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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (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) range across 3 matching MRF lines |
$106–$382 | $106–$382 | varies |
| Actinotherapy Ultraviolet Light (96900) | $55 | $55 | 1.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$45–$85 | $45–$85 | varies |
| Advncd Care Plan 30 Min (99497) | $200 | $200 | 1.9× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$49–$360 | $49–$360 | varies |
| Airway resistance by oscillometry (94728) | $115 | $115 | 0.9× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $55 | $55 | 1.4× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $25 | $25 | 0.8× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $79 | $79 | 0.6× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $15 | $15 | 0.1× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $334 | $334 | 2.5× |
| 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) range across 2 matching MRF lines |
$180–$291 | $180–$291 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$152–$394 | $152–$394 | varies |
| Analyze Pacemaker System (93724) | $665 | $665 | 2.1× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $317 | $317 | 1.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $870 | $870 | 2.3× |
| Ans parasymp & symp w/tilt (95924) | $371 | $371 | 1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$32–$105 | $32–$105 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $16 | $16 | 2.2× |
| Application Modality 1/> Areas Infrared (97026) | $48 | $48 | 7.2× |
| Application on-body injector (96377) | $184 | $184 | 3.8× |
| Arrhythmia Induction (93618) | $600 | $600 | 0.5× |
| Assessment of aphasia per hr (96105) | $677 | $677 | 7.0× |
| Assessment of tinnitus (92625) | $173 | $173 | 1.3× |
| Audiometry Air & Bone (92553) | $98 | $98 | 0.7× |
| Auditory Function, 60 Min (92620) | $233 | $233 | 1.8× |
| Basic vestibular evaluation (92540) | $253 | $253 | 1.1× |
| Behavral qualit analys voice (92524) | $538 | $538 | 4.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$205–$304 | $205–$304 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$83–$203 | $83–$203 | varies |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$49–$100 | $49–$100 | varies |
| Bioimpedance Cv Analysis (93701) | $63 | $63 | 0.5× |
| Blink reflex test (95933) range across 2 matching MRF lines |
$144–$231 | $144–$231 | varies |
| Breath hydrogen/methane test (91065) | $251 | $251 | 1.1× |
| Breathing response to hypoxia (94450) | $176 | $176 | 1.3× |
| Brief Emotional/Behav Assmt (96127) range across 3 matching MRF lines |
$12–$30 | $12–$30 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$95–$625 | $95–$625 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$299 | $299 | 0.0× |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$743–$1,099 | $743–$1,099 | varies |
| C motor evoked upr&lwr limbs (95939) | $1,295 | $1,295 | 1.5× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$109–$164 | $109–$164 | varies |
| Car seat/bed test 60 min (94780) range across 2 matching MRF lines |
$91–$132 | $91–$132 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$110–$1,346 | $110–$1,346 | varies |
| Cardiopulmonary exercise testing (94621) | $420 | $420 | 1.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$585–$1,822 | $585–$1,822 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$380–$2,148 | $380–$2,148 | varies |
| Cardioversion elective internal (92961) | $607 | $607 | 0.9× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$10–$80 | $10–$80 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $65 | $65 | 2.5× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $3,320 | $3,320 | 1.0× |
| 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 Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$190–$308 | $190–$308 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$82–$299 | $82–$299 | varies |
| Chemo Ia Push (96420) | $270 | $270 | 0.8× |
| Chemo Intralesional Over 7 (96406) | $297 | $297 | 1.4× |
| Chemo intralesional up to 7 (96405) | $211 | $211 | 2.9× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$77–$412 | $77–$412 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$157–$395 | $157–$395 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$358–$979 | $358–$979 | varies |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $200 | $200 | 4.2× |
| Chemotherapy Into Cns (96450) range across 3 matching MRF lines |
$190–$891 | $190–$891 | varies |
| Chemotherapy Intracavitary (96440) | $2,274 | $2,274 | 6.7× |
| Chemotherapy Unspecified (96549) | $344 | $344 | 7.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$178–$431 | $178–$431 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$359–$888 | $359–$888 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$281–$556 | $281–$556 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $305 | $305 | 0.9× |
| Chest Wall Manipulation (94668) | $269 | $269 | 2.0× |
| Chiropract manj 3-4 regions (98941) | $90 | $90 | 4.1× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $64 | $64 | 2.9× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $115 | $115 | 5.2× |
| Chron Care Mgmt Srvc 20 Min (99490) | $105 | $105 | 1.0× |
| Cmptr ophth dx img ant segmt (92132) | $92 | $92 | 1.5× |
| Colon Motility 6 Hr Study (91117) | $409 | $409 | 1.9× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $45 | $45 | 0.7× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$927–$1,081 | $927–$1,081 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$538–$685 | $538–$685 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$75–$179 | $75–$179 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $90 | $90 | 0.5× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $243 | $243 | 0.3× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $246 | $246 | 0.6× |
| Comprehensive Hearing Test (92557) | $100 | $100 | 0.8× |
| Computerized dynamic posturography (92548) | $267 | $267 | 2.0× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $114 | $114 | 1.9× |
| Computerized Ophthalmic Imaging Retina (92134) | $116 | $116 | 1.9× |
| Conditioning Play Audiometry (92582) | $188 | $188 | 1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$235–$416 | $235–$416 | varies |
| Contact Lens Fit,Corneoscleral Lens (92313) | $261 | $261 | 1.9× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$63–$315 | $63–$315 | varies |
| Corneal Topography (92025) | $97 | $97 | 1.6× |
| Coronary Art/Grft Angio S&I (93455) | $2,721 | $2,721 | 0.8× |
| Coronary Artery Angio S&I (93454) | $2,342 | $2,342 | 0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$161–$1,044 | $161–$1,044 | varies |
| Cpt initial (94667) | $412 | $412 | 3.0× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$687–$731 | $687–$731 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $747 | $747 | 2.0× |
| Dark Adaptation Eye Exam (92284) | $160 | $160 | 0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$86–$730 | $86–$730 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $226 | $226 | 1.7× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$213–$265 | $213–$265 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $83 | $83 | 0.2× |
| Duodenal motility study (91022) | $455 | $455 | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$594–$980 | $594–$980 | varies |
| 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) range across 2 matching MRF lines |
$412–$775 | $412–$775 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$644–$1,533 | $644–$1,533 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $371 | $371 | 3.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$486–$1,544 | $486–$1,544 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$294–$967 | $294–$967 | varies |
| 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 Hemodialysis Access (93990) | $526 | $526 | 4.9× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$614–$1,377 | $614–$1,377 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$412–$1,003 | $412–$1,003 | varies |
| 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 walkg/funcjal actv 1-12 musc (96002) | $54 | $54 | 0.2× |
| Ear and throat examination (92502) | $245 | $245 | 0.4× |
| Ear Protector Evaluation (92596) | $113 | $113 | 3.0× |
| ECG/monitoring and analysis (93271) | $469 | $469 | 4.8× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$495–$1,858 | $495–$1,858 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$251–$1,101 | $251–$1,101 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$104–$1,494 | $104–$1,494 | varies |
| Echo transesophag congen probe plcmt only (93316) | $106 | $106 | 0.2× |
| Echo transesophag montr cardiac pump functj (93318) | $280 | $280 | 0.5× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$580–$3,583 | $580–$3,583 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 3 matching MRF lines |
$344–$2,131 | $344–$2,131 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $588 | $588 | 1.1× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$1,134–$1,443 | $1,134–$1,443 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$145–$1,529 | $145–$1,529 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$145–$1,525 | $145–$1,525 | varies |
| EEG cerebral death evaluation (95824) | $99 | $99 | 0.3× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$1,304–$1,427 | $1,304–$1,427 | varies |
| Eeg Sleep Only (95822) | $1,069 | $1,069 | 4.8× |
| EKG signal averaged (93278) | $78 | $78 | 1.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$150–$315 | $150–$315 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $105 | $105 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) | $104 | $104 | 7.1× |
| Electro-Oculography (92270) | $236 | $236 | 1.7× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$46–$347 | $46–$347 | varies |
| Electrocochleography (92584) | $183 | $183 | 1.4× |
| Electroconvulsive Therapy (90870) | $450 | $450 | 0.5× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $424 | $424 | 1.9× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $488 | $488 | 3.6× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$673 | $673 | 0.1× |
| Electrophysiology Evaluation (93642) | $981 | $981 | 0.8× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$105–$160 | $105–$160 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$158–$270 | $158–$270 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$291–$460 | $291–$460 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$535–$620 | $535–$620 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$507–$613 | $507–$613 | varies |
| 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 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 Esophageal Recording Atria+Pacing (93616) | $163 | $163 | 0.1× |
| Er level 1 (99281) range across 3 matching MRF lines |
$50–$65 | $50–$65 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$425–$670 | $425–$670 | varies |
| Ergonovine provocation test (93024) | $283 | $283 | 0.6× |
| Esoph Atrial Electrogram (93615) | $120 | $120 | 0.1× |
| Esophageal Capsule Endoscopy (91111) | $2,028 | $2,028 | 2.2× |
| Esophagus acid perfusion test esophagitis (91030) | $373 | $373 | 1.0× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $767 | $767 | 2.0× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,235 | $1,235 | 3.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $225 | $225 | 1.7× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$47–$260 | $47–$260 | varies |
| Evaluate Speech Production (92522) | $501 | $501 | 4.5× |
| Evaluate Swallowing Function (92610) | $549 | $549 | 6.5× |
| Evaluation of speech fluency (92521) | $484 | $484 | 3.6× |
| Evoked Auditory Test,Limited (92587) | $60 | $60 | 0.3× |
| 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 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) | $558 | $558 | 4.1× |
| External Ecg Scanning Analysis Report (93226) | $100 | $100 | 1.7× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$612–$1,378 | $612–$1,378 | varies |
| Extracranial Uni/Ltd Study (93882) | $441 | $441 | 4.1× |
| 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× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$329–$1,404 | $329–$1,404 | varies |
| Facial nerve function studies (92516) | $182 | $182 | 0.8× |
| Filtered Speech Test (92571) | $72 | $72 | 1.9× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $388 | $388 | 2.6× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $533 | $533 | 2.3× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$722–$2,724 | $722–$2,724 | varies |
| Fundus photography (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 tract capsule endoscopy (91110) | $2,429 | $2,429 | 2.6× |
| Gi wireless capsule measure (91112) | $2,970 | $2,970 | 3.2× |
| Gonioscopy (92020) | $70 | $70 | 0.5× |
| Group Therapeutic Procedures (97150) | $150 | $150 | 8.3× |
| 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× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $3,802 | $3,802 | 1.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $179 | $179 | 0.3× |
| High altitude simulation test (94452) | $154 | $154 | 1.1× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $216 | $216 | 1.6× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$71–$399 | $71–$399 | varies |
| Hubbard tank 15 min (97036) | $84 | $84 | 2.4× |
| Hypnotherapy (90880) | $241 | $241 | 2.3× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $37 | $37 | 1.0× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$162–$230 | $162–$230 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$200–$342 | $200–$342 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$220–$336 | $220–$336 | varies |
| Icm Device Eval (93290) | $76 | $76 | 2.0× |
| Ilr Device Eval Progr (93285) range across 3 matching MRF lines |
$80–$176 | $80–$176 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$89–$238 | $89–$238 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $30 | $30 | 0.4× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $35 | $35 | 0.6× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $91 | $91 | 2.4× |
| Immunization administration (90471) range across 7 matching MRF lines |
$20–$85 | $20–$85 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $666 | $666 | 3.0× |
| Ingestion challenge test initial 120 minutes (95076) | $294 | $294 | 0.8× |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$200–$224 | $200–$224 | varies |
| Insert/Place Heart Catheter (93503) | $327 | $327 | 0.2× |
| Interrogate Subq Defib (93261) | $135 | $135 | 3.5× |
| Interrogation eval in person wr defibrillator (93292) | $80 | $80 | 2.1× |
| Interrogation vad in person (93750) | $135 | $135 | 1.4× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$424 | $424 | 0.1× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$298 | $298 | 0.0× |
| Intracranial Complete Study (93886) | $953 | $953 | 3.9× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $13 | $13 | 0.4× |
| Intracutaneous tests w/allergenic extracts (95024) | $27 | $27 | 0.4× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$421 | $421 | 0.1× |
| Io anal gast n-stim subsq (95981) | $85 | $85 | 1.4× |
| Io ga n-stim subsq w/reprog (95982) | $134 | $134 | 3.5× |
| Iontophoresis 15 min (97033) | $103 | $103 | 5.4× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$63–$235 | $63–$235 | varies |
| Ischemic limb exercise test (95875) | $322 | $322 | 2.4× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$38–$336 | $38–$336 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$147–$690 | $147–$690 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$80–$332 | $80–$332 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$60–$315 | $60–$315 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$144–$393 | $144–$393 | varies |
| L Hrt Art/Grft Angio (93459) | $3,097 | $3,097 | 0.9× |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$189–$303 | $189–$303 | varies |
| Loudness balance test (92562) | $123 | $123 | 0.6× |
| Low frequency non-thermal us (97610) | $510 | $510 | 2.5× |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$8–$401 | $8–$401 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$459–$1,269 | $459–$1,269 | varies |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $495 | $495 | 0.6× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $1,082 | $1,082 | 1.2× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $480 | $480 | 2.2× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $70 | $70 | 0.2× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $295 | $295 | 2.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$85–$89 | $85–$89 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$95–$98 | $95–$98 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$39–$50 | $39–$50 | varies |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$185–$985 | $185–$985 | varies |
| Microvolt T-Wave Assess (93025) | $429 | $429 | 3.3× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $108 | $108 | 0.8× |
| Motility study esophagus (91010) | $471 | $471 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $706 | $706 | 7.7× |
| 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) range across 2 matching MRF lines |
$1,200–$3,255 | $1,200–$3,255 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$438–$1,054 | $438–$1,054 | varies |
| Muscle Test Hemidiaphragm (95866) | $350 | $350 | 2.7× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$229–$231 | $229–$231 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$319–$420 | $319–$420 | varies |
| Narcosynthesis (90865) | $422 | $422 | 2.3× |
| Nasal function studies (92512) | $158 | $158 | 0.7× |
| Nasopharyngoscopy (92511) | $360 | $360 | 1.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$362–$550 | $362–$550 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$289–$344 | $289–$344 | varies |
| Needle electromyography larynx (95865) | $342 | $342 | 2.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$218–$770 | $218–$770 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
$248–$510 | $248–$510 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$51–$1,017 | $51–$1,017 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$60–$1,017 | $60–$1,017 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$60–$659 | $60–$659 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$66–$1,252 | $66–$1,252 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$238–$290 | $238–$290 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$656–$1,551 | $656–$1,551 | varies |
| Nerve conduction studies 13 or more studies (95913) | $760 | $760 | 2.0× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$293–$602 | $293–$602 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$351–$770 | $351–$770 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$463–$893 | $463–$893 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$560–$1,306 | $560–$1,306 | varies |
| Neurobehavioral Status Exam (96116) | $225 | $225 | 1.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$199–$250 | $199–$250 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$84–$153 | $84–$153 | varies |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$335–$775 | $335–$775 | varies |
| Nitric oxide expired gas determination (95012) | $52 | $52 | 1.4× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $70 | $70 | 2.8× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $36 | $36 | 2.6× |
| Nose Allergy Test (95065) | $69 | $69 | 1.8× |
| 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× |
| Oculoelectromyography (92265) | $204 | $204 | 3.4× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $233 | $233 | 1.7× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $381 | $381 | 2.8× |
| 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× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $209 | $209 | 1.5× |
| Ophthalmodynamometry (92260) | $49 | $49 | 1.3× |
| Optokinetic Nystagmus Test (92544) | $59 | $59 | 0.4× |
| Oral Function Therapy (92526) | $411 | $411 | 4.9× |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$175–$461 | $175–$461 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $150 | $150 | 3.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$115–$118 | $115–$118 | varies |
| 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 Contrast Bath Ea 15 Min (97034) | $45 | $45 | 3.2× |
| Ot eval high complexity (97167) | $575 | $575 | 5.7× |
| Ot Eval Low Complex (97165) | $380 | $380 | 3.8× |
| Ot Eval Moderate Complexity (97166) | $496 | $496 | 4.9× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$75–$155 | $75–$155 | varies |
| Ot paraffin bath (97018) | $124 | $124 | 20.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $113 | $113 | 2.8× |
| Ot Re-Eval Est Plan Care (97168) | $283 | $283 | 4.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$62–$375 | $62–$375 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$42–$340 | $42–$340 | varies |
| Oxygen Uptake Rest Indirect (94690) | $130 | $130 | 2.2× |
| 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× |
| Penile Vascular Study,Ltd or F/U (93981) | $282 | $282 | 2.6× |
| Percutaneous tests w/allergenic extracts (95004) | $22 | $22 | 0.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) likely a partial charge, not the full procedure |
$1,403 | $1,403 | 0.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) likely a partial charge, not the full procedure |
$1,747 | $1,747 | 0.1× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$200–$294 | $200–$294 | varies |
| Photo patch test(s) (95052) | $18 | $18 | 0.3× |
| Photo Tests (95056) | $118 | $118 | 0.9× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) | $344 | $344 | 0.8× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $244 | $244 | 4.0× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $191 | $191 | 3.2× |
| Physical Performance Test (97750) | $84 | $84 | 2.5× |
| Plethysmography (94726) range across 5 matching MRF lines |
$28–$518 | $28–$518 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$65–$226 | $65–$226 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$144–$256 | $144–$256 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$168–$191 | $168–$191 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$125–$192 | $125–$192 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$66–$291 | $66–$291 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$307–$5,317 | $307–$5,317 | varies |
| 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) | $40 | $40 | 0.8× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $95 | $95 | 2.0× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $190 | $190 | 4.0× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $285 | $285 | 3.9× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $475 | $475 | 6.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$156–$204 | $156–$204 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $30 | $30 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$22–$54 | $22–$54 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $375 | $375 | 5.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $25 | $25 | 0.5× |
| Prq Card Angio/Athrect 1 Art (92924) likely a partial charge, not the full procedure |
$1,669 | $1,669 | 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× |
| Psych diag eval w/med srvcs (90792) | $313 | $313 | 1.7× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$380–$385 | $380–$385 | varies |
| 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) range across 2 matching MRF lines |
$223–$318 | $223–$318 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$90–$125 | $90–$125 | varies |
| Pt Eval High Complex (97163) | $510 | $510 | 5.2× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$188–$339 | $188–$339 | varies |
| Pt Eval Mod Complex (97162) | $416 | $416 | 4.3× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$71–$158 | $71–$158 | varies |
| Pt group caregiver training (97552) | $55 | $55 | 2.5× |
| Pt mechanical traction (97012) | $155 | $155 | 10.8× |
| Pt Re-Eval Est Plan Care (97164) | $255 | $255 | 3.8× |
| Pt ultraviolet (97028) | $19 | $19 | 2.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$6.50–$100 | $6.50–$100 | varies |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$28–$337 | $28–$337 | varies |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$23–$465 | $23–$465 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$90–$425 | $90–$425 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$81–$90 | $81–$90 | varies |
| R Hrt Art/Grft Angio (93457) | $3,313 | $3,313 | 1.0× |
| R hrt coronary artery angio (93456) | $2,935 | $2,935 | 0.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $2,983 | $2,983 | 0.9× |
| Rapid Desensitization Procedure Each Hour (95180) | $334 | $334 | 0.7× |
| Rectal sensation tone&compliance study (91124) | $2,000 | $2,000 | 9.1× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $242 | $242 | 0.7× |
| Refill/Maint Portable Pump (96521) | $655 | $655 | 3.0× |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$287–$290 | $287–$290 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) range across 3 matching MRF lines |
$64–$224 | $64–$224 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 4 matching MRF lines |
$64–$194 | $64–$194 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (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 (93270) range across 2 matching MRF lines |
$24–$395 | $24–$395 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $1,840 | $1,840 | 4.8× |
| Replacement of contact lens (92326) | $92 | $92 | 1.5× |
| Respiratory flow volume loop (94375) | $135 | $135 | 0.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $16 | $16 | 0.3× |
| Right Heart Cath (93451) | $2,059 | $2,059 | 0.6× |
| Right ventricular recording (93603) | $297 | $297 | 0.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$57–$400 | $57–$400 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$46–$114 | $46–$114 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $420 | $420 | 3.4× |
| 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× |
| Same day nb discharge (99463) | $284 | $284 | 2.1× |
| Select picture audiometry (92583) | $135 | $135 | 2.2× |
| Self Care Mngment Training (97535) | $177 | $177 | 5.5× |
| 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 Trnk/Head (95927) | $433 | $433 | 2.0× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$330–$493 | $330–$493 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $267 | $267 | 2.0× |
| Sleep study attended (95807) | $1,252 | $1,252 | 3.3× |
| Sleep study unattended (95806) | $460 | $460 | 2.1× |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$130–$163 | $130–$163 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $239 | $239 | 4.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $457 | $457 | 2.1× |
| Somatosensory Testing (95938) | $1,212 | $1,212 | 1.4× |
| Speech Audiometry Complete (92556) | $96 | $96 | 1.6× |
| Speech audiometry threshold (92555) | $61 | $61 | 1.0× |
| Speech sound lang comprehen (92523) | $791 | $791 | 3.5× |
| Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines |
$278–$641 | $278–$641 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$65–$355 | $65–$355 | varies |
| Spontaneous Nystagmus Test (92541) | $76 | $76 | 0.6× |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$477–$751 | $477–$751 | varies |
| Staggered Spondaic Word Test (92572) | $138 | $138 | 1.0× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$271–$458 | $271–$458 | varies |
| Stenger Test Speech (92577) | $49 | $49 | 0.1× |
| Stenger Test, Pure Tone (92565) | $44 | $44 | 0.7× |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$460–$3,928 | $460–$3,928 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $44 | $44 | 0.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $531 | $531 | 2.4× |
| Subq Infusion Additional Pump Infusion Site (96371) | $254 | $254 | 3.5× |
| Surfactant Admin Thru Tube (94610) | $151 | $151 | 0.7× |
| Synthetic Sentence Identification Test (92576) | $90 | $90 | 2.4× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $904 | $904 | 8.5× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$27–$35 | $27–$35 | varies |
| Tensilon Test (95857) | $135 | $135 | 0.6× |
| Test to assess hearing loss using different tone pitches (92575) | $198 | $198 | 5.2× |
| Testing Autonomic Nervous System Function (95923) range across 2 matching MRF lines |
$199–$658 | $199–$658 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$65–$155 | $65–$155 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$60–$156 | $60–$156 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $197 | $197 | 5.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $132 | $132 | 4.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $282 | $282 | 2.8× |
| Ther/Proph/Diag Inj Ia (96373) | $50 | $50 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$29–$169 | $29–$169 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$189–$750 | $189–$750 | varies |
| Therapeutic Activities (97530) | $157 | $157 | 4.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $392 | $392 | 1.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$65–$68 | $65–$68 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$35–$50 | $35–$50 | varies |
| 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× |
| Transcath Closure of Asd (93580) likely a partial charge, not the full procedure |
$2,536 | $2,536 | 0.1× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $847 | $847 | 7.9× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$554–$1,199 | $554–$1,199 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $133 | $133 | 3.5× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$195–$2,647 | $195–$2,647 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$287–$395 | $287–$395 | varies |
| 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) range across 2 matching MRF lines |
$179–$449 | $179–$449 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $142 | $142 | 5.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$56–$281 | $56–$281 | varies |
| Tympanometry (92567) | $45 | $45 | 1.2× |
| Tympanometry and reflex threshold measurements (92550) | $60 | $60 | 0.3× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $25 | $25 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$236–$1,095 | $236–$1,095 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$367–$946 | $367–$946 | varies |
| Valvuloplasty aortic valve (92986) | $3,444 | $3,444 | 0.6× |
| Valvuloplasty pulmonary valve (92990) likely a partial charge, not the full procedure |
$2,794 | $2,794 | 0.2× |
| Vasopneumatic device (97016) | $165 | $165 | 13.7× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$232–$3,068 | $232–$3,068 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$168–$1,481 | $168–$1,481 | varies |
| Visual Evoked Potential Test (95930) | $411 | $411 | 1.9× |
| Visual Field Exam Extended (92083) | $168 | $168 | 1.2× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $127 | $127 | 2.1× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $88 | $88 | 1.5× |
| Visual reinforcement audiometry (vra) (92579) | $120 | $120 | 0.5× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$65–$221 | $65–$221 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,472 | $1,472 | 1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $159 | $159 | 5.1× |
| Whirlpool Therapy (97022) | $218 | $218 | 13.9× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $54 | $54 | 1.4× |
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.