Visits & medical services prices at St. Joseph Hospital

Bethpage, NY · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) — $26,067 —
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) — $461 —
Acoustic Reflex Testing (92568) — $129 —
Actinotherapy Ultraviolet Light (96900) — $353 —
Admn Sarscov2 Vacc 1 Dose (90480) — $236 —
Aep Hearing Status Deter Broadband Stimuli I&R (92651) — $719 —
Aep neurodiagnostic i&r (92653) — $825 —
Aep threshold estimation mlt frequencies i&r (92652) — $825 —
Airway Inhalation Treatment (94640) — $895 —
Airway resistance by oscillometry (94728) — $897 —
Analyze neurostim complex (95972) — $950 —
Analyze neurostim no prog (95970) — $363 —
Analyze Neurostim Simple (95971) — $360 —
Analyze Pacemaker System (93724) — $718 —
Appl modality 1+ areas lllt po pain reduction (97037) — $150 —
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) — $180 —
Application on-body injector (96377) — $525 —
Audiometry Air & Bone (92553) — $461 —
Auditory Function, 60 Min (92620) — $461 —
Behavral qualit analys voice (92524) — $572 —
Biofeedback training any modality (90901) — $327 —
Brief Emotional/Behav Assmt (96127) — $153 —
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) — $1,091 —
Bundle of his recording (93600) — $17,958 —
Canalith repositioning proc (95992) — $200 —
Cardiac Stress Tst,Tracing Only (93017) — $1,729 —
Cardiopulmonary exercise testing (94621) — $1,139 —
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
— $887–$930 —
Cardioversion (92960)
range across 3 matching MRF lines
— $5,021–$6,239 —
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) — $80 —
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) — $18,113 —
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) — $23,221 —
Cbt 1st hour (94644) — $435 —
Chemo Admin Peritoneal Cavity (96446) — $1,079 —
Chemo Anti-Neopl Sq/Im (96401) — $364 —
Chemo Hormon Antineopl Sq/Im (96402) — $254 —
Chemo Ia Push (96420) — $1,079 —
Chemo Intralesional Over 7 (96406) — $1,079 —
Chemo IV infusion addl hr (96415) — $364 —
Chemo IV push addl drug (96411) — $686 —
Chemother Prolong Infuse W/Pump (96416) — $1,079 —
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) — $1,079 —
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) — $1,079 —
Chemotherapy Into Cns (96450) — $1,079 —
Chemotherapy Unspecified (96549) — $169 —
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) — $695 —
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) — $2,145 —
Chemotx admn IV push tq 1/1st sbst/drug (96409) — $815 —
Chest Wall Manipulation (94668) — $293 —
Chron Care Mgmt Srvc 20 Min (99490) — $275 —
Color/duplex Doppler, complete (93975) — $2,179 —
Color/duplex Doppler, limited (93976) — $719 —
Complex chronic care mgmt svc 1st 60 min cal mo (99487) — $375 —
Comprehensive Hearing Test (92557) — $416 —
Conditioning Play Audiometry (92582) — $358 —
Cont gluc mntr physician/qhp provided equiptment (95250) — $446 —
Cont Gluc Mntr Pt Prov Eqp (95249) — $225 —
Continuous Pulse Ox (94762) — $583 —
Coronary Art/Grft Angio S&I (93455) — $17,609 —
Coronary Artery Angio S&I (93454) — $19,899 —
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
— $895–$2,453 —
Cpt initial (94667) — $293 —
Critical care first hour (99291) — $3,383 —
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
— $624–$756 —
Dialysis One Evaluation (90945)
range across 5 matching MRF lines
— $1,723–$4,820 —
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) — $719 —
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) — $1,836 —
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) — $608 —
Dup-scan lxtr art/artl bpgs compl bi study (93925) — $2,714 —
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) — $1,357 —
Dup-Scan Xtr Veins Complete Bilateral Study (93970) — $2,714 —
Dup-scan xtr veins unilateral/limited study (93971) — $1,873 —
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) — $1,357 —
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) — $1,357 —
Duplex Scan Hemodialysis Access (93990) — $881 —
Duplex up extrem art bilat (93930) — $2,714 —
Duplex up extrem art unilat/ltd (93931) — $718 —
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) — $600 —
ECG/monitoring and analysis (93271) — $988 —
Echo Congenital Complete (93303) — $5,199 —
Echo Heart Xthoracic,Limited (93308) — $1,978 —
Echo r-t 2d w/probe placement only (93313) — $2,502 —
Echo transesophag montr cardiac pump functj (93318) — $2,502 —
Echo transesophageal (93312)
range across 2 matching MRF lines
— $5,409–$5,875 —
Echo Transesophageal - Congenital Tee Complete (93315) — $3,280 —
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) — $5,199 —
Eeg 41-60 Minutes (95812) — $2,033 —
EEG awake and asleep (95819) — $1,907 —
EEG awake drowsy (95816) — $1,907 —
EEG cerebral death evaluation (95824) — $1,227 —
EEG cont rec w/video by tech min 8 channels (95700) — $1,250 —
EEG extended monitoring 61-119 minutes (95813) — $2,333 —
Eeg Sleep Only (95822) — $1,514 —
Eeg W/O Vid 2-12 Hr Unmntr (95705) — $1,750 —
EEG w/o vid 2-12hr cont mntr (95707) — $2,350 —
EEG w/o vid ea 12-26hr intmt (95709) — $3,050 —
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) — $3,300 —
EEG w/o video by tech 2-12 hr intermittent mntr (95706) — $2,050 —
EEG wo vid ea 12-26hr unmntr (95708) — $2,750 —
Elec alys implt brn npgt prgrmg 1st 15 min (95983) — $378 —
Electrical Stimulation Ea 15 Min (97032) — $165 —
Electrocardiogram Tracing (93005) — $510 —
Electroconvulsive Therapy (90870) — $3,696 —
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) — $17,958 —
Electrophysiology Evaluation (93642) — $10,631 —
Emergency Dept Visit Level 2 (99282) — $1,742 —
Emergency Dept Visit Level 3 (99283) — $2,068 —
Emergency Dept Visit Level 4 (99284) — $2,406 —
Emg 3 Extremities (95863) — $461 —
Endomyocardial Biopsy (93505) — $9,000 —
Ep & ablate supravent arrhyt (93653) — $57,112 —
Ep & ablate ventric tachy (93654) — $63,992 —
Ep Compre Electrophysiologic Arrhythmia Induction (93620) — $26,067 —
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) — $19,086 —
Er level 1 (99281)
range across 5 matching MRF lines
— $462–$1,333 —
Er level v (99285) — $2,787 —
Ergonovine provocation test (93024) — $2,100 —
Esophageal Capsule Endoscopy (91111) — $3,000 —
Esophgl Balo Distension Dx Std W/Provocation (91040) — $1,720 —
Evaluate Speech Production (92522) — $572 —
Evaluate Swallowing Function (92610) — $828 —
Evaluation of speech fluency (92521) — $572 —
Evoked Auditory Test,Limited (92587) — $719 —
Exhaled Air Analysis O2 (94680) — $461 —
External ECG rec>48hr<7d recording (93242) — $200 —
External ECG rec>48hr<7d scanning alys w/report (93243) — $400 —
External ECG rec>7d<15d recording (93246) — $200 —
External ECG rec>7d<15d scanning alys w/report (93247) — $400 —
External Ecg Scanning Analysis Report (93226) — $797 —
Extracranial Bilat Study (93880) — $2,714 —
Extracranial Uni/Ltd Study (93882) — $1,357 —
Eye Exam With Photos (92230) — $1,350 —
F-up/limited tthrc echo congenital car anomaly (93304) — $3,280 —
Filtered Speech Test (92571) — $129 —
Flexible endoscopic eval swallow c/v rec (92612) — $494 —
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) — $2,394 —
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) — $1,050 —
Gastroesophag reflx test w/telemtry ph eltrd (91035) — $1,720 —
Gi tract capsule endoscopy (91110) — $3,000 —
Group Therapeutic Procedures (97150) — $165 —
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) — $18,113 —
Holter monitor recording (93225) — $670 —
Icd Device Interrogate (93289)
range across 2 matching MRF lines
— $331–$427 —
Icd device progr eval dual (93283) — $427 —
Icd Device Progr Eval Mult (93284) — $427 —
Icm Device Eval (93290) — $218 —
Ilr Device Eval Progr (93285) — $427 —
Ilr Device Interrogate (93291) — $427 —
Im Adm Intransl/Oral 1 Vaccine (90473) — $161 —
Immunization administration (90471) — $343 —
Interrog eval crtd sins bat modulj sys ip w/ (93146) — $325 —
Interrog eval crtd sins bat modulj sys ip wo (93145) — $325 —
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) — $330 —
Interrog&prgrmg ipnss during polysomnography (93152) — $1,050 —
Interrogate Subq Defib (93261) — $158 —
Interrogation eval in person wr defibrillator (93292) — $427 —
Interrogation vad in person (93750)
range across 2 matching MRF lines
— $578–$607 —
Interrogation without programming ipnss (93153) — $350 —
Intracranial Complete Study (93886) — $1,372 —
Intraventricular pacing (93612) — $17,958 —
Iontophoresis 15 min (97033) — $175 —
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
— $205–$226 —
IV infusion hydration each additional hour (96361) — $247 —
IV infusion hydration initial 31 min-1 hour (96360) — $688 —
IV infusion ther proph addl sequential to 1 hr (96367) — $360 —
IV infusion therapy prophylaxis/dx ea hour (96366) — $420 —
IV push initial (96374) — $516 —
L Hrt Art/Grft Angio (93459) — $17,609 —
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) — $17,609 —
Lung Function Test (Mbc/Mvv) (94200) — $395 —
Lwr Xtr Vasc Stdy Bilat (93924) — $962 —
Mchnl sclp cool cap sply head meas fitg&educaj (97007) — $6,215 —
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
— $138–$156 —
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
— $161–$182 —
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) — $64 —
Methacholine challenge (94070) — $1,014 —
Motility study esophagus (91010) — $1,800 —
Motion Fluoroscopy/Swallow (92611) — $550 —
Multiple Sleep Latency Test (95805) — $7,312 —
Muscle Test 2 Limbs (95861) — $363 —
Muscle Test Nonparaspinal (95870) — $293 —
Muscle Test One Limb (95860) — $363 —
Nasopharyngoscopy (92511) — $584 —
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
— $1,371–$1,508 —
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) — $1,371 —
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
— $659–$704 —
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) — $1,000 —
Nerve Conduction Studies 1-2 Studies (95907) — $461 —
Nerve Conduction Studies 11-12 Studies (95912) — $1,227 —
Nerve conduction studies 13 or more studies (95913) — $1,227 —
Nerve Conduction Studies 3-4 Studies (95908) — $719 —
Nerve conduction studies 5-6 studies (95909) — $843 —
Nerve conduction studies 7-8 studies (95910) — $843 —
Nerve Conduction Studies 9-10 Studies (95911) — $1,227 —
Neurobehavioral Status Exam (96116) — $1,715 —
Neuromuscular Reeducation (97112) — $253 —
Nitric oxide expired gas determination (95012) — $150 —
Nrpsyc tst eval phys/qhp 1st (96132) — $1,555 —
Optokinetic Nystagmus Test (92544) — $461 —
Oral Function Therapy (92526) — $357 —
Orthc/Prostc Mgmt Sbsq Enc (97763) — $180 —
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) — $185 —
Osteopathic Manipulative Tx 1-2 Body Regions (98925) — $124 —
Osteopathic manipulative tx 3-4 body regions (98926) — $128 —
Osteopathic manipulative tx 5-6 body regions (98927) — $89 —
Osteopathic manipulative tx 7-8 body regions (98928) — $89 —
Osteopathic manipulative tx 9-10 body regions (98929) — $89 —
Ot eval high complexity (97167) — $675 —
Ot Eval Low Complex (97165) — $625 —
Ot Eval Moderate Complexity (97166) — $650 —
Ot manual therapy 15 min (97140) — $261 —
Ot paraffin bath (97018) — $86 —
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
— $140–$194 —
Ot Re-Eval Est Plan Care (97168) — $425 —
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) — $466 —
Oxygen Uptake Rest Indirect (94690) — $289 —
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) — $488 —
Percutaneous tests w/allergenic extracts (95004) — $3,650 —
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) — $66,000 —
Perq transcath closure pda (93582) — $56,356 —
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) — $39,400 —
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) — $37,181 —
Phlebotomy therapeutic (99195) — $594 —
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) — $197 —
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) — $197 —
Physical Performance Test (97750) — $205 —
Plethysmography (94726) — $719 —
Pm device eval in person (93288)
range across 2 matching MRF lines
— $427–$448 —
Pm device progr eval dual (93280) — $316 —
Pm device progr eval multi (93281) — $427 —
Pm Device Progr Eval Sngl (93279) — $316 —
Pm/Icd Remote Tech Serv (93296) — $427 —
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) — $14,180 —
Polysom <6 yrs 4/> paramtrs (95782) — $8,267 —
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) — $8,267 —
Positional nystagmus test (92542) — $363 —
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) — $173 —
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) — $427 —
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) — $236 —
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) — $236 —
Prq Card Angio/Athrect 1 Art (92924) — $42,271 —
Prq Card Stent W/Angio 1 Vsl (92928) — $42,271 —
Prq Card Stent/Ath/Angio (92933) — $66,000 —
Prq Revasc Byp Graft 1 Vsl (92937) — $37,181 —
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) — $56,356 —
Prq trl rvs ch occ ant&rtrgr (92945) — $35,410 —
Psychiatric diagnostic evaluation (90791) — $525 —
Psychological tst eval svc phys/qhp first hour (96130) — $719 —
Psycl/Nrpsyc Tst Auto Result (96146) — $510 —
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) — $293 —
Psytx Crisis Initial 60 Min (90839) — $500 —
Pt Eval High Complex (97163) — $675 —
Pt eval low complex 20 min (97161) — $625 —
Pt Eval Mod Complex (97162) — $650 —
Pt gait training 15 min (97116) — $178 —
Pt group caregiver training (97552)
range across 3 matching MRF lines
— $80–$180 —
Pt mechanical traction (97012) — $105 —
Pt Re-Eval Est Plan Care (97164) — $425 —
Pulm function test by gas (94727) — $461 —
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
— $358–$461 —
Pulmonary Stress Testing (94618) — $551 —
Pure Tone Audiometry Air (92552) — $293 —
Quan puplmtry phy/qhp uni/bi (95919) — $500 —
R Hrt Art/Grft Angio (93457) — $17,609 —
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) — $17,609 —
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) — $17,609 —
R hrt coronary artery angio (93456) — $17,609 —
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) — $18,113 —
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) — $18,113 —
R&L Hrt Cath W/Ventriclgrphy (93453) — $17,609 —
Rem interrog icpms <30 d phys/qhp (93297) — $341 —
Rem Interrog Scrms <30 D Phys/Qhp (93298) — $341 —
Rem mntr physiol param 1st dev supply ea 30 d (99454) — $300 —
Rem mntr physiol param 1st set up pt educaj eqp (99453) — $303 —
Rem Mntr Wrls P-Art Prs Snr (93264) — $341 —
Remote 30 Day Ecg Rev/Report (93270) — $590 —
Repet tms tx initial w/map/motr threshld/del&m (90867) — $1,100 —
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) — $719 —
Respiratory flow volume loop (94375) — $719 —
Right Heart Cath (93451) — $17,609 —
Right ventricular recording (93603) — $7,136 —
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
— $627–$800 —
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) — $661 —
Select picture audiometry (92583) — $140 —
Self Care Mngment Training (97535) — $197 —
Sensory Integration Ea 15 Min (97533) — $185 —
Sleep study attended (95807)
range across 2 matching MRF lines
— $3,500–$6,058 —
Sleep study unattended (95806) — $5,750 —
Slp caregiver training 1st 30 min (97550)
range across 3 matching MRF lines
— $150–$180 —
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) — $5,750 —
Speech sound lang comprehen (92523) — $629 —
Spirometry (94010) — $585 —
Spontaneous Nystagmus Test (92541) — $363 —
Ssep lower limbs (95926) — $1,614 —
Staggered Spondaic Word Test (92572) — $461 —
Stress Tte Only (93350) — $3,280 —
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) — $1,357 —
Temp transcutaneous pacing (92953) — $1,923 —
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) — $368 —
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) — $185 —
Ther Ivntj Ea Addl 15 Min (97130) — $185 —
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) — $205 —
Ther Px 1/> Areas Each 15 Minutes Massage (97124) — $181 —
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) — $353 —
Ther/Prop/Diag Inj/Inf Proc (96379) — $255 —
Ther/Proph/Diag Inj Ia (96373) — $491 —
Ther/Proph/Diag Inj Sc/Im (96372) — $817 —
Ther/Proph/Diag Iv Inf Init (96365) — $2,100 —
Therap repetitive tms tx subseq delivery & mng (90868) — $719 —
Therapeutic Activities (97530) — $197 —
Tilt table test with heart rhythm and blood pressure monitoring (93660) — $4,547 —
Tone Decay Test (92563) — $129 —
Transcath Closure of Asd (93580) — $56,356 —
Transcranial Doppler Intracran Art Emboli Detect (93892) — $1,357 —
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) — $1,357 —
Transtelephonic Rhythm Strip Pacemaker Eval (93293) — $407 —
Tte w/doppler, complete (93306) — $3,963 —
Tte W/O Doppler Complete (93307) — $3,280 —
Tx atrial fib pulm vein isol (93656) — $71,075 —
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) — $370 —
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) — $192 —
Tx/Pro/Dx Inj New Drug Addon (96375) — $360 —
Tympanometry (92567) — $155 —
Unlis neurological/neuromuscular dx px (95999) — $3,200 —
Unlisted cardiovascular service/procedure (93799)
range across 7 matching MRF lines
— $461–$8,861 —
Unlisted otorhinolaryngological service (92700) — $129 —
Unlisted Psychiatric Service/Procedure (90899) — $150 —
Upr/L Xtremity Art 2 Levels (93922) — $590 —
Upr/Lxtr Art Stdy 3+ Lvls (93923) — $1,299 —
Valvuloplasty aortic valve (92986) — $26,737 —
Valvuloplasty mitral valve (92987) — $26,454 —
Valvuloplasty pulmonary valve (92990) — $26,454 —
Veeg 2-12 Hr Cont Mntr (95713) — $2,550 —
Veeg 2-12 hr intmt mntr (95712) — $2,250 —
Veeg 2-12 hr unmonitored (95711) — $1,950 —
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) — $3,250 —
Veeg Ea 12-26 Hr Unmntr (95714) — $2,950 —
Veeg ea 12-26hr cont mntr (95716) — $3,550 —
Vent Mgmt Inpat Init Day (94002) — $2,170 —
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) — $1,435 —
Visual Evoked Potential Test (95930) — $1,614 —
Visual reinforcement audiometry (vra) (92579) — $358 —
Vital capacity, total (94150) — $461 —
Wheelchair Mgmt Ea 15 Min (97542) — $137 —
Whirlpool Therapy (97022) — $170 —

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.