Visits & medical services prices at St. Joseph Medical Center

Bloomington, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $5,330.40 $8,884 0.6×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $222 $370 1.6×
Acoustic Reflex Testing (92568) $160.20 $267 4.0×
Actigraphy Testing Recording Analysis I&R (95803) $454.20 $757 7.2×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $382.80 $638 1.7×
Aep neurodiagnostic i&r (92653) $759.60 $1,266 3.3×
Aep threshold estimation mlt frequencies i&r (92652) $820.80 $1,368 3.5×
Airway Inhalation Treatment (94640) $102 $170 0.4×
Analyze neurostim complex (95972) $690.60 $1,151 6.8×
Analyze Neurostim Simple (95971) $720.60 $1,201 7.1×
Analyze Pacemaker System (93724) $391.80 $653 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $80.40 $134 5.6×
Application on-body injector (96377) $78 $130 1.6×
Arrhythmia Induction (93618) $2,116.20 $3,527 1.6×
Assessment of aphasia per hr (96105) $300 $500 3.1×
Audiometry Air & Bone (92553) $250.20 $417 1.8×
Basic vestibular evaluation (92540) $687 $1,145 3.0×
Behavral qualit analys voice (92524) $358.20 $597 3.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $61.80 $103 0.8×
Bfb training ea addl 15 min (90913) $42.60 $71 1.3×
Breathing response to hypoxia (94450) $268.80 $448 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $853.20 $1,422 2.1×
C motor evoked uppr limbs (95928) $664.80 $1,108 0.7×
C motor evoked upr&lwr limbs (95939) $711 $1,185 0.8×
Caloric vestibular test w/rec bi monothermal (92538) $409.20 $682 1.8×
Caloric Vstblr Test W/Rec (92537) $409.20 $682 3.0×
Canalith repositioning proc (95992)
range across 3 matching MRF lines		 $118.20–$138.60 $197–$231 varies
Car seat/bed test 60 min (94780) $236.40 $394 5.9×
Cardiac Stress Tst,Tracing Only (93017) $959.40 $1,599 4.1×
Cardiopulmonary exercise testing (94621) $1,226.40 $2,044 3.1×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines		 $402.60–$1,758 $671–$2,930 varies
Cardioversion (92960)
range across 3 matching MRF lines		 $1,087.20–$1,128.60 $1,812–$1,881 varies
Cardioversion elective internal (92961) $948 $1,580 1.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $42 $70 1.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $12,709.80 $21,183 3.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,200.20 $18,667 3.2×
Cbt 1st hour (94644) $109.20 $182 0.8×
Cervical & Ocular Vemp Testing W/I&R (92519) $759.60 $1,266 3.3×
Cervical Vemp Testing W/I&R (92517) $400.20 $667 2.9×
Chemo Anti-Neopl Sq/Im (96401) $441.60 $736 5.7×
Chemo Hormon Antineopl Sq/Im (96402) $441.60 $736 5.7×
Chemo IV infusion addl hr (96415) $151.20 $252 2.0×
Chemo IV push addl drug (96411) $210 $350 2.7×
Chemother Prolong Infuse W/Pump (96416) $1,164.60 $1,941 3.3×
Chemotherapy Into Cns (96450) $1,047 $1,745 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $151.20 $252 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $728.40 $1,214 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $545.40 $909 1.5×
Chest Wall Manipulation (94668) $102 $170 0.7×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $1,158 $1,930 2.9×
Color/duplex Doppler, complete (93975) $954.60 $1,591 3.7×
Color/duplex Doppler, limited (93976) $792.60 $1,321 7.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $108 $180 3.4×
Comprehensive Hearing Test (92557) $349.80 $583 2.5×
Computerized dynamic posturography (92548) $579 $965 4.1×
Conditioning Play Audiometry (92582) $353.40 $589 2.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $481.80 $803 3.4×
Continuous Pulse Ox (94762) $743.40 $1,239 5.4×
Coronary Art/Grft Angio S&I (93455) $11,019 $18,365 3.2×
Coronary Artery Angio S&I (93454) $9,942 $16,570 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $509.40 $849 2.2×
Cpt initial (94667) $102 $170 0.7×
Critical care first hour (99291) $2,350.20 $3,917 2.7×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $413.40 $689 1.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $187.80–$515.40 $313–$859 varies
Developmental tst admin phys/qhp 1st hour (96112) $331.80 $553 2.4×
Dialysis One Evaluation (90945)
range across 3 matching MRF lines		 $1,131.60–$1,307.40 $1,886–$2,179 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $394.80 $658 1.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $843 $1,405 3.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $843.60 $1,406 7.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $822 $1,370 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines		 $700.20–$720.60 $1,167–$1,201 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,297.80 $2,163 5.1×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines		 $784.20–$864 $1,307–$1,440 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $655.80 $1,093 2.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $316.20 $527 2.8×
Duplex Scan Hemodialysis Access (93990) $395.40 $659 3.5×
Duplex up extrem art bilat (93930) $912 $1,520 3.6×
Duplex up extrem art unilat/ltd (93931) $907.80 $1,513 8.1×
ECG/monitoring and analysis (93271) $541.20 $902 5.3×
Echo Congenital Complete (93303) $1,693.80 $2,823 2.9×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines		 $979.80–$1,281.60 $1,633–$2,136 varies
Echo transesophageal (93312)
range across 3 matching MRF lines		 $3,267–$3,568.80 $5,445–$5,948 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines		 $2,740.80–$3,042.60 $4,568–$5,071 varies
Eeg 41-60 Minutes (95812) $2,229 $3,715 9.6×
EEG awake and asleep (95819) $1,455 $2,425 6.3×
EEG awake drowsy (95816)
range across 2 matching MRF lines		 $1,220.40–$1,315.20 $2,034–$2,192 varies
EEG cont rec w/video by tech min 8 channels (95700) $819 $1,365 3.5×
EEG extended monitoring 61-119 minutes (95813) $2,326.80 $3,878 10.1×
Eeg Sleep Only (95822)
range across 2 matching MRF lines		 $1,497.60–$1,600.80 $2,496–$2,668 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $3,360.60 $5,601 14.5×
EEG w/o vid 2-12hr cont mntr (95707) $3,360.60 $5,601 14.5×
EEG w/o vid ea 12-26hr intmt (95709) $4,474.80 $7,458 11.2×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $4,474.80 $7,458 11.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $3,360.60 $5,601 14.5×
EEG wo vid ea 12-26hr unmntr (95708) $4,474.80 $7,458 11.2×
Electrical Stimulation Ea 15 Min (97032) $86.40 $144 5.9×
Electrocardiogram Tracing (93005) $243.60 $406 3.9×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,023 $11,705 0.8×
Electrophysiology Evaluation (93642) $4,485 $7,475 3.4×
Emergency Dept Visit Level 2 (99282) $379.80 $633 2.3×
Emergency Dept Visit Level 3 (99283) $648 $1,080 2.2×
Emergency Dept Visit Level 4 (99284) $1,026.60 $1,711 2.3×
Emg 3 Extremities (95863) $724.80 $1,208 5.3×
Emg 4 Extremities (95864) $765 $1,275 5.5×
Ep & ablate supravent arrhyt (93653) $19,884.60 $33,141 0.7×
Ep & ablate ventric tachy (93654) $23,015.40 $38,359 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,556.60 $19,261 1.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,949 $14,915 1.1×
Ep Esophageal Recording Atria+Pacing (93616) $2,116.20 $3,527 1.6×
Er level 1 (99281) $183 $305 2.0×
Er level v (99285) $1,706.40 $2,844 2.7×
Esoph Atrial Electrogram (93615) $2,116.20 $3,527 1.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $280.20 $467 2.0×
Evaluate pt use of inhaler (94664) $103.20 $172 0.4×
Evaluate Speech Production (92522) $293.40 $489 2.6×
Evaluate Swallowing Function (92610) $309.60 $516 3.6×
Evaluation of speech fluency (92521) $362.40 $604 2.7×
Evoked Auditory Test,Limited (92587) $255.60 $426 1.1×
Exercise test for bronchospasm (94617) $681 $1,135 4.8×
External ECG rec>48hr<7d recording (93242) $190.80 $318 4.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $541.20 $902 3.8×
External ECG rec>7d<15d recording (93246) $318 $530 7.9×
External ECG rec>7d<15d scanning alys w/report (93247) $541.20 $902 3.8×
External Ecg Scanning Analysis Report (93226) $541.20 $902 8.6×
Extracranial Bilat Study (93880) $1,182.60 $1,971 4.6×
Extracranial Uni/Ltd Study (93882) $796.20 $1,327 7.1×
F-up/limited tthrc echo congenital car anomaly (93304) $979.80 $1,633 1.7×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $664.80 $1,108 0.7×
Group Therapeutic Procedures (97150) $39.60 $66 2.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $13,786.80 $22,978 4.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines		 $2,554.80–$4,191 $4,258–$6,985 varies
Holter monitor recording (93225) $541.20 $902 3.8×
Icd Device Interrogate (93289) $117.60 $196 2.9×
Icm Device Eval (93290) $138 $230 3.5×
Immunization administration (90471)
range across 2 matching MRF lines		 $78.60–$84 $131–$140 varies
Inital newborn e/m (99460) $129.60 $216 0.9×
Insert/Place Heart Catheter (93503) $1,303.80 $2,173 0.8×
Intra-atrial pacing (93610) $4,780.80 $7,968 0.6×
Intraventricular pacing (93612) $4,780.80 $7,968 0.6×
Iontophoresis 15 min (97033) $86.40 $144 4.5×
Irrig Drug Delivery Device (96523) $195 $325 3.1×
IV infusion hydration each additional hour (96361) $246.60 $411 4.9×
IV infusion hydration initial 31 min-1 hour (96360) $520.80 $868 2.3×
IV infusion ther proph addl sequential to 1 hr (96367) $276 $460 3.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $253.80 $423 5.1×
IV push initial (96374) $298.80 $498 1.3×
L Hrt Art/Grft Angio (93459) $12,280.80 $20,468 3.5×
Low frequency non-thermal us (97610) $278.40 $464 1.3×
Lwr Xtr Vasc Stdy Bilat (93924) $416.40 $694 1.8×
Mechanical chest wall oscillation per session (94669) $113.40 $189 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $66.60 $111 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $66.60 $111 1.8×
Methacholine challenge (94070) $1,261.20 $2,102 3.2×
Motion Fluoroscopy/Swallow (92611) $410.40 $684 4.5×
Multiple Sleep Latency Test (95805) $3,643.20 $6,072 4.0×
Muscle Test 2 Limbs (95861) $643.80 $1,073 4.5×
Muscle Test Nonparaspinal (95870) $277.80 $463 1.9×
Muscle Test One Limb (95860) $643.80 $1,073 4.5×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines		 $218.40–$320.40 $364–$534 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $615.60 $1,026 2.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $413.40 $689 1.8×
Needle electromyography larynx (95865) $321 $535 2.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $270 $450 0.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $376.20 $627 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $219.60–$270.60 $366–$451 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines		 $376.80–$402.60 $628–$671 varies
Nerve Conduction Studies 1-2 Studies (95907) $630 $1,050 2.7×
Nerve Conduction Studies 11-12 Studies (95912) $3,756.60 $6,261 9.4×
Nerve conduction studies 13 or more studies (95913) $4,384.80 $7,308 11.0×
Nerve Conduction Studies 3-4 Studies (95908) $1,256.40 $2,094 5.4×
Nerve conduction studies 5-6 studies (95909) $1,635.60 $2,726 7.1×
Nerve conduction studies 7-8 studies (95910) $2,505 $4,175 6.3×
Nerve Conduction Studies 9-10 Studies (95911) $2,724.60 $4,541 6.8×
Neuromuscular Reeducation (97112) $108 $180 3.3×
Newborn resuscitation (99465) $406.20 $677 0.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $95.40 $159 3.8×
Nonphysician Telephone Assessment 21-30 Min (98968) $141 $235 4.1×
Nonphysician Telephone Assessment 5-10 Min (98966) $49.20 $82 3.6×
Ocular Vemp Testing W/I&R (92518) $400.20 $667 2.9×
Optokinetic Nystagmus Test (92544) $328.80 $548 2.4×
Oral Function Therapy (92526)
range across 2 matching MRF lines		 $108–$216 $180–$360 varies
Oral Speech Device Eval (92597) $402 $670 5.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $108 $180 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $105 $175 2.3×
Oscillating Tracking Test (92545) $328.80 $548 1.4×
Ot eval high complexity (97167) $278.40 $464 2.8×
Ot Eval Low Complex (97165) $231.60 $386 2.3×
Ot Eval Moderate Complexity (97166) $247.20 $412 2.5×
Ot manual therapy 15 min (97140) $105 $175 3.8×
Ot paraffin bath (97018) $52.80 $88 8.8×
Ot Prosthetic Training, Each 15 Min (97761) $123 $205 3.0×
Ot Re-Eval Est Plan Care (97168) $160.80 $268 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $233.40 $389 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $192 $320 1.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $187.20 $312 0.8×
Percutaneous tests w/allergenic extracts (95004) $47.40 $79 0.1×
Peripheral arterial disease rehab per session (93668) $145.20 $242 2.3×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $28,655.40 $47,759 1.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,652.80 $11,088 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $31,588.20 $52,647 2.6×
Phlebotomy therapeutic (99195) $195 $325 1.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $172.80 $288 2.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $172.80 $288 2.7×
Physical Performance Test (97750) $106.20 $177 3.1×
Plethysmography (94726) $463.20 $772 1.2×
Pm device progr eval dual (93280) $88.20 $147 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines		 $4,307.40–$5,741.40 $7,179–$9,569 varies
Polysom <6 yrs 4/> paramtrs (95782) $5,131.20 $8,552 5.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $5,281.20 $8,802 5.7×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $3,498.60 $5,831 3.8×
Positional nystagmus test (92542) $260.40 $434 1.8×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $161.40 $269 1.5×
Prq Card Angio/Athrect 1 Art (92924) $16,808.40 $28,014 1.4×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 11 matching MRF lines		 $17,811–$18,440.40 $29,685–$30,734 varies
Prq Card Stent/Ath/Angio (92933) $28,655.40 $47,759 1.5×
Prq Revasc Byp Graft 1 Vsl (92937) $18,045 $30,075 1.5×
Prq trl rvs ch occ ant&rtrgr (92945) $18,045 $30,075 1.5×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $7,306.20 $12,177 0.6×
Psychiatric diagnostic evaluation (90791) $315 $525 1.7×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $248.40 $414 0.5×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $90.60 $151 2.4×
Pt Eval High Complex (97163) $278.40 $464 2.8×
Pt eval low complex 20 min (97161) $231.60 $386 2.4×
Pt Eval Mod Complex (97162) $247.20 $412 2.5×
Pt gait training 15 min (97116) $105 $175 3.6×
Pt group caregiver training (97552) $34.80 $58 1.6×
Pt mechanical traction (97012) $80.40 $134 5.6×
Pt Re-Eval Est Plan Care (97164) $160.80 $268 2.4×
Pt ultraviolet (97028) $27.60 $46 3.3×
Pulm function test by gas (94727) $612.60 $1,021 2.6×
Pulmonary Stress Testing (94618) $592.20 $987 4.2×
Pure Tone Audiometry Air (92552) $160.20 $267 1.1×
R Hrt Art/Grft Angio (93457) $14,042.40 $23,404 4.0×
R hrt coronary artery angio (93456) $8,538.60 $14,231 2.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $12,100.20 $20,167 3.5×
Refill/Maint Portable Pump (96521) $305.40 $509 1.3×
Refill/Maint Pump/Resvr Syst (96522) $305.40 $509 1.3×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $67.80 $113 1.7×
Rem ther mntr dev sply resp (98976) $67.80 $113 1.7×
Remote 30 Day Ecg Rev/Report (93270) $190.80 $318 4.8×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $235.20 $392 1.6×
Right Heart Cath (93451) $7,221.60 $12,036 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $273.60 $456 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $393.60 $656 3.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $183 $305 3.8×
Same day nb discharge (99463) $209.40 $349 1.5×
Select picture audiometry (92583) $145.20 $242 2.3×
Self Care Mngment Training (97535) $105 $175 3.2×
Sensory Integration Ea 15 Min (97533) $108 $180 1.8×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,516.80 $2,528 6.6×
Short-latency somatosens ep std upr limbs (95925) $1,516.80 $2,528 6.6×
Sleep study attended (95807) $4,533.60 $7,556 11.3×
Sleep study unattended (95806) $1,417.20 $2,362 6.1×
Slp caregiver training 1st 30 min (97550) $84 $140 1.6×
Slp Stdy Unatnd W/Anal (95801) $82.20 $137 1.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $694.20 $1,157 3.0×
Somatosensory Testing (95938) $2,634 $4,390 2.9×
Speech Audiometry Complete (92556) $177 $295 2.8×
Speech audiometry threshold (92555) $160.20 $267 2.5×
Speech sound lang comprehen (92523) $406.20 $677 1.8×
Spin/Brain Pump Refil & Main (95991) $802.80 $1,338 2.4×
Spirometry (94010) $362.40 $604 1.6×
Spontaneous Nystagmus Test (92541) $372 $620 2.6×
Ssep lower limbs (95926) $1,516.80 $2,528 6.6×
Standardized Cognitive Performance Testing (96125) $280.20 $467 2.7×
Stenger Test, Pure Tone (92565) $145.20 $242 2.3×
Surfactant Admin Thru Tube (94610) $151.20 $252 0.6×
Tensilon Test (95857) $417 $695 1.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $108 $180 4.8×
Ther Ivntj Ea Addl 15 Min (97130) $108 $180 5.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $108 $180 2.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $286.80 $478 2.8×
Ther/Proph/Diag Inj Ia (96373) $227.40 $379 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $182.40 $304 2.4×
Ther/Proph/Diag Iv Inf Init (96365) $605.40 $1,009 2.7×
Therapeutic Activities (97530) $105 $175 3.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,746.60 $2,911 4.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $39.60 $66 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines		 $22.20–$48.60 $37–$81 varies
Transcath Closure of Asd (93580) $30,769.20 $51,282 1.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,397.40 $2,329 12.5×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines		 $2,101.80–$2,403.60 $3,503–$4,006 varies
Tte W/O Doppler Complete (93307) $1,667.40 $2,779 6.5×
Tx atrial fib pulm vein isol (93656) $19,113.60 $31,856 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $256.80 $428 3.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $129.60 $216 5.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $265.80 $443 5.3×
Tympanometry (92567) $139.20 $232 3.5×
Tympanometry and reflex threshold measurements (92550) $210 $350 0.9×
Unlisted cardiovascular service/procedure (93799) $2,038.80 $3,398 14.8×
Unlisted otorhinolaryngological service (92700) $138 $230 4.5×
Upr/L Xtremity Art 2 Levels (93922) $420 $700 2.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $815.40 $1,359 3.5×
Vasopneumatic device (97016) $52.80 $88 4.4×
Veeg 2-12 Hr Cont Mntr (95713) $2,922.60 $4,871 7.3×
Veeg 2-12 hr intmt mntr (95712) $3,360.60 $5,601 8.4×
Veeg 2-12 hr unmonitored (95711) $3,360.60 $5,601 14.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,744.80 $7,908 11.9×
Veeg Ea 12-26 Hr Unmntr (95714) $4,744.80 $7,908 11.9×
Veeg ea 12-26hr cont mntr (95716) $4,125.60 $6,876 4.5×
Vent Mgmt Inpat Init Day (94002) $943.80 $1,573 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $765 $1,275 1.2×
Visual Evoked Potential Test (95930) $1,529.40 $2,549 6.6×
Visual reinforcement audiometry (vra) (92579) $260.40 $434 1.1×
Vital capacity, total (94150) $98.40 $164 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $108 $180 3.5×
Whirlpool Therapy (97022) $62.40 $104 4.0×

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.