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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $5,423 $10,846 0.8×
Actigraphy testing recording analysis i&r (95803) $114.50 $229 2.1×
Aep threshold estimation mlt frequencies i&r (92652) $622 $1,244 3.2×
Airway inhalation treatment (94640) $207 $414 1.0×
Ambulatory Bp Analysis (93788) $165 $330 1.4×
Ambulatory Bp Recording (93786) $213 $426 1.8×
Appl on-body injector for timed subq injection (96377) $74 $148 1.8×
Arrhythmia induction (93618) $2,734.50 $5,469 2.5×
Assessment of aphasia (96105) $243.50 $487 2.5×
Auditory Function, 60 Min (92620) $130 $260 1.1×
Behavioral and qualitative analysis of voice and resonance (92524) $144 $288 1.3×
Bfb training 1st 15 min (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 (95992) $30 $60 0.7×
Capsule endoscopy (91110) $1,539 $3,078 1.9×
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 internal (92961) $1,464.50 $2,929 2.5×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,506 $7,012 1.2×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $3,789 $7,578 1.3×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $14,550.50 $29,101 0.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $4,318 $8,636 1.5×
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 Hormon Antineopl Sq/Im (96402) $318.50 $637 4.9×
Chemo inj subarach/intravent (96542) $326.50 $653 1.1×
Chemo IV push addl drug (96411) $263.50 $527 4.1×
Chemo Iv Push Sngl Drug (96409) $263.50 $527 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $668.50 $1,337 2.2×
Chemother, IV infusion, 1 hr (96413) $357.50 $715 1.2×
Chemother, IV infusion, ea add hr (96415) $60 $120 0.9×
Chemother,Ia Push Technique (96420) $414 $828 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $318.50 $637 4.9×
Chemotherapy, unspecified procedure (96549) $282 $564 6.7×
Chemotx Admn Cns Req Spinal Puncture (96450) $649 $1,298 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $116.50 $233 1.8×
Color/duplex Doppler, complete (93975) $777.50 $1,555 3.6×
Color/duplex Doppler, limited (93976) $574 $1,148 6.1×
Coronary artery angio s&i (93454) $3,206.50 $6,413 1.1×
Cortical mapping 1st hr (95961) $1,920.50 $3,841 2.5×
Cpap initiation and management (94660) $167 $334 0.8×
Cpt initial (94667) $117.50 $235 1.0×
Critical care (99291) $1,479 $2,958 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $158 $316 0.9×
Dialysis other/than hemodialysis 1 phys/qhp eval (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $601.50 $1,203 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $400 $800 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $468 $936 5.0×
Duplex hemodialysis access (93990) $265 $530 2.8×
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 extracranial art compl bi study (93880) $504 $1,008 2.3×
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×
Echo Transthoracic - Congenital Tte Complete (93303) $944 $1,888 1.9×
Echo Transthoracic - Congenital Tte Limited (93304) $537.50 $1,075 1.1×
EEG awake 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 coma or sleep only (95822) $401.50 $803 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 W/O Vid 2-12 Hr Unmntr (95705) $421 $842 2.2×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $827 $1,654 2.5×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $752 $1,504 2.2×
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 w/o video by tech 2-12hr continuous r-t mntr (95707) $508.50 $1,017 2.6×
EKG (93005) $103.50 $207 1.9×
EKG rhythm strip (93041) $99.50 $199 1.9×
Ekg Signal Averaging (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×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $424.50 $849 4.9×
Electroconvulsive Therapy (90870) $683.50 $1,367 0.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $401.50 $803 2.1×
EMG cranial nerve bilat (95868) $130.50 $261 0.7×
EMG cranial nerve unilat (95867) $529 $1,058 2.7×
EMG four extremities (95864) $196 $392 1.7×
EMG one extremity (95860) $195.50 $391 1.6×
EMG thoracic paraspinal (95869) $529 $1,058 2.7×
EMG three extremities (95863) $210 $420 1.8×
EMG two extremities (95861) $210 $420 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 Analyze Pacer Sys (93724) $1,545.50 $3,091 5.6×
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×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $2,818.50 $5,637 2.6×
Ep Right Ventricular Recording (93603) $2,127.50 $4,255 1.9×
Er level 1 (99281) $130.50 $261 1.7×
Er level ii (99282) $217 $434 1.6×
Er level iii (99283) $345.50 $691 1.4×
Er level IV (99284) $517.50 $1,035 1.4×
Er level v (99285) $863 $1,726 1.6×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $913 $1,826 2.7×
Esophagus acid perfusion test esophagitis (91030) $597 $1,194 1.8×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $237 $474 2.0×
Evaluation of speech fluency (92521) $144 $288 1.1×
Evaluation of speech sound production (92522) $144 $288 1.3×
Evaluation of swallowing function (92610) $179 $358 2.1×
Evaluation with prescription of speech-generating alternative (92607) $139.50 $279 1.1×
Exam of visual field with intermediate testing (92082) $135.50 $271 2.5×
Exercise tst brncspsm (94617) $188 $376 1.6×
Exhaled Air Analysis (94690) $101 $202 1.9×
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×
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×
Fundus photography w/interpretation & report (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×
Group Therapeutic Procedures (97150) $64.50 $129 3.6×
Hemodialysis (90935) $925 $1,850 1.5×
Holter Monitor Recording (93225) $451.50 $903 3.8×
Hydrotherapy (97036) $155 $310 4.5×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $26 $52 0.7×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $13.75 $27.50 0.2×
Immunization Admin (90471) $33.50 $67 0.5×
Immunotherapy, 2+ Injections (95117) $52 $104 1.2×
Injection intra arterial (96373) $209.50 $419 1.1×
Ins swan ganz bedside (93503) $2,973 $5,946 2.1×
Interrog dev eval scrms phys/qhp in person (93291) $103.50 $207 4.0×
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×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $139.50 $279 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $249.50 $499 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $111.50 $223 2.6×
IV push initial (96374) $222 $444 1.2×
Liver elastography w/o imag w/i&r (91200) $171.50 $343 1.5×
Manual therapy 15 min (97140) $122.50 $245 4.4×
Massage 15 min (97124) $62 $124 2.1×
Mechanical chest wall oscillation (94669) $249 $498 1.3×
Mechanical traction (97012) $75.50 $151 5.3×
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×
Mnt Group Ea 30 Min (97804) $53 $106 3.1×
Motility study esophagus (91010) $1,020.50 $2,041 3.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $284 $568 3.1×
Multiple sleep latency test (95805) $918.50 $1,837 1.2×
Needle electromyography larynx (95865) $122 $244 1.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $529 $1,058 4.4×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $121.50 $243 0.6×
Neg press wnd tx </=50 sq cm (97607) $569 $1,138 1.6×
Neg press wound tx >50 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 13/> studies (95913) $279.50 $559 0.8×
Nerve Conduction Studies 3-4 Studies (95908) $279.50 $559 1.4×
Nerve Conduction Studies 9-10 Studies (95911) $279.50 $559 0.8×
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; 5-6 studies (95909) $279.50 $559 1.4×
Nerve conduction studies; 7-8 studies (95910) $279.50 $559 0.8×
Neurobehavioral Status Exam (96116) $125 $250 0.6×
Neuromuscular junction test (95937) $210 $420 1.8×
Newborn resuscitation (99465) $286 $572 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $635 $1,270 5.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $768 $1,536 3.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $188 $376 1.6×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $365.50 $731 1.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $81 $162 1.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $77 $154 2.4×
Ot Contrast Bath Ea 15 Min (97034) $44 $88 3.1×
Ot eval high complex 60 min (97167) $201.50 $403 2.0×
Ot eval low complex 30 min (97165) $135.50 $271 1.3×
Ot eval mod complex 45 min (97166) $135.50 $271 1.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $81 $162 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $78 $156 1.9×
Ot Range Motion Measure,Each Extrem (95851) $80.50 $161 3.1×
Ot re-eval est plan care (97168) $122.50 $245 1.8×
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×
Paraffin bath (97018) $42 $84 7.0×
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 Mitral (93590) $23,052 $46,104 1.4×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $23,052 $46,104 1.4×
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×
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $122.50 $245 3.6×
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×
Prq balloon valvuloplasty aortic valve (92986) $5,593.50 $11,187 1.1×
Prq Balloon Valvuloplasty Mitral Valve (92987) $9,605 $19,210 0.9×
Prq card revasc chronic 1vsl (92943) $10,144 $20,288 1.0×
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×
Prq trluml coronary angio/atherect one art/brnch (92924) $8,924 $17,848 0.9×
Prq trluml coronary angioplasty one art/branch (92920) $5,593.50 $11,187 1.1×
Psychiatric diagnostic evaluation (90791) $213 $426 1.3×
Psytx crisis initial 60 min (90839) $24.50 $49 0.2×
Pt Aquatic Therapy/Exercises (97113) $75 $150 2.0×
Pt Electric Current Therapy (97033) $81 $162 4.3×
Pt Electrical Stimulation (97032) $71.50 $143 4.9×
Pt eval high complex 45 min (97163) $201.50 $403 2.1×
Pt eval low complex 20 min (97161) $135.50 $271 1.4×
Pt Gait Training Therapy (97116) $72 $144 2.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $78 $156 2.4×
Pt Physical Performance Test (97750) $63 $126 1.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $135.50 $271 1.4×
Pt re-evaluation (97164) $122.50 $245 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $72 $144 2.2×
Pt Ultrasound Therapy (97035) $58 $116 4.0×
Pt Whirlpool Therapy (97022) $64.50 $129 4.1×
Pulm function test by gas (94727) $207 $414 1.1×
Pulmonary stress testing (94618) $212.50 $425 1.8×
R & l hrt cath w/njx l ventriculog img s&i (93453) $3,662.50 $7,325 1.3×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $4,019 $8,038 1.4×
R hrt art/grft angio (93457) $4,088.50 $8,177 1.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $4,318 $8,636 1.5×
Refill/Maint Pump/Resvr Syst (96522) $202.50 $405 1.1×
Refill/maint, portable pump (96521) $202.50 $405 1.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $259 $518 7.7×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $384 $768 1.4×
Right heart cath (93451) $3,432 $6,864 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $80.50 $161 0.4×
Rom meas&reprt hand w/wo comparison normal sid (95852) $74 $148 3.5×
Rt Chest Wall Manipulation,Subsequent (94668) $117.50 $235 1.0×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $273 $546 0.8×
Sensory Integration Ea 15 Min (97533) $91.50 $183 1.5×
Short-latency somatosens ep std lwr limbs (95926) $728.50 $1,457 3.7×
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/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $193 $386 1.0×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $193 $386 3.6×
Somatosensory testing (95938) $1,455.50 $2,911 1.9×
Speech group therapy (92508) $134.50 $269 5.6×
Speech sound lang comprehen (92523) $144 $288 0.6×
Spirometry (94010) $193.50 $387 1.0×
Standardized Cognitive Performance Testing (96125) $76.50 $153 0.7×
Stress echo (93350) $944 $1,888 1.9×
Surfactant Admin Thru Tube (94610) $100 $200 0.5×
Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) $304 $608 3.2×
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 of autonomic (sympathetic) 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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $73.50 $147 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $103.50 $207 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $92 $184 1.4×
Therapeutic Activities (97530) $68 $136 1.9×
Therapeutic phlebotomy (99195) $100.50 $201 0.8×
Tilt Table Eval (93660) $381 $762 1.1×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $376.50 $753 1.7×
Transcranial Doppler Limited (93888) $311.50 $623 3.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $116.50 $233 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $127 $254 3.0×
Ultraviolet Light Therapy (96900) $89 $178 2.6×
Unlisted Cardiovascular Service/Procedure (93799) $334 $668 2.9×
Unlisted noninvasive vascular diagnostic study (93998) $699 $1,398 26.8×
Unlisted pulmonary service/procedure (94799) $279 $558 2.4×
Valvuloplasty pulmonary valve (92990) $5,593.50 $11,187 0.5×
Vasc Duplex Extrem Venous,Bilat (93970) $810.50 $1,621 3.8×
Vasc Duplex Scan Extracranial,Limited (93882) $336 $672 3.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $731 $1,462 3.7×
Vasopneumatic device (97016) $59 $118 4.9×
Veeg by tech 2-12 hours unmonitored (95711) $437.50 $875 2.2×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $525 $1,050 1.6×
Veeg by tech 2-12 hr intermittent monitoring (95712) $479 $958 1.4×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $926 $1,852 1.2×
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×
Ventilation assist & mgmt inpatient 1st 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×
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×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $57.50 $115 1.1×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $251.50 $503 2.9×