73–$1,534.53 | $1,577.16–$1,918.16 | varies |
| Visual Evoked Potential Test (95930) | $1,153.62 | $1,442.02 | 4.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$87.98–$128 | $109.98–$160 | varies |
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.