Visits & medical services prices at St. Dominic Hospital

Jackson, MS · every code in this section with a posted price and a Medicare benchmark.

305 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $5,423 $10,846 0.8×
Actigraphy Testing Recording Analysis I&R (95803) $114.50 $229 2.1×
Actinotherapy Ultraviolet Light (96900) $89 $178 2.6×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$25–$27 $50–$54 varies
Aep threshold estimation mlt frequencies i&r (92652) $622 $1,244 3.2×
Airway Inhalation Treatment (94640) $207 $414 1.0×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $213 $426 1.8×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $165 $330 1.4×
Analyze Neurostim Simple (95971) $424.50 $849 4.9×
Analyze Pacemaker System (93724) $1,545.50 $3,091 5.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $58 $116 4.0×
Application on-body injector (96377) $74 $148 1.8×
Arrhythmia Induction (93618) $2,734.50 $5,469 2.5×
Assessment of aphasia per hr (96105) $243.50 $487 2.5×
Auditory Function, 60 Min (92620) $130 $260 1.1×
Behavral qualit analys voice (92524) $144 $288 1.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $123.50 $247 1.5×
Bfb training ea addl 15 min (90913) $123.50 $247 3.8×
Biofeedback training any modality (90901) $162.50 $325 4.0×
Blink reflex test (95933) $196 $392 3.7×
Breath hydrogen/methane test (91065) $382 $764 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $385.50 $771 1.1×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,434.50 $6,869 0.5×
Canalith repositioning proc (95992) $30 $60 0.7×
Car seat/bed test 60 min (94780) $125.50 $251 3.7×
Cardiac Stress Tst,Tracing Only (93017) $422.50 $845 2.2×
Cardiopulmonary resuscitation (92950) $708 $1,416 3.6×
Cardioversion (92960) $1,791.50 $3,583 3.0×
Cardioversion elective internal (92961) $1,464.50 $2,929 2.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,019 $8,038 1.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,019 $8,038 1.4×
Cbt 1st hour (94644) $117.50 $235 1.0×
Chemo Admin Peritoneal Cavity (96446) $480.50 $961 1.6×
Chemo Anti-Neopl Sq/Im (96401) $318.50 $637 4.9×
Chemo Hormon Antineopl Sq/Im (96402) $318.50 $637 4.9×
Chemo Ia Push (96420) $414 $828 1.4×
Chemo IV infusion addl hr (96415) $60 $120 0.9×
Chemo IV push addl drug (96411) $263.50 $527 4.1×
Chemother Prolong Infuse W/Pump (96416) $668.50 $1,337 2.2×
Chemotherapy Into Cns (96450) $649 $1,298 2.2×
Chemotherapy Unspecified (96549) $282 $564 6.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $116.50 $233 1.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $357.50 $715 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $263.50 $527 0.9×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $326.50 $653 1.1×
Chest Wall Manipulation (94668) $117.50 $235 1.0×
Color/duplex Doppler, complete (93975) $777.50 $1,555 3.6×
Color/duplex Doppler, limited (93976) $574 $1,148 6.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $77 $154 2.4×
Continuous Pulse Ox (94762) $188 $376 1.6×
Coronary Art/Grft Angio S&I (93455) $3,506 $7,012 1.2×
Coronary Artery Angio S&I (93454) $3,206.50 $6,413 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $167 $334 0.8×
Cpt initial (94667) $117.50 $235 1.0×
Critical care first hour (99291) $1,479 $2,958 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $158 $316 0.9×
Dialysis One Evaluation (90945) $788 $1,576 2.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $572.50 $1,145 2.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $385.50 $771 4.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $468.50 $937 5.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $497 $994 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $424 $848 4.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $810.50 $1,621 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $468 $936 5.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $223 $446 1.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $112 $224 1.2×
Duplex Scan Hemodialysis Access (93990) $265 $530 2.8×
Duplex up extrem art bilat (93930) $601.50 $1,203 2.8×
Duplex up extrem art unilat/ltd (93931) $400 $800 4.2×
ECG/monitoring and analysis (93271) $251.50 $503 2.9×
Echo Congenital Complete (93303) $944 $1,888 1.9×
Echo Heart Xthoracic,Limited (93308) $357.50 $715 1.7×
Echo r-t 2d w/probe placement only (93313) $1,031.50 $2,063 2.1×
Echo transesophageal (93312) $2,114.50 $4,229 4.3×
Echo Transesophageal - Congenital Tee Complete (93315) $1,173 $2,346 2.4×
Eeg 41-60 Minutes (95812) $401.50 $803 2.1×
EEG awake and asleep (95819) $401.50 $803 2.1×
EEG awake drowsy (95816) $401.50 $803 2.1×
EEG cerebral death evaluation (95824) $717.50 $1,435 2.1×
EEG cont rec w/video by tech min 8 channels (95700) $421 $842 2.2×
EEG extended monitoring 61-119 minutes (95813) $401.50 $803 2.1×
Eeg Sleep Only (95822) $401.50 $803 2.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $421 $842 2.2×
EEG w/o vid 2-12hr cont mntr (95707) $508.50 $1,017 2.6×
EEG w/o vid ea 12-26hr intmt (95709) $827 $1,654 2.5×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $909.50 $1,819 2.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $462.50 $925 2.4×
EEG wo vid ea 12-26hr unmntr (95708) $752 $1,504 2.2×
EKG signal averaged (93278) $187.50 $375 3.5×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $202.50 $405 2.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $208 $416 2.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $66 $132 2.0×
Electrical Stimulation Ea 15 Min (97032) $71.50 $143 4.9×
Electrocardiogram Tracing (93005) $103.50 $207 1.9×
Electroconvulsive Therapy (90870) $683.50 $1,367 0.9×
Electrophysiology Evaluation (93642) $2,818.50 $5,637 2.6×
Emergency Dept Visit Level 2 (99282) $217 $434 1.6×
Emergency Dept Visit Level 3 (99283) $345.50 $691 1.4×
Emergency Dept Visit Level 4 (99284) $517.50 $1,035 1.4×
Emg 3 Extremities (95863) $210 $420 1.8×
Emg 4 Extremities (95864) $196 $392 1.7×
Endomyocardial Biopsy (93505) $1,375 $2,750 0.5×
Ep & ablate supravent arrhyt (93653) $17,063 $34,126 0.7×
Ep & ablate ventric tachy (93654) $26,207.50 $52,415 1.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,414.50 $12,829 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,414.50 $12,829 0.9×
Er level 1 (99281) $130.50 $261 1.7×
Er level v (99285) $863 $1,726 1.6×
Esophagus acid perfusion test esophagitis (91030) $597 $1,194 1.8×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $913 $1,826 2.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $237 $474 2.0×
Evaluate Speech Production (92522) $144 $288 1.3×
Evaluate Swallowing Function (92610) $179 $358 2.1×
Evaluation of speech fluency (92521) $144 $288 1.1×
Exercise test for bronchospasm (94617) $188 $376 1.6×
External ECG rec>48hr<7d recording (93242) $72 $144 2.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $118 $236 1.0×
External ECG rec>7d<15d recording (93246) $118.50 $237 3.5×
External ECG rec>7d<15d scanning alys w/report (93247) $237.50 $475 2.0×
External Ecg Scanning Analysis Report (93226) $399 $798 7.5×
Extracranial Bilat Study (93880) $504 $1,008 2.3×
Extracranial Uni/Ltd Study (93882) $336 $672 3.6×
F-up/limited tthrc echo congenital car anomaly (93304) $537.50 $1,075 1.1×
Facial nerve function studies (92516) $165 $330 0.8×
Flexible endoscopic eval swallow c/v rec (92612) $179 $358 0.9×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $353.50 $707 1.5×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,920.50 $3,841 2.5×
Fundus photography (92250) $142 $284 1.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $4,820 $9,640 14.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,698.50 $3,397 2.2×
Gi tract capsule endoscopy (91110) $1,539 $3,078 1.9×
Group Therapeutic Procedures (97150) $64.50 $129 3.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,318 $8,636 1.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $925 $1,850 1.5×
Holter monitor recording (93225) $451.50 $903 3.8×
Hubbard tank 15 min (97036) $155 $310 4.5×
Ilr Device Interrogate (93291) $103.50 $207 4.0×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$13.50–$14 $27–$28 varies
Immunization administration (90471) $33.50 $67 0.5×
Insert/Place Heart Catheter (93503) $2,973 $5,946 2.1×
Interrogate Subq Defib (93261) $45.50 $91 1.4×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$2,181.50 $4,363 0.3×
Intracranial Complete Study (93886) $376.50 $753 1.7×
Iontophoresis 15 min (97033) $81 $162 4.3×
Irrig Drug Delivery Device (96523) $71.50 $143 1.3×
IV infusion hydration each additional hour (96361) $48.50 $97 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $249.50 $499 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $139.50 $279 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $111.50 $223 2.6×
IV push initial (96374) $222 $444 1.2×
L Hrt Art/Grft Angio (93459) $4,318 $8,636 1.5×
Liver Elastography W/O Imag W/I&R (91200) $171.50 $343 1.5×
Lwr Xtr Vasc Stdy Bilat (93924) $731 $1,462 3.7×
Mechanical chest wall oscillation per session (94669) $249 $498 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $31 $62 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $52 $104 1.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $53 $106 3.1×
Motility study esophagus (91010) $1,020.50 $2,041 3.0×
Motion Fluoroscopy/Swallow (92611) $284 $568 3.1×
Multiple Sleep Latency Test (95805) $918.50 $1,837 1.2×
Muscle Test 2 Limbs (95861) $210 $420 1.7×
Muscle Test Nonparaspinal (95870) $529 $1,058 4.4×
Muscle Test One Limb (95860) $195.50 $391 1.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $130.50 $261 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $529 $1,058 2.7×
Needle electromyography larynx (95865) $122 $244 1.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $529 $1,058 2.7×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $121.50 $243 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $569 $1,138 1.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $414.50 $829 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $234.50 $469 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $430.50 $861 1.2×
Nerve Conduction Studies 1-2 Studies (95907) $115 $230 0.6×
Nerve Conduction Studies 11-12 Studies (95912) $820.50 $1,641 2.4×
Nerve conduction studies 13 or more studies (95913) $279.50 $559 0.8×
Nerve Conduction Studies 3-4 Studies (95908) $279.50 $559 1.4×
Nerve conduction studies 5-6 studies (95909) $279.50 $559 1.4×
Nerve conduction studies 7-8 studies (95910) $279.50 $559 0.8×
Nerve Conduction Studies 9-10 Studies (95911) $279.50 $559 0.8×
Neurobehavioral Status Exam (96116) $125 $250 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $210 $420 1.8×
Neuromuscular Reeducation (97112) $78 $156 2.4×
Newborn resuscitation (99465) $286 $572 0.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $365.50 $731 1.1×
Oral Function Therapy (92526) $116.50 $233 1.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $81 $162 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $81 $162 1.8×
Ot Contrast Bath Ea 15 Min (97034) $44 $88 3.1×
Ot eval high complexity (97167) $201.50 $403 2.0×
Ot Eval Low Complex (97165) $135.50 $271 1.3×
Ot Eval Moderate Complexity (97166) $135.50 $271 1.3×
Ot manual therapy 15 min (97140) $122.50 $245 4.4×
Ot paraffin bath (97018) $42 $84 7.0×
Ot Prosthetic Training, Each 15 Min (97761) $78 $156 1.9×
Ot Re-Eval Est Plan Care (97168) $122.50 $245 1.8×
Ot rom hand (95852) $74 $148 3.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $155 $310 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $155 $310 1.3×
Oxygen Uptake Rest Indirect (94690) $101 $202 1.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $149 $298 0.8×
Peripheral arterial disease rehab per session (93668) $113.50 $227 2.1×
Perq transcath closure pda (93582) $21,142 $42,284 1.3×
Perq Transcath Cls Aortic (93591) $23,052 $46,104 1.4×
Perq Transcath Cls Mitral (93590) $23,052 $46,104 1.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,593.50 $11,187 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $10,144 $20,288 1.0×
Phlebotomy therapeutic (99195) $100.50 $201 0.8×
Physical Performance Test (97750) $63 $126 1.9×
Plethysmography (94726) $207 $414 0.6×
Pm device eval in person (93288) $93.50 $187 2.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,328 $4,656 3.0×
Polysom <6 yrs 4/> paramtrs (95782) $1,096.50 $2,193 1.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,096.50 $2,193 1.4×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,347.50 $2,695 1.7×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $45.50 $91 1.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $26.50 $53 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $52 $104 1.2×
Prq Card Angio/Athrect 1 Art (92924) $8,924 $17,848 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $17,699.50 $35,399 1.7×
Prq Card Stent/Ath/Angio (92933) $10,144 $20,288 0.6×
Prq Revasc Byp Graft 1 Vsl (92937) $10,144 $20,288 1.0×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $14,490.50 $28,981 0.9×
Psychiatric diagnostic evaluation (90791) $213 $426 1.3×
Psytx Crisis Initial 60 Min (90839) $24.50 $49 0.2×
Pt Eval High Complex (97163) $201.50 $403 2.1×
Pt eval low complex 20 min (97161) $135.50 $271 1.4×
Pt Eval Mod Complex (97162) $135.50 $271 1.4×
Pt gait training 15 min (97116) $72 $144 2.5×
Pt mechanical traction (97012) $75.50 $151 5.3×
Pt Re-Eval Est Plan Care (97164) $122.50 $245 1.8×
Pulm function test by gas (94727) $207 $414 1.1×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$278.50–$279.50 $557–$559 varies
Pulmonary Stress Testing (94618) $212.50 $425 1.8×
R Hrt Art/Grft Angio (93457) $4,088.50 $8,177 1.4×
R hrt coronary artery angio (93456) $3,789 $7,578 1.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,662.50 $7,325 1.3×
Refill/Maint Portable Pump (96521) $202.50 $405 1.1×
Refill/Maint Pump/Resvr Syst (96522) $202.50 $405 1.1×
Remote 30 Day Ecg Rev/Report (93270) $259 $518 7.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $99.50 $199 1.9×
Right Heart Cath (93451) $3,432 $6,864 1.2×
Right ventricular recording (93603) $2,127.50 $4,255 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $80.50 $161 0.4×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $80.50 $161 3.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $139.50 $279 1.1×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $273 $546 0.8×
Self Care Mngment Training (97535) $72 $144 2.2×
Sensory Integration Ea 15 Min (97533) $91.50 $183 1.5×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $617.50 $1,235 3.2×
Short-latency somatosens ep std upr limbs (95925) $728.50 $1,457 3.7×
Slp Stdy Unatnd W/Anal (95801) $193 $386 3.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $193 $386 1.0×
Somatosensory Testing (95938) $1,455.50 $2,911 1.9×
Speech sound lang comprehen (92523) $144 $288 0.6×
Spin/Brain Pump Refil & Main (95991) $384 $768 1.4×
Spirometry (94010) $193.50 $387 1.0×
Ssep lower limbs (95926) $728.50 $1,457 3.7×
Standardized Cognitive Performance Testing (96125) $76.50 $153 0.7×
Stress Tte Only (93350) $944 $1,888 1.9×
Surfactant Admin Thru Tube (94610) $100 $200 0.5×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $304 $608 3.2×
Temp transcutaneous pacing (92953) $984 $1,968 1.6×
Testing Autonomic Nervous System Function (95923) $321.50 $643 2.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $73.50 $147 3.3×
Ther Ivntj Ea Addl 15 Min (97130) $73.50 $147 3.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $75 $150 2.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $62 $124 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $103.50 $207 1.0×
Ther/Proph/Diag Inj Ia (96373) $209.50 $419 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $92 $184 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $249.50 $499 1.3×
Therapeutic Activities (97530) $68 $136 1.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $381 $762 1.1×
Transcath Closure of Asd (93580) $14,550.50 $29,101 0.9×
Transcranial Doppler Intracran Art Emboli Detect (93892) $304 $608 3.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $311.50 $623 3.3×
Tte w/doppler, complete (93306) $944 $1,888 1.9×
Tx atrial fib pulm vein isol (93656) $17,063 $34,126 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $114.50 $229 1.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $134.50 $269 5.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $127 $254 3.0×
Unlisted cardiovascular service/procedure (93799) $334 $668 2.9×
Unlisted noninvasive vascular diagnostic study (93998) $699 $1,398 26.8×
Unlisted Psychiatric Service/Procedure (90899) $122.50 $245 3.6×
Upr/L Xtremity Art 2 Levels (93922) $635 $1,270 5.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $768 $1,536 3.9×
Valvuloplasty aortic valve (92986) $5,593.50 $11,187 1.1×
Valvuloplasty mitral valve (92987) $9,605 $19,210 0.9×
Valvuloplasty pulmonary valve (92990) $5,593.50 $11,187 0.5×
Vasopneumatic device (97016) $59 $118 4.9×
Veeg 2-12 Hr Cont Mntr (95713) $525 $1,050 1.6×
Veeg 2-12 hr intmt mntr (95712) $479 $958 1.4×
Veeg 2-12 hr unmonitored (95711) $437.50 $875 2.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $842.50 $1,685 2.5×
Veeg Ea 12-26 Hr Unmntr (95714) $769 $1,538 2.3×
Veeg ea 12-26hr cont mntr (95716) $926 $1,852 1.2×
Vent Mgmt Inpat Init Day (94002) $1,490 $2,980 2.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $998 $1,996 1.8×
Visual Evoked Potential Test (95930) $758 $1,516 3.9×
Visual field xm uni/bi w/interp intermed exam (92082) $135.50 $271 2.5×
Vital capacity, total (94150) $101.50 $203 0.9×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,156.50 $2,313 1.5×
Wheelchair Mgmt Ea 15 Min (97542) $82.50 $165 2.7×
Whirlpool Therapy (97022) $64.50 $129 4.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $57.50 $115 1.1×

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.