Visits & medical services prices at St. John's Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
likely a partial charge, not the full procedure
$1,509 $1,509 0.2×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $81 $81 0.6×
Acoustic reflex testing (92568) $38 $38 1.0×
Actigraphy testing recording analysis i&r (95803) $228 $228 3.8×
Advance care planning first 30 mins (99497) $200 $200 1.9×
Airway inhalation treatment (94640) $204.50 $204.50 0.9×
Allergy skin tests (95028) $37 $37 1.0×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $22 $22 0.7×
Ambulatory Bp Analysis (93788) $15 $15 0.1×
Ambulatory Bp Recording (93786) $79 $79 0.6×
Analysis and programming of inner ear implant (younger than 7 years) (92601) $334 $334 2.5×
Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) $226 $226 1.7×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $315 $315 2.4×
Analyze Neurostim Complex (95972) $278 $278 2.9×
Analyze neurostim no prog (95970) $220.50 $220.50 1.6×
Anlys gast neur w/o reprog (95981) $85 $85 1.4×
Anogenital exam, child (99170) $317 $317 1.5×
Anorectal manometry (91125) $870 $870 2.3×
Appl on-body injector for timed subq injection (96377) $181 $181 3.8×
Application of allergenic extract onto mucous membrane of nose with reaction analysis (95065) $69 $69 1.8×
Application of allergenic extract skin patch, exposure to ultraviolet light, and reaction analysis (95052) $18 $18 0.3×
Application of heat wave therapy (97024) $16 $16 2.2×
Arrhythmia induction (93618) $600 $600 0.5×
Assessment of aphasia (96105) $544 $544 5.6×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $95 $95 2.5×
Auditory Function, 60 Min (92620) $233 $233 1.8×
Basic vestibular evaluation (92540) $253 $253 1.1×
Behav assmt w/score & docd/stand instrument (96127) $15 $15 0.4×
Behavioral and qualitative analysis of voice and resonance (92524) $431 $431 3.9×
Bfb training 1st 15 min (90912) $224 $224 2.7×
Bfb training ea addl 15 min (90913) $122.50 $122.50 3.7×
Biofeedback training any modality (90901) $74.50 $74.50 1.8×
Blink reflex test (95933) $183 $183 3.0×
Breath Hydrogen/Methane Test (91065) $251 $251 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $173 $173 0.5×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$299 $299 0.0×
C motor evoked uppr limbs (95928) $921 $921 1.0×
C motor evoked upr&lwr limbs (95939) $1,099 $1,099 1.3×
Canalith Repositioning (95992) $120 $120 2.9×
Capsule endoscopy (91110) $2,429 $2,429 2.6×
Car seat/bed test 60 min (94780) $111.50 $111.50 2.9×
Cardiac Stress Tst,Tracing Only (93017) $1,180 $1,180 5.3×
Cardiopulmonary exercise testing (94621) $420 $420 1.1×
Cardiopulmonary resuscitation (92950) $776 $776 3.5×
Cardioversion (92960) $517 $517 0.8×
Cardioversion internal (92961) $607 $607 0.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $45 $45 1.2×
Caregiver training 1st 30 min (97550) $130 $130 2.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $65 $65 2.5×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $2,721 $2,721 0.8×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $2,935 $2,935 0.9×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
likely a partial charge, not the full procedure
$2,536 $2,536 0.1×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $3,097 $3,097 0.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $2,805 $2,805 0.8×
Cbt 1st hour (94644) $118 $118 0.9×
Chemo Admin Peritoneal Cavity (96446) $940 $940 2.8×
Chemo Hormon Antineopl Sq/Im (96402) $179.50 $179.50 2.4×
Chemo inj subarach/intravent (96542) $305 $305 0.9×
Chemo IV push addl drug (96411) $276 $276 3.8×
Chemo Iv Push Sngl Drug (96409) $418.50 $418.50 1.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $633 $633 1.9×
Chemother, IV infusion, 1 hr (96413) $623.50 $623.50 1.8×
Chemother, IV infusion, ea add hr (96415) $208.50 $208.50 2.8×
Chemother,Ia Push Technique (96420) $270 $270 0.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $239 $239 3.2×
Chemotherapy admn intraarterial infusion ea hr (96423) $200 $200 4.2×
Chemotherapy, unspecified procedure (96549) $275 $275 5.7×
Chemotx Admn Cns Req Spinal Puncture (96450) $454 $454 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $296 $296 4.0×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $2,274 $2,274 6.7×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) $64 $64 2.9×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) $90 $90 4.1×
Chiropractic manipulative treatment (CMT); spinal, 5 regions (98942) $115 $115 5.2×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $105 $105 1.0×
Colon Motility 6 Hr Study (91117) $409 $409 1.9×
Color vision examination (92283) $45 $45 0.7×
Color/duplex Doppler, complete (93975) $981 $981 4.0×
Color/duplex Doppler, limited (93976) $611.50 $611.50 5.7×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $90 $90 0.5×
Compre cptr mtn alys video taping 3d kinematics (96000) $246 $246 0.6×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $243 $243 0.3×
Comprehensive Hearing Test (92557) $100 $100 0.8×
Computerized dynamic posturography (92548) $267 $267 2.0×
Computerized Ophthalmic Imaging Anterior Segment (92132) $92 $92 1.5×
Computerized Ophthalmic Imaging Optic Nerve (92133) $114 $114 1.9×
Conditioning Play Audiometry (92582) $188 $188 1.4×
Continuous Glucose Monitoring (95250) $302 $302 2.2×
Corneal Topography (92025) $97 $97 1.6×
Coronary artery angio s&i (93454) $2,342 $2,342 0.7×
Cortical mapping 1st hr (95961) $1,723 $1,723 2.0×
Cpap initiation and management (94660) $922 $922 4.1×
Cpt initial (94667) $294 $294 2.2×
Cptrized oph dx img pst segment uni/bi retina (92134) $116 $116 1.9×
Critical care (99291) $709 $709 0.8×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $747 $747 2.0×
Dark adaptation exam w int & rep (92284) $160 $160 0.4×
Debridement Open Wound 20 Sq Cm< (97597) $250 $250 1.2×
Demo &/or eval,pt use,aerosol device (94664) $260 $260 1.2×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $239 $239 0.6×
Duodenal Motility Study (91022) $455 $455 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $766.50 $766.50 3.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $411 $411 3.8×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $593.50 $593.50 5.6×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $282 $282 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $957 $957 3.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $371 $371 3.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $982 $982 4.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $608.50 $608.50 5.7×
Dup-scan xtr veins unilateral/limited study (93971) $564.50 $564.50 5.3×
Duplex hemodialysis access (93990) $526 $526 4.9×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $680 $680 2.8×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $395 $395 3.7×
Duplex scan extracranial art compl bi study (93880) $939 $939 3.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $222 $222 1.7×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $370 $370 2.8×
Dyn surf EMG,walking/func act,1-12 mus (96002) $54 $54 0.2×
Ear and throat examination (92502) $245 $245 0.4×
Ear Protector Attenuation Measurements (92596) $113 $113 3.0×
Echo Heart Xthoracic,Limited (93308) $657.50 $657.50 2.7×
Echo r-t 2d w/probe placement only (93313) $799 $799 1.4×
Echo transesophageal (93312) $767 $767 1.4×
Echo Transesophageal - Congenital Tee Complete (93315) $720 $720 1.3×
Echo Transthoracic - Congenital Tte Complete (93303) $720 $720 1.3×
Echo Transthoracic - Congenital Tte Limited (93304) $470 $470 0.8×
EEG awake asleep (95819) $1,196 $1,196 5.4×
EEG awake drowsy (95816) $1,041 $1,041 4.7×
EEG cerebral death evaluation (95824) $99 $99 0.3×
EEG coma or sleep only (95822) $1,069 $1,069 4.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,365.50 $1,365.50 6.2×
EKG (93005) $196 $196 3.3×
EKG rhythm strip (93041) $16 $16 0.3×
Ekg Signal Averaging (93278) $78 $78 1.3×
Elec alys implt cplx cn npgt prgrmg (95977) $222 $222 2.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $105 $105 2.8×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $273 $273 2.8×
Electro-oculography w/i&r (92270) $236 $236 1.7×
Electrocardiogram (ECG) assessment of irregular heart beats (93025) $429 $429 3.3×
Electrocochleography (92584) $183 $183 1.4×
Electroconvulsive Therapy (90870) $450 $450 0.5×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,235.50 $1,235.50 5.6×
Electrogastrography, diagnostic, transcutaneous; UNSCHEDULED (91132) $424 $424 1.9×
EMG cranial nerve bilat (95868) $456 $456 2.1×
EMG cranial nerve unilat (95867) $316.50 $316.50 1.4×
EMG four extremities (95864) $560 $560 4.3×
EMG one extremity (95860) $369.50 $369.50 2.7×
EMG thoracic paraspinal (95869) $344 $344 1.6×
EMG three extremities (95863) $577.50 $577.50 4.4×
EMG two extremities (95861) $746 $746 5.5×
Endomyocardial biopsy (93505) $1,976 $1,976 0.6×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure
$2,122 $2,122 0.1×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$2,831 $2,831 0.1×
Ep Analyze Pacer Sys (93724) $665 $665 2.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure
$1,635 $1,635 0.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure
$1,031 $1,031 0.1×
Ep Electrophysiologic F/U Study (93624)
likely a partial charge, not the full procedure
$673 $673 0.1×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $981 $981 0.8×
Ep Esophageal Recording Atria+Pacing (93616) $163 $163 0.1×
Ep Right Ventricular Recording (93603) $297 $297 0.2×
Er level 1 (99281) $53 $53 0.6×
Er level ii (99282) $130 $130 0.8×
Er level iii (99283) $195 $195 0.7×
Er level IV (99284) $365 $365 0.9×
Er level v (99285) $540 $540 0.9×
Ergonovine provocation test (93024) $283 $283 0.6×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $1,235 $1,235 3.2×
Esophageal Capsule Endoscopy (91111) $2,028 $2,028 2.2×
Esophageal recording (93615) $120 $120 0.1×
Esophagus acid perfusion test esophagitis (91030) $373 $373 1.0×
Esophgl balo distension dx std w/provocation (91040) $767 $767 2.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $225 $225 1.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $272 $272 3.8×
Evaluation of speech fluency (92521) $473 $473 3.5×
Evaluation of speech sound production (92522) $416 $416 3.7×
Evaluation of swallowing function (92610) $467 $467 5.5×
Evaluation with prescription of speech-generating alternative (92607) $420 $420 3.4×
Evoked Auditory Test,Comprehsv (92588) $83 $83 0.2×
Evoked auditory test,limited (92587) $60 $60 0.3×
Exam of visual field with extended testing (92083) $168 $168 1.2×
Exam of visual field with intermediate testing (92082) $127 $127 2.1×
Exam of visual field with limited testing (92081) $88 $88 1.5×
Excimer laser tx psoriasis 250-500 sq cm (96921) $437 $437 2.1×
Excimer laser tx psoriasis >500 sq cm (96922) $606 $606 1.5×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $397 $397 1.9×
Exhaled Air Analysis (94690) $130 $130 2.2×
Exhaled air analysis o2 (94680) $154 $154 1.2×
External ECG rec>48hr<7d recording (93242) $345 $345 9.0×
External ECG rec>48hr<7d scanning alys w/report (93243) $525 $525 3.9×
External Ecg Scanning Analysis Report (93226) $100 $100 1.7×
External ocular photography (92285) $54 $54 1.4×
Eye allergy tests (95060) $89 $89 0.7×
Eye exam w anesth; complete (92018) $362 $362 0.1×
Eye exam w anesth; limited (92019) $176 $176 0.1×
Eye exam, new patient,comprehesv (92004) $381 $381 2.8×
Facial nerve function studies (92516) $182 $182 0.8×
Filtered Speech Test (92571) $72 $72 1.9×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $533 $533 2.3×
Flow volume loop (94375) $135 $135 0.6×
Fundus photography w/interpretation & report (92250) $204 $204 1.5×
Gastric motility studies (91020) $633 $633 1.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $505 $505 1.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $433 $433 2.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,316 $1,316 1.5×
Gi wireless capsule measure (91112) $2,970 $2,970 3.2×
Gonioscopy (92020) $70 $70 0.5×
Group Therapeutic Procedures (97150) $120 $120 6.7×
Hast w/report (94452) $154 $154 1.1×
Health Behavior Assessment/Re-Assessment (96156) $250 $250 2.4×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $25 $25 0.7×
Health behavior ivntj group f2f 1st 30 min (96164) $25 $25 0.7×
Health behavior ivntj indiv f2f 1st 30 min (96158) $170 $170 0.9×
Hemodialysis (90935) $179 $179 0.3×
High altitude simulation test (94453) $216 $216 1.6×
Holter Monitor Recording (93225) $235 $235 1.7×
Hydrotherapy (97036) $84 $84 2.4×
Hypnotherapy (90880) $241 $241 2.3×
Hypoxia Response Curve (94450) $176 $176 1.3×
Icd Device Interrogate (93289) $196 $196 5.1×
Ilr Device Eval Progr (93285) $102 $102 2.7×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $91 $91 2.4×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $65 $65 1.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $30 $30 0.4×
Immunization Admin (90471) $40 $40 0.5×
Immunotherapy, 2+ Injections (95117) $33 $33 0.7×
Indocyanine-green angiography (92240) $666 $666 3.0×
Ingestion challenge test initial 120 minutes (95076) $294 $294 0.8×
Inital newborn e/m (99460) $212 $212 1.6×
Initial normal newborn care, same day discharge (99463) $284 $284 2.1×
Injection intra arterial (96373) $50 $50 0.2×
Injection of hypnotic drug for psychiatric diagnosis or therapy (90865) $422 $422 2.3×
Ins swan ganz bedside (93503) $327 $327 0.2×
Interrog dev eval icpms phys/qhp in person (93290) $76 $76 2.0×
Interrog dev eval scrms phys/qhp in person (93291) $163.50 $163.50 5.5×
Interrogate subq defib (93261) $135 $135 3.5×
Interrogation eval in person wr defibrillator (93292) $80 $80 2.1×
Interrogation of vad (93750) $135 $135 1.4×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure
$298 $298 0.0×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$424 $424 0.1×
Intracutaneous tests w/allergenic xtrcs airborne (95027) $13 $13 0.4×
Intralesional Chemo Admin,8+ Lesn (96406) $297 $297 1.4×
Intralesional Chemo Admin,<8 Lesn (96405) $211 $211 2.9×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$421 $421 0.1×
Io ga n-stim subsq w/reprog (95982) $134 $134 3.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $149 $149 2.5×
Ischemic limb exercise test (95875) $322 $322 2.4×
IV infusion hydration each additional hour (96361) $157 $157 3.3×
IV infusion hydration initial 31 min-1 hour (96360) $374 $374 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $186 $186 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $409 $409 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $160 $160 3.3×
IV push initial (96374) $231 $231 1.1×
Laryngeal Function Studies (92520) $238 $238 1.8×
Laryngoscopic Sensory Test (92614) $388 $388 2.6×
Loudness balance binaural/monaural (92562) $123 $123 0.6×
Low frequency non-thermal us (97610) $510 $510 2.5×
Magnetoencephalography spon brain activity (95965) $1,082 $1,082 1.2×
Magnetoencephalograpy evoked fields 1 modality (95966) $495 $495 0.6×
Maintenance of spinal canal or brain drug infusion pump (95990) $242 $242 0.7×
Manual therapy 15 min (97140) $107.50 $107.50 3.9×
Massage 15 min (97124) $114 $114 3.8×
Maximum voluntary ventilation (94200) $176.50 $176.50 2.9×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $480 $480 2.2×
Meas Spiromtrc Forcd Expiratory Flo Infant&/2 Y (94011) $295 $295 2.2×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $70 $70 0.2×
Measurement of heart blood flow and respiration (93701) $63 $63 0.5×
Mechanical traction (97012) $120 $120 8.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $83 $83 2.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $96.50 $96.50 2.6×
Methacholine challenge (94070) $510 $510 1.3×
Mnt Group Ea 30 Min (97804) $43.50 $43.50 2.6×
Modification of contact lens (separate procedure), with medical supervision of adaptation SCHEDULED (92325) $108 $108 0.8×
Motility study esophagus (91010) $471 $471 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $565 $565 6.2×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $178 $178 0.4×
Multiple Family Group Psychotherapy (90849) $86 $86 0.5×
Multiple sleep latency test (95805) $2,227.50 $2,227.50 2.5×
Nasal function studies (92512) $158 $158 0.7×
Nasopharyngoscopy (92511) $360 $360 1.8×
Needle electromyography hemidiaphragm (95866) $350 $350 2.7×
Needle electromyography larynx (95865) $342 $342 2.5×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $207 $207 1.5×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $360 $360 1.6×
Needle oculography 1/ xoc musc 1/both eye w/i&r (92265) $204 $204 3.4×
Neg press wnd tx </=50 sq cm (97607) $534 $534 1.3×
Neg press wound tx >50 cm (97608) $538.50 $538.50 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $115 $115 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $382 $382 0.9×
Nerve conduction studies 13/> studies (95913) $760 $760 2.0×
Nerve Conduction Studies 3-4 Studies (95908) $412 $412 1.9×
Nerve Conduction Studies 9-10 Studies (95911) $933 $933 2.4×
Nerve conduction studies; 1-2 studies (95907) $244 $244 1.1×
Nerve conduction studies; 11-12 studies (95912) $1,103.50 $1,103.50 2.9×
Nerve conduction studies; 5-6 studies (95909) $560.50 $560.50 2.5×
Nerve conduction studies; 7-8 studies (95910) $678 $678 1.8×
Neurobehavioral Status Exam (96116) $225 $225 1.0×
Neuromuscular junction test (95937) $224.50 $224.50 1.7×
New patient problem focused exam of visual system (92002) $209 $209 1.5×
Newborn resuscitation (99465) $510 $510 0.8×
Nitric oxide expired gas determination (95012) $52 $52 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $665.50 $665.50 4.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $656.50 $656.50 3.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $184.50 $184.50 1.4×
Nonphysician Telephone Assessment 11-20 Min (98967) $70 $70 2.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $36 $36 2.6×
Nrpsyc tst eval phys/qhp 1st (96132) $333 $333 0.9×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $138 $138 0.4×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $318 $318 2.3×
Ophth medical xm&eval intermediate estab pt (92012) $220 $220 1.6×
Ophthalmic biometry (92136) $233 $233 1.7×
Ophthalmoscopy/dynamometry (92260) $49 $49 1.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $104.50 $104.50 2.3×
Oscillating Tracking Test (92545) $53 $53 0.2×
Osteopathic manipulative tx 1-2 body regions (98925) $79 $79 3.6×
Osteopathic manipulative tx 3-4 body regions (98926) $112 $112 5.1×
Osteopathic manipulative tx 5-6 body regions (98927) $147 $147 6.7×
Osteopathic manipulative tx 7-8 body regions (98928) $182 $182 8.3×
Osteopathic manipulative tx 9-10 body regions (98929) $217 $217 9.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $109 $109 3.4×
Ot Contrast Bath Ea 15 Min (97034) $45 $45 3.2×
Ot eval high complex 60 min (97167) $460 $460 4.6×
Ot eval low complex 30 min (97165) $304 $304 3.0×
Ot eval mod complex 45 min (97166) $397 $397 3.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $135 $135 2.7×
Ot Prosthetic Training, Each 15 Min (97761) $90 $90 2.2×
Ot Range Motion Measure,Each Extrem (95851) $80 $80 3.1×
Ot re-eval est plan care (97168) $251 $251 3.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $210 $210 1.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $163 $163 1.2×
Paraffin bath (97018) $99 $99 16.5×
Patient-initiated spirometric phys/qhp r&i only (94016) $85 $85 3.4×
Patient-initiated spirometric recording (94015) $80 $80 0.4×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $140 $140 0.3×
Pdt dstr prmlg les skn illum/activj per day (96567) $360 $360 1.8×
Percutaneous tests w/allergenic extracts (95004) $17 $17 0.0×
Photochemotherapy uv-a or b (96913) $344 $344 0.8×
Photochemotx psoralens&ultraviolet puva (96912) $244 $244 4.0×
Photochemotx tar&uvb/petrolatum/uvb (96910) $191 $191 3.2×
Plethysmography (94726) $406 $406 1.1×
Pm device eval in person (93288) $92 $92 2.4×
Pm device progr eval dual (93280) $200 $200 5.2×
Pm device progr eval multi (93281) $179.50 $179.50 4.7×
Pm device progr eval sngl (93279) $158.50 $158.50 4.2×
Pm/Icd Remote Tech Serv (93296) $165 $165 4.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,698 $1,698 1.9×
Polysom <6 yrs 4/> paramtrs (95782) $2,619 $2,619 3.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,796 $2,796 3.2×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,640 $1,640 1.9×
Positional Nystagmus Test (92542) $68 $68 0.5×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $20 $20 0.4×
Prepj& antigen allergen immunotherapy 1 insect (95145) $80 $80 1.7×
Prepj& antigen allergen immunotherapy 2 insect (95146) $101 $101 2.1×
Prepj& antigen allergen immunotherapy 3 insect (95147) $150 $150 2.0×
Prepj& antigen allergen immunotherapy 4 insect (95148) $230 $230 3.1×
Prepj& antigen allergen immunotherapy 5 insect (95149) $300 $300 4.1×
Prepj& Antigen Allergen Immunotherapy Whl Inse (95170) $25 $25 0.5×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) $261 $261 1.9×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $278 $278 7.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $25 $25 0.5×
Programming of dual lead implantable defibrillator system (93283) $271 $271 7.1×
Programming of single lead implantable defibrillator system (93282) $180 $180 4.7×
Prq balloon valvuloplasty aortic valve (92986) $3,444 $3,444 0.6×
Prq card revasc chronic 1vsl (92943)
likely a partial charge, not the full procedure
$1,747 $1,747 0.1×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$1,559 $1,559 0.1×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$1,744 $1,744 0.1×
Prq revasc byp graft 1 vsl (92937)
likely a partial charge, not the full procedure
$1,557 $1,557 0.1×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$3,421 $3,421 0.2×
Prq trluml coronary angio/atherect one art/brnch (92924)
likely a partial charge, not the full procedure
$1,669 $1,669 0.1×
Prq trluml coronary angioplasty one art/branch (92920)
likely a partial charge, not the full procedure
$1,403 $1,403 0.2×
Psych diag eval w/med srvcs (90792) $313 $313 1.7×
Psychiatric diagnostic evaluation (90791) $382.50 $382.50 2.1×
Psychoanalysis (90845) $189 $189 1.0×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $97 $97 0.2×
Psytx crisis initial 60 min (90839) $270.50 $270.50 1.5×
Pt Aquatic Therapy/Exercises (97113) $197 $197 5.3×
Pt Electric Current Therapy (97033) $103 $103 5.4×
Pt Electrical Stimulation (97032) $104 $104 7.1×
Pt eval high complex 45 min (97163) $462 $462 4.7×
Pt eval low complex 20 min (97161) $236 $236 2.4×
Pt Gait Training Therapy (97116) $101.50 $101.50 3.5×
Pt group caregiver training (97552) $55 $55 2.5×
Pt Infrared Therapy (97026) $38 $38 5.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $130 $130 4.0×
Pt Physical Performance Test (97750) $84 $84 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $359 $359 3.7×
Pt re-evaluation (97164) $220 $220 3.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $142 $142 4.4×
Pt Ultrasound Therapy (97035) $58 $58 4.0×
Pt Whirlpool Therapy (97022) $174 $174 11.1×
Pt-focused hlth risk assmt (96160) $43.25 $43.25 1.1×
Pulm Funct Test Oscillometry (94728) $115 $115 0.9×
Pulm function test by gas (94727) $240.50 $240.50 1.1×
Pulmonary stress testing (94618) $257.50 $257.50 1.9×
Pure Tone Audiometry Air & Bone (92553) $98 $98 0.7×
Pure Tone Audiometry, Air (92552) $85.50 $85.50 0.6×
R & l hrt cath w/njx l ventriculog img s&i (93453) $2,983 $2,983 0.9×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $3,320 $3,320 1.0×
R hrt art/grft angio (93457) $3,313 $3,313 1.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $3,802 $3,802 1.1×
Rapid Desensitization Procedure Each Hour (95180) $334 $334 0.7×
Recording interpretation of stomach electrical (91133) $488 $488 3.6×
Rectal sensation tone&compliance study (91124) $2,000 $2,000 9.1×
Refill/Maint Pump/Resvr Syst (96522) $288.50 $288.50 1.3×
Refill/maint, portable pump (96521) $655 $655 3.0×
Rem interrog icpms <30 d phys/qhp (93297) $68 $68 1.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $76.50 $76.50 2.0×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $80 $80 2.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $248 $248 1.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $209.50 $209.50 5.5×
Remote dx retinal imaging (92227) $35 $35 0.6×
Replace contact lens (92326) $92 $92 1.5×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $322 $322 1.0×
Right heart cath (93451) $2,059 $2,059 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $231.50 $231.50 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $223 $223 1.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $121 $121 2.5×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $1,201 $1,201 3.2×
Sc Ther Infusion Reset Pump (96371) $254 $254 3.5×
Select picture audiometry (92583) $135 $135 2.2×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $168 $168 2.8×
Sensory Integration Ea 15 Min (97533) $123 $123 2.0×
Short-latency somatosens ep std lwr limbs (95926) $614 $614 2.8×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $433 $433 2.0×
Short-latency somatosens ep std upr limbs (95925) $411.50 $411.50 1.9×
Sinusoidal Rotational Test (92546) $267 $267 2.0×
Sleep study attended (95807) $1,252 $1,252 3.3×
Sleep study unattended (95806) $460 $460 2.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $457 $457 2.1×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $239 $239 4.0×
Smoking cessation > 10 min (99407) $68 $68 1.8×
Somatosensory testing (95938) $1,212 $1,212 1.4×
Speech Audiometry Threshold (92555) $61 $61 1.0×
Speech Audiometry, Complete (92556) $96 $96 1.6×
Speech group therapy (92508) $142 $142 5.9×
Speech sound lang comprehen (92523) $633 $633 2.8×
Spirometry (94010) $95 $95 0.4×
Spontaneous Nystagmus Test (92541) $76 $76 0.6×
Staggered Spondaic Word Test (92572) $138 $138 1.0×
Standardized Cognitive Performance Testing (96125) $364.50 $364.50 3.5×
Stenger Test, Pure Tone (92565) $44 $44 0.7×
Stenger Test, Speech (92577) $49 $49 0.1×
Stress echo (93350) $1,544 $1,544 2.8×
Stress Tte Complete (93351) $588 $588 1.1×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $44 $44 0.9×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $531 $531 2.4×
Surfactant Admin Thru Tube (94610) $151 $151 0.7×
Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) $847 $847 7.9×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $904 $904 8.5×
Temp transcutaneous pacing (92953) $31 $31 0.0×
Tensilon test (95857) $135 $135 0.6×
Test for abnormal eye movement using a moving target with recording (92544) $59 $59 0.4×
Test for allergy using allergenic extract injected into skin (95024) $21 $21 0.3×
Test for allergy using combination of methods with drug or biological (95018) $55 $55 1.4×
Test photosensitivity (95056) $118 $118 0.9×
Test to assess hearing loss using different tone pitches (92575) $198 $198 5.2×
Test to assess hearing loss using grammatically incorrect sentences (92576) $90 $90 2.4×
Testing of autonomic (sympathetic) nervous system function (95923) $424 $424 3.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $94.50 $94.50 4.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $95.50 $95.50 4.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $282 $282 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $75 $75 1.0×
Therapeutic Activities (97530) $147 $147 4.2×
Therapeutic phlebotomy (99195) $247 $247 1.8×
Tilt Table Eval (93660) $392 $392 1.0×
Tinnitus assessment (92625) $173 $173 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $42.50 $42.50 1.1×
Tone Decay Test (92563) $83 $83 2.2×
Trans Care Mgmt 14 Day Disch (99495) $413 $413 3.0×
Trans Care Mgmt 7 Day Disch (99496) $582 $582 4.3×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $953 $953 3.9×
Transcranial Doppler Limited (93888) $876.50 $876.50 8.2×
Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21 (93316) $106 $106 0.2×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $133 $133 3.5×
Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) $371 $371 1.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $527.50 $527.50 0.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $341 $341 1.4×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure
$2,832 $2,832 0.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $269 $269 3.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $329 $329 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $153.50 $153.50 3.2×
Tympanometry (92567) $45 $45 1.2×
Tympanometry And Reflex Threshold Measurements (92550) $60 $60 0.3×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $280 $280 0.5×
Ultraviolet Light Therapy (96900) $55 $55 1.4×
Ultraviolet Therapy (97028) $19 $19 2.3×
Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) $25 $25 0.8×
Unlisted pulmonary service/procedure (94799) $244 $244 1.9×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$2,794 $2,794 0.2×
Vasc Duplex Extrem Venous,Bilat (93970) $888 $888 3.6×
Vasc Duplex Scan Extracranial,Limited (93882) $441 $441 4.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $864 $864 3.9×
Vasopneumatic device (97016) $132 $132 11.0×
Ventilation assist & mgmt inpatient 1st day (94002) $290 $290 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $210 $210 0.3×
Visual Evoked Potential Test (95930) $411 $411 1.9×
Visual reinforcement audiometry (vra) (92579) $120 $120 0.5×
Vital capacity total (94150) $143 $143 1.1×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,472 $1,472 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $140 $140 4.5×
Xtrnl mobile cv telemetry w/technical support (93229) $1,840 $1,840 4.8×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $469 $469 4.8×