Visits & medical services prices at St. Johns Hospital
Springfield, IL · every code in this section with a posted price and a Medicare benchmark.
272 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) | $15,705.36 | $21,813 | 1.9× |
| Actigraphy Testing Recording Analysis I&R (95803) | $421.92 | $586 | 6.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $672.48 | $934 | 2.9× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$382.32–$775.44 | $531–$1,077 | varies |
| Airway resistance by oscillometry (94728) | $337.68 | $469 | 2.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $189.36 | $263 | 13.2× |
| Application on-body injector (96377) | $99.36 | $138 | 2.0× |
| Assessment of aphasia per hr (96105) | $455.04 | $632 | 4.7× |
| Behavral qualit analys voice (92524) | $797.04 | $1,107 | 7.3× |
| Bioimpedance Cv Analysis (93701) | $278.64 | $387 | 2.0× |
| Breath hydrogen/methane test (91065) | $465.12 | $646 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $584.64 | $812 | 1.5× |
| Bundle of his recording (93600) | $16,390.08 | $22,764 | 2.0× |
| C motor evoked upr&lwr limbs (95939) | $2,197.44 | $3,052 | 2.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,388.88 | $1,929 | 6.0× |
| Cardiopulmonary exercise testing (94621) | $1,393.20 | $1,935 | 3.5× |
| Cardiopulmonary resuscitation (92950) | $1,473.12 | $2,046 | 6.4× |
| Cardioversion (92960) | $2,387.52 | $3,316 | 3.4× |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$1,413.36–$2,901.60 | $1,963–$4,030 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $56.16 | $78 | 2.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $20,615.76 | $28,633 | 5.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $17,511.12 | $24,321 | 5.0× |
| Cbt 1st hour (94644) | $315.36 | $438 | 2.2× |
| Chemo Admin Peritoneal Cavity (96446) | $716.40 | $995 | 2.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $213.84 | $297 | 2.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $210.96 | $293 | 2.7× |
| Chemo Ia Push (96420) | $716.40 | $995 | 2.0× |
| Chemo Intralesional Over 7 (96406) | $455.04 | $632 | 2.0× |
| Chemo intralesional up to 7 (96405) | $437.04 | $607 | 5.7× |
| Chemo IV infusion addl hr (96415) | $272.16 | $378 | 3.5× |
| Chemo IV push addl drug (96411) | $268.56 | $373 | 3.5× |
| Chemother Prolong Infuse W/Pump (96416) | $2,207.52 | $3,066 | 6.2× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $716.40 | $995 | 2.0× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $272.16 | $378 | 5.4× |
| Chemotherapy Into Cns (96450) | $1,026 | $1,425 | 2.9× |
| Chemotherapy Intracavitary (96440) | $716.40 | $995 | 2.0× |
| Chemotherapy Unspecified (96549) | $99.36 | $138 | 2.0× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $822.96 | $1,143 | 2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $272.16 | $378 | 3.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $622.80 | $865 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $698.40 | $970 | 2.0× |
| Chest Wall Manipulation (94668) | $278.64 | $387 | 2.0× |
| Color/duplex Doppler, complete (93975) | $1,664.64 | $2,312 | 6.5× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$257.04–$1,439.28 | $357–$1,999 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $164.88 | $229 | 5.1× |
| Continuous Pulse Ox (94762) | $387.36 | $538 | 2.8× |
| Coronary Art/Grft Angio S&I (93455) | $12,257.28 | $17,024 | 3.5× |
| Coronary Artery Angio S&I (93454) | $11,365.20 | $15,785 | 3.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$439.20–$1,717.20 | $610–$2,385 | varies |
| Cpt initial (94667) | $278.64 | $387 | 2.0× |
| Critical care first hour (99291) | $2,931.12 | $4,071 | 3.3× |
| Debridement Open Wound 20 Sq Cm< (97597) | $709.92 | $986 | 3.3× |
| Dialysis One Evaluation (90945) range across 4 matching MRF lines |
$919.44–$1,500.48 | $1,277–$2,084 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,612.08 | $2,239 | 6.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $944.64 | $1,312 | 8.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $1,918.08 | $2,664 | 17.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,726.56 | $2,398 | 6.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,265.04 | $1,757 | 11.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,608.48 | $2,234 | 6.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,131.12 | $1,571 | 10.1× |
| Duplex Scan Hemodialysis Access (93990) | $329.04 | $457 | 2.9× |
| Duplex up extrem art bilat (93930) | $1,568.16 | $2,178 | 6.1× |
| Duplex up extrem art unilat/ltd (93931) | $1,352.16 | $1,878 | 12.1× |
| Echo Congenital Complete (93303) | $1,770.48 | $2,459 | 3.0× |
| Echo Heart Xthoracic,Limited (93308) | $1,331.28 | $1,849 | 5.2× |
| Echo transesophag montr cardiac pump functj (93318) | $3,877.20 | $5,385 | 6.6× |
| Echo transesophageal (93312) | $3,108.96 | $4,318 | 5.3× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $3,877.20 | $5,385 | 6.6× |
| Eeg 41-60 Minutes (95812) | $1,142.64 | $1,587 | 4.9× |
| EEG awake and asleep (95819) | $1,062 | $1,475 | 4.6× |
| EEG awake drowsy (95816) | $1,097.28 | $1,524 | 4.7× |
| EEG cerebral death evaluation (95824) | $1,146.24 | $1,592 | 2.9× |
| EEG cont rec w/video by tech min 8 channels (95700) | $600.48 | $834 | 2.6× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$2,048.40–$3,861.36 | $2,845–$5,363 | varies |
| Eeg Sleep Only (95822) | $976.32 | $1,356 | 4.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,146.24 | $1,592 | 2.9× |
| Electrical Stimulation Ea 15 Min (97032) | $229.68 | $319 | 15.6× |
| Electrocardiogram Tracing (93005) | $347.76 | $483 | 5.5× |
| Electroconvulsive Therapy (90870) | $1,146.24 | $1,592 | 1.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $16,390.08 | $22,764 | 2.0× |
| Electrophysiology Evaluation (93642) | $3,706.56 | $5,148 | 2.8× |
| Emergency Dept Visit Level 2 (99282) | $541.44 | $752 | 3.3× |
| Emergency Dept Visit Level 3 (99283) | $834.48 | $1,159 | 2.9× |
| Emergency Dept Visit Level 4 (99284) | $1,185.84 | $1,647 | 2.7× |
| Emg 3 Extremities (95863) | $788.40 | $1,095 | 5.7× |
| Emg 4 Extremities (95864) | $851.76 | $1,183 | 6.2× |
| Endomyocardial Biopsy (93505) | $6,798.24 | $9,442 | 2.0× |
| Ep & ablate supravent arrhyt (93653) | $48,966.48 | $68,009 | 1.7× |
| Ep & ablate ventric tachy (93654) | $48,748.32 | $67,706 | 1.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $16,154.64 | $22,437 | 1.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $16,390.08 | $22,764 | 2.0× |
| Er level 1 (99281) | $349.92 | $486 | 3.9× |
| Er level v (99285) range across 3 matching MRF lines |
$1,707.12–$1,758.24 | $2,371–$2,442 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,666.08 | $2,314 | 4.2× |
| Evaluate Speech Production (92522) | $797.04 | $1,107 | 7.1× |
| Evaluate Swallowing Function (92610) | $454.32 | $631 | 5.4× |
| Evaluation of speech fluency (92521) | $797.04 | $1,107 | 6.0× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$432–$825.84 | $600–$1,147 | varies |
| Extracranial Bilat Study (93880) | $1,404 | $1,950 | 5.5× |
| Extracranial Uni/Ltd Study (93882) | $424.08 | $589 | 3.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,332 | $1,850 | 2.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $606.96 | $843 | 3.0× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $871.92 | $1,211 | 3.8× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,197.44 | $3,052 | 2.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $2,210.40 | $3,070 | 5.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,210.40 | $3,070 | 2.4× |
| Gi tract capsule endoscopy (91110) | $3,306.24 | $4,592 | 3.4× |
| Group Therapeutic Procedures (97150) | $187.20 | $260 | 10.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $21,644.64 | $30,062 | 6.2× |
| Holter monitor recording (93225) | $1,593.36 | $2,213 | 11.2× |
| Immunization administration (90471) | $133.92 | $186 | 1.7× |
| Insert/Place Heart Catheter (93503) | $3,355.20 | $4,660 | 2.0× |
| Intra-atrial pacing (93610) | $16,390.08 | $22,764 | 2.0× |
| Intra-atrial recording (93602) | $16,390.08 | $22,764 | 2.0× |
| Intracranial Complete Study (93886) | $1,129.68 | $1,569 | 4.4× |
| Intraventricular pacing (93612) | $16,390.08 | $22,764 | 2.0× |
| Iontophoresis 15 min (97033) | $255.60 | $355 | 13.4× |
| Irrig Drug Delivery Device (96523) | $164.16 | $228 | 2.6× |
| Ischemic limb exercise test (95875) | $671.04 | $932 | 4.9× |
| IV infusion hydration each additional hour (96361) | $252.72 | $351 | 5.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $396 | $550 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $268.56 | $373 | 3.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $278.64 | $387 | 5.6× |
| IV push initial (96374) | $396 | $550 | 1.7× |
| L Hrt Art/Grft Angio (93459) | $18,489.60 | $25,680 | 5.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $219.60 | $305 | 3.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,242.72 | $1,726 | 5.4× |
| Mechanical chest wall oscillation per session (94669) | $439.20 | $610 | 1.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $61.20 | $85 | 1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $106.56 | $148 | 2.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $100.80 | $140 | 5.9× |
| Methacholine challenge (94070) | $1,220.40 | $1,695 | 3.1× |
| Motility study esophagus (91010) | $1,146.24 | $1,592 | 2.9× |
| Motion Fluoroscopy/Swallow (92611) | $573.84 | $797 | 6.3× |
| Multiple Sleep Latency Test (95805) | $2,357.28 | $3,274 | 2.6× |
| Muscle Test 2 Limbs (95861) | $810.72 | $1,126 | 5.7× |
| Muscle Test Nonparaspinal (95870) | $616.32 | $856 | 4.3× |
| Muscle Test One Limb (95860) | $630.72 | $876 | 4.4× |
| Nasopharyngoscopy (92511) | $419.04 | $582 | 2.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $711.36 | $988 | 3.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $672.48 | $934 | 2.9× |
| Needle electromyography larynx (95865) | $498.24 | $692 | 3.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $672.48 | $934 | 2.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $616.32 | $856 | 2.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $863.28 | $1,199 | 2.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $865.44 | $1,202 | 2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $840.96 | $1,168 | 3.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $865.44 | $1,202 | 2.0× |
| Nerve Conduction Studies 1-2 Studies (95907) | $940.32 | $1,306 | 4.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $5,640.48 | $7,834 | 14.1× |
| Nerve conduction studies 13 or more studies (95913) | $6,901.92 | $9,586 | 17.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,879.92 | $2,611 | 8.1× |
| Nerve conduction studies 5-6 studies (95909) | $2,820.24 | $3,917 | 12.2× |
| Nerve conduction studies 7-8 studies (95910) | $3,760.56 | $5,223 | 9.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $4,700.88 | $6,529 | 11.8× |
| Neurobehavioral Status Exam (96116) | $672.48 | $934 | 2.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $481.68 | $669 | 3.5× |
| Neuromuscular Reeducation (97112) | $185.76 | $258 | 5.7× |
| Newborn resuscitation (99465) | $1,413.36 | $1,963 | 2.0× |
| Nitric oxide expired gas determination (95012) | $84.96 | $118 | 2.1× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $946.08 | $1,314 | 2.4× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $128.16 | $178 | 2.0× |
| Oral Function Therapy (92526) | $324 | $450 | 3.8× |
| Oral Speech Device Eval (92597) | $561.60 | $780 | 7.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $192.96 | $268 | 3.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $192.96 | $268 | 4.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $57.60 | $80 | 2.5× |
| Ot eval high complexity (97167) | $514.80 | $715 | 5.1× |
| Ot Eval Low Complex (97165) | $387.36 | $538 | 3.9× |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$403.20–$423.36 | $560–$588 | varies |
| Ot manual therapy 15 min (97140) | $167.04 | $232 | 6.0× |
| Ot paraffin bath (97018) | $202.32 | $281 | 33.7× |
| Ot Re-Eval Est Plan Care (97168) | $155.52 | $216 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$239.04–$272.16 | $332–$378 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $257.76 | $358 | 1.9× |
| Oxygen Uptake Rest Indirect (94690) | $583.92 | $811 | 9.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $649.44 | $902 | 2.8× |
| Peripheral arterial disease rehab per session (93668) | $165.60 | $230 | 2.6× |
| Perq Transcath Cls Aortic (93591) | $38,786.40 | $53,870 | 2.0× |
| Perq Transcath Cls Mitral (93590) | $38,786.40 | $53,870 | 2.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 6 matching MRF lines |
$12,315.60–$18,326.16 | $17,105–$25,453 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 6 matching MRF lines |
$24,495.84–$24,515.28 | $34,022–$34,049 | varies |
| Phlebotomy therapeutic (99195) | $1,057.68 | $1,469 | 7.4× |
| Physical Performance Test (97750) | $170.64 | $237 | 5.1× |
| Plethysmography (94726) | $584.64 | $812 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,979.44–$5,688.72 | $5,527–$7,901 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$4,087.44–$5,449.68 | $5,677–$7,569 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$5,257.44–$7,010.64 | $7,302–$9,737 | varies |
| Prq Card Angio/Athrect 1 Art (92924) | $30,384.72 | $42,201 | 2.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $24,495.84 | $34,022 | 2.0× |
| Prq Card Stent/Ath/Angio (92933) | $38,786.40 | $53,870 | 2.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $24,515.28 | $34,049 | 2.0× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $38,786.40 | $53,870 | 2.0× |
| Psychiatric diagnostic evaluation (90791) | $375.12 | $521 | 2.0× |
| Psychological tst eval svc phys/qhp first hour (96130) | $672.48 | $934 | 2.9× |
| Psytx Crisis Initial 60 Min (90839) | $375.12 | $521 | 2.0× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $146.88 | $204 | 3.9× |
| Pt Eval High Complex (97163) | $560.88 | $779 | 5.7× |
| Pt eval low complex 20 min (97161) | $347.76 | $483 | 3.6× |
| Pt Eval Mod Complex (97162) | $489.60 | $680 | 5.0× |
| Pt gait training 15 min (97116) | $142.56 | $198 | 4.9× |
| Pt group caregiver training (97552) | $47.52 | $66 | 2.2× |
| Pt mechanical traction (97012) | $237.60 | $330 | 16.5× |
| Pt Re-Eval Est Plan Care (97164) | $167.76 | $233 | 2.5× |
| Pulmonary service/procedure (94799) | $337.68 | $469 | 2.4× |
| Pulmonary Stress Testing (94618) | $511.20 | $710 | 3.6× |
| R Hrt Art/Grft Angio (93457) | $17,861.76 | $24,808 | 5.1× |
| R hrt coronary artery angio (93456) | $18,517.68 | $25,719 | 5.3× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $17,861.04 | $24,807 | 5.1× |
| Refill/Maint Portable Pump (96521) | $467.28 | $649 | 2.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $467.28 | $649 | 2.1× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $80.64 | $112 | 2.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $370.08 | $514 | 9.3× |
| Respiratory flow volume loop (94375) | $672.48 | $934 | 2.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $181.44 | $252 | 2.9× |
| Right Heart Cath (93451) | $9,524.88 | $13,229 | 2.7× |
| Right ventricular recording (93603) | $4,435.92 | $6,161 | 3.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $653.04 | $907 | 3.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $209.52 | $291 | 8.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $293.76 | $408 | 2.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $128.16 | $178 | 2.7× |
| Self Care Mngment Training (97535) | $148.32 | $206 | 4.6× |
| Sensory Integration Ea 15 Min (97533) | $164.88 | $229 | 2.7× |
| Short-latency somatosens ep std upr limbs (95925) | $1,355.04 | $1,882 | 5.9× |
| Sleep study attended (95807) | $1,852.56 | $2,573 | 4.6× |
| Sleep study unattended (95806) | $1,270.80 | $1,765 | 5.5× |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$106.56–$112.32 | $148–$156 | varies |
| Somatosensory Testing (95938) | $2,494.08 | $3,464 | 2.7× |
| Speech sound lang comprehen (92523) | $797.04 | $1,107 | 3.5× |
| Spin/Brain Pump Refil & Main (95991) | $637.92 | $886 | 1.9× |
| Spirometry (94010) | $378.72 | $526 | 1.6× |
| Ssep lower limbs (95926) | $1,285.20 | $1,785 | 5.6× |
| Standardized Cognitive Performance Testing (96125) | $385.20 | $535 | 3.7× |
| Stress Tte Only (93350) | $2,049.12 | $2,846 | 3.5× |
| Subcutaneous Infusion Each Additional Hour (96370) | $180.72 | $251 | 3.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $455.04 | $632 | 2.0× |
| Subq Infusion Additional Pump Infusion Site (96371) | $228.96 | $318 | 3.0× |
| Surfactant Admin Thru Tube (94610) | $439.20 | $610 | 1.9× |
| Temp transcutaneous pacing (92953) | $2,144.16 | $2,978 | 3.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $187.20 | $260 | 8.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $166.32 | $231 | 7.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $170.64 | $237 | 4.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $221.04 | $307 | 7.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $238.32 | $331 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $208.80 | $290 | 2.7× |
| Ther/Proph/Diag Iv Inf Init (96365) | $396 | $550 | 1.7× |
| Therapeutic Activities (97530) | $154.08 | $214 | 4.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,758.32 | $3,831 | 6.9× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$38,786.40–$40,538.16 | $53,870–$56,303 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $585.36 | $813 | 5.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $218.88 | $304 | 5.5× |
| Tte w/doppler, complete (93306) | $2,890.08 | $4,014 | 4.9× |
| Tte W/O Doppler Complete (93307) | $2,086.56 | $2,898 | 8.2× |
| Tx atrial fib pulm vein isol (93656) range across 3 matching MRF lines |
$52,989.84–$59,086.08 | $73,597–$82,064 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $367.20 | $510 | 4.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $180 | $250 | 7.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $222.48 | $309 | 4.4× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$337.68–$13,925.52 | $469–$19,341 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $532.80 | $740 | 3.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,180.08 | $1,639 | 5.1× |
| Valvuloplasty aortic valve (92986) | $21,720.96 | $30,168 | 3.6× |
| Valvuloplasty mitral valve (92987) | $43,038 | $59,775 | 3.5× |
| Valvuloplasty pulmonary valve (92990) | $43,038 | $59,775 | 3.5× |
| Vasopneumatic device (97016) | $243.36 | $338 | 20.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,146.24 | $1,592 | 2.9× |
| Veeg 2-12 hr intmt mntr (95712) | $584.64 | $812 | 1.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,279.44 | $1,777 | 3.2× |
| Veeg ea 12-26hr cont mntr (95716) | $2,197.44 | $3,052 | 2.4× |
| Visual Evoked Potential Test (95930) | $1,349.28 | $1,874 | 5.8× |
| Vital capacity, total (94150) | $295.20 | $410 | 2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $234 | $325 | 7.5× |
| Whirlpool Therapy (97022) | $388.08 | $539 | 24.7× |
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.