Visits & medical services prices at St. Louis Children’s Hospital
St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.
282 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $283.20 | $472 | 2.2× |
| Acoustic Reflex Testing (92568) | $94.80 | $158 | 2.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $32.40 | $54 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $460.80 | $768 | 2.1× |
| Aep neurodiagnostic i&r (92653) | $502.20 | $837 | 2.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $972.60 | $1,621 | 4.5× |
| Airway Inhalation Treatment (94640) | $158.40 | $264 | 0.7× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $1,207.80 | $2,013 | 9.4× |
| Analyze Pacemaker System (93724) | $393.60 | $656 | 1.3× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $521.40 | $869 | 3.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $52.20 | $87 | 3.6× |
| Application on-body injector (96377) | $111.60 | $186 | 2.4× |
| Arrhythmia Induction (93618) | $1,590 | $2,650 | 1.3× |
| Audiometry Air & Bone (92553) | $240.60 | $401 | 1.9× |
| Auditory Function, 60 Min (92620) | $205.20 | $342 | 1.6× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$138–$660 | $230–$1,100 | varies |
| Blink reflex test (95933) | $154.20 | $257 | 2.6× |
| Breath hydrogen/methane test (91065) | $1,296.60 | $2,161 | 6.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $315.60 | $526 | 0.8× |
| C motor evoked uppr limbs (95928) | $1,332.60 | $2,221 | 1.5× |
| C motor evoked upr&lwr limbs (95939) | $1,332.60 | $2,221 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $675.60 | $1,126 | 3.1× |
| Cardiopulmonary exercise testing (94621) | $415.80 | $693 | 1.1× |
| Cardiopulmonary resuscitation (92950) | $408.60 | $681 | 1.9× |
| Cardioversion (92960) | $954 | $1,590 | 1.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $41.40 | $69 | 1.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $23,754.46 | $39,590.77 | 7.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $21,621.26 | $36,035.43 | 6.7× |
| Cbt 1st hour (94644) | $123.60 | $206 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $498 | $830 | 6.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $381 | $635 | 5.3× |
| Chemo IV infusion addl hr (96415) | $491.40 | $819 | 6.8× |
| Chemo IV push addl drug (96411) | $420.60 | $701 | 5.8× |
| Chemotherapy Into Cns (96450) | $1,645.80 | $2,743 | 5.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $532.20 | $887 | 7.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,543.80 | $2,573 | 4.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $811.20 | $1,352 | 2.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $435 | $725 | 1.3× |
| Chest Wall Manipulation (94668) | $184.80 | $308 | 1.4× |
| Cmptr ophth dx img ant segmt (92132) | $129 | $215 | 2.2× |
| Colon Motility 6 Hr Study (91117) | $405.60 | $676 | 1.9× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $78.60 | $131 | 1.3× |
| Color/duplex Doppler, complete (93975) | $673.80 | $1,123 | 2.8× |
| Color/duplex Doppler, limited (93976) | $422.40 | $704 | 4.0× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $760.20 | $1,267 | 2.0× |
| Comprehensive Hearing Test (92557) | $391.80 | $653 | 3.0× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 4 matching MRF lines |
$585.60–$1,171.20 | $976–$1,952 | varies |
| Computerized Ophthalmic Imaging Retina (92134) | $361.20 | $602 | 6.1× |
| Conditioning Play Audiometry (92582) range across 3 matching MRF lines |
$304.20–$608.40 | $507–$1,014 | varies |
| Continuous Pulse Ox (94762) | $193.80 | $323 | 1.5× |
| Corneal Topography (92025) | $164.40 | $274 | 2.8× |
| Coronary Artery Angio S&I (93454) | $18,498.02 | $30,830.04 | 5.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $300.60 | $501 | 1.4× |
| Cpt initial (94667) | $160.80 | $268 | 1.2× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $447 | $745 | 2.1× |
| Critical care first hour (99291) | $4,109.40 | $6,849 | 5.0× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $788.40 | $1,314 | 2.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$543.65–$1,506.80 | $906.08–$2,511.33 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $232.20 | $387 | 1.8× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $516.60 | $861 | 4.0× |
| Dialysis One Evaluation (90945) | $604.20 | $1,007 | 1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $658.80 | $1,098 | 2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $465 | $775 | 4.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $610.20 | $1,017 | 2.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $426 | $710 | 4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $627.60 | $1,046 | 2.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $432 | $720 | 4.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $350.40 | $584 | 1.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $184.80 | $308 | 1.8× |
| Duplex up extrem art bilat (93930) | $628.20 | $1,047 | 2.6× |
| Duplex up extrem art unilat/ltd (93931) | $411 | $685 | 3.9× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $256.80 | $428 | 2.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $612.60 | $1,021 | 4.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $809.40 | $1,349 | 6.3× |
| Ear and throat examination (92502) range across 3 matching MRF lines |
$667.20–$1,334.40 | $1,112–$2,224 | varies |
| Echo Congenital Complete (93303) | $1,374 | $2,290 | 2.5× |
| Echo Heart Xthoracic,Limited (93308) | $362.40 | $604 | 1.5× |
| Echo transesophageal (93312) | $1,174.80 | $1,958 | 2.1× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,203.60 | $2,006 | 2.2× |
| Eeg 41-60 Minutes (95812) | $1,969.80 | $3,283 | 9.1× |
| EEG awake and asleep (95819) | $571.20 | $952 | 2.6× |
| EEG awake drowsy (95816) | $520.20 | $867 | 2.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $205.20 | $342 | 0.9× |
| EEG extended monitoring 61-119 minutes (95813) | $2,740.80 | $4,568 | 12.7× |
| Eeg Sleep Only (95822) | $555.60 | $926 | 2.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $608.40 | $1,014 | 2.8× |
| EEG w/o vid 2-12hr cont mntr (95707) | $2,041.20 | $3,402 | 9.4× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $3,132 | $5,220 | 8.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $639 | $1,065 | 3.0× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,868.60 | $4,781 | 7.7× |
| Electrical Stimulation Ea 15 Min (97032) | $117 | $195 | 8.0× |
| Electro-Oculography (92270) | $169.20 | $282 | 1.3× |
| Electrocardiogram Tracing (93005) | $226.80 | $378 | 3.8× |
| Electrophysiology Evaluation (93642) | $2,725.80 | $4,543 | 2.2× |
| Emergency Dept Visit Level 2 (99282) | $618 | $1,030 | 4.0× |
| Emergency Dept Visit Level 3 (99283) | $1,170.60 | $1,951 | 4.3× |
| Emergency Dept Visit Level 4 (99284) | $2,250.60 | $3,751 | 5.4× |
| Emg 3 Extremities (95863) | $432.60 | $721 | 3.4× |
| Emg 4 Extremities (95864) | $505.20 | $842 | 3.9× |
| Endomyocardial Biopsy (93505) range across 2 matching MRF lines |
$21,456.59–$29,538.46 | $35,760.98–$49,230.76 | varies |
| Ep & ablate supravent arrhyt (93653) | $48,528.22 | $80,880.37 | 1.9× |
| Ep & ablate ventric tachy (93654) | $50,154.53 | $83,590.88 | 1.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $12,059.40 | $20,099 | 1.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,476.60 | $12,461 | 1.0× |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,875 | $3,125 | 1.5× |
| Er level 1 (99281) | $473.40 | $789 | 5.6× |
| Er level v (99285) | $2,974.80 | $4,958 | 5.0× |
| Esoph Atrial Electrogram (93615) | $1,590 | $2,650 | 1.3× |
| Esophageal Capsule Endoscopy (91111) | $2,991.60 | $4,986 | 3.3× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $695.40 | $1,159 | 1.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $920.40 | $1,534 | 2.5× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $205.20 | $342 | 1.6× |
| Evaluate pt use of inhaler (94664) | $142.20 | $237 | 0.6× |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$106.80–$510.60 | $178–$851 | varies |
| Evaluate Swallowing Function (92610) range across 9 matching MRF lines |
$78.60–$586.20 | $131–$977 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$116.40–$557.40 | $194–$929 | varies |
| Evoked Auditory Test,Limited (92587) | $392.40 | $654 | 1.8× |
| Exhaled Air Analysis O2 (94680) | $193.80 | $323 | 1.5× |
| External Ecg Scanning Analysis Report (93226) | $319.80 | $533 | 5.4× |
| Extracranial Bilat Study (93880) | $654.60 | $1,091 | 2.7× |
| Extracranial Uni/Ltd Study (93882) | $397.20 | $662 | 3.8× |
| Eye exam w anesth; complete (92018) range across 3 matching MRF lines |
$3,055.20–$6,110.40 | $5,092–$10,184 | varies |
| Eye exam w anesth; limited (92019) range across 2 matching MRF lines |
$1,911.60–$3,823.20 | $3,186–$6,372 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $718.80 | $1,198 | 1.3× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$258–$322.80 | $430–$538 | varies |
| Full Field Electroretinography W/I&R (92273) | $799.20 | $1,332 | 3.7× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,332.60 | $2,221 | 1.5× |
| Fundus photography (92250) range across 3 matching MRF lines |
$449.40–$898.80 | $749–$1,498 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $820.20 | $1,367 | 3.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,255.20 | $2,092 | 1.5× |
| Gi tract capsule endoscopy (91110) | $4,829.40 | $8,049 | 5.3× |
| Gi wireless capsule measure (91112) | $1,968 | $3,280 | 2.2× |
| Group Therapeutic Procedures (97150) range across 24 matching MRF lines |
$55.80–$169.80 | $93–$283 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $25,313.92 | $42,189.86 | 7.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $916.80 | $1,528 | 1.3× |
| Holter monitor recording (93225) | $226.20 | $377 | 1.7× |
| Immunization administration (90471) | $84.60 | $141 | 1.2× |
| Ingestion challenge test initial 120 minutes (95076) | $1,113.60 | $1,856 | 3.0× |
| Insert/Place Heart Catheter (93503) | $1,951.20 | $3,252 | 1.2× |
| Intracranial Complete Study (93886) | $819.60 | $1,366 | 3.4× |
| Irrig Drug Delivery Device (96523) | $339.60 | $566 | 5.7× |
| IV infusion hydration each additional hour (96361) | $86.40 | $144 | 1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $375.60 | $626 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $369 | $615 | 5.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $358.20 | $597 | 7.6× |
| IV push initial (96374) | $267.60 | $446 | 1.3× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $22,682.57 | $37,804.28 | 7.0× |
| Laryngeal Function Studies (92520) range across 4 matching MRF lines |
$222.60–$435 | $371–$725 | varies |
| Mechanical chest wall oscillation per session (94669) | $228.60 | $381 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $39 | $65 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $49.20 | $82 | 1.3× |
| Motility study esophagus (91010) | $875.40 | $1,459 | 2.3× |
| Motion Fluoroscopy/Swallow (92611) range across 20 matching MRF lines |
$277.80–$1,326 | $463–$2,210 | varies |
| Multifocal Electroretinography W/I&R (92274) | $308.40 | $514 | 2.4× |
| Multiple Sleep Latency Test (95805) | $2,564.40 | $4,274 | 3.0× |
| Muscle Test 2 Limbs (95861) | $354.60 | $591 | 2.7× |
| Muscle Test Nonparaspinal (95870) | $169.20 | $282 | 1.3× |
| Muscle Test One Limb (95860) | $261 | $435 | 2.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $408.60 | $681 | 1.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $396 | $660 | 1.8× |
| Needle electromyography larynx (95865) | $175.80 | $293 | 1.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $408.60 | $681 | 1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $261 | $435 | 1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $498 | $830 | 1.2× |
| Nerve Conduction Studies 1-2 Studies (95907) | $291 | $485 | 1.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $774.60 | $1,291 | 2.1× |
| Nerve conduction studies 13 or more studies (95913) | $886.20 | $1,477 | 2.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $339 | $565 | 1.6× |
| Nerve conduction studies 5-6 studies (95909) | $408.60 | $681 | 1.9× |
| Nerve conduction studies 7-8 studies (95910) | $419.40 | $699 | 1.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $695.40 | $1,159 | 1.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $205.20 | $342 | 1.6× |
| Neuromuscular Reeducation (97112) | $138.60 | $231 | 4.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $40.80 | $68 | 1.6× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $60.60 | $101 | 1.7× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $19.20 | $32 | 1.4× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $262.20 | $437 | 2.0× |
| Optokinetic Nystagmus Test (92544) | $233.40 | $389 | 1.8× |
| Oral Function Therapy (92526) range across 21 matching MRF lines |
$82.80–$317.40 | $138–$529 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $105 | $175 | 2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $96.60 | $161 | 2.1× |
| Oscillating Tracking Test (92545) | $306.60 | $511 | 1.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $34.20 | $57 | 1.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $51 | $85 | 2.4× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $68.40 | $114 | 3.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $85.80 | $143 | 4.0× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $102.60 | $171 | 4.7× |
| Ot eval high complexity (97167) | $216.60 | $361 | 2.2× |
| Ot Eval Low Complex (97165) | $146.40 | $244 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $186.60 | $311 | 1.9× |
| Ot manual therapy 15 min (97140) | $106.80 | $178 | 3.9× |
| Ot paraffin bath (97018) | $22.20 | $37 | 3.7× |
| Ot Re-Eval Est Plan Care (97168) | $157.80 | $263 | 2.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $552 | $920 | 2.5× |
| Perq transcath closure pda (93582) | $33,739.87 | $56,233.11 | 1.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,466.40 | $12,444 | 1.3× |
| Phlebotomy therapeutic (99195) | $421.80 | $703 | 3.2× |
| Physical Performance Test (97750) | $120.60 | $201 | 3.6× |
| Plethysmography (94726) | $266.40 | $444 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,379 | $8,965 | 6.3× |
| Polysom <6 yrs 4/> paramtrs (95782) | $8,059.80 | $13,433 | 9.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $8,508 | $14,180 | 9.9× |
| Positional nystagmus test (92542) | $180.60 | $301 | 1.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $45,107.30 | $75,178.83 | 3.9× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $48,578.59 | $80,964.32 | 2.6× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) range across 3 matching MRF lines |
$41,053.19–$49,429.31 | $68,421.98–$82,382.19 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $55.20 | $92 | 1.5× |
| Pt Eval High Complex (97163) | $255.60 | $426 | 2.6× |
| Pt eval low complex 20 min (97161) | $199.20 | $332 | 2.0× |
| Pt Eval Mod Complex (97162) | $204.60 | $341 | 2.1× |
| Pt gait training 15 min (97116) | $69 | $115 | 2.4× |
| Pt group caregiver training (97552) | $23.40 | $39 | 1.1× |
| Pt Re-Eval Est Plan Care (97164) | $197.40 | $329 | 2.9× |
| Pulmonary service/procedure (94799) range across 5 matching MRF lines |
$27–$324.60 | $45–$541 | varies |
| Pulmonary Stress Testing (94618) | $154.80 | $258 | 1.2× |
| Pure Tone Audiometry Air (92552) | $186.60 | $311 | 1.4× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $29,538.46 | $49,230.76 | 9.1× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) range across 2 matching MRF lines |
$27,457.91–$30,577.17 | $45,763.18–$50,961.95 | varies |
| R hrt coronary artery angio (93456) | $7,290 | $12,150 | 2.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) range across 3 matching MRF lines |
$30,124.14–$51,350.61 | $50,206.90–$85,584.35 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 2 matching MRF lines |
$21,511.99–$27,665.15 | $35,853.31–$46,108.58 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$30,288.67–$52,488.91 | $50,481.11–$87,481.52 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $435 | $725 | 1.3× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $172.80 | $288 | 1.3× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$12,269.81–$18,689 | $20,449.69–$31,148.34 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $250.20 | $417 | 1.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$310.80–$414 | $518–$690 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $171 | $285 | 3.6× |
| Self Care Mngment Training (97535) | $60 | $100 | 1.9× |
| Sensory Integration Ea 15 Min (97533) | $87.60 | $146 | 1.4× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $408.60 | $681 | 1.9× |
| Short-latency somatosens ep std upr limbs (95925) | $481.80 | $803 | 2.2× |
| Slp caregiver training 1st 30 min (97550) | $82.80 | $138 | 1.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $870 | $1,450 | 4.0× |
| Somatosensory Testing (95938) | $842.40 | $1,404 | 1.0× |
| Speech Audiometry Complete (92556) range across 3 matching MRF lines |
$275.40–$550.80 | $459–$918 | varies |
| Speech audiometry threshold (92555) | $123 | $205 | 2.1× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$143.40–$685.80 | $239–$1,143 | varies |
| Spin/Brain Pump Refil & Main (95991) | $387 | $645 | 1.3× |
| Spirometry (94010) | $126 | $210 | 0.6× |
| Spontaneous Nystagmus Test (92541) | $229.80 | $383 | 1.7× |
| Ssep lower limbs (95926) | $596.40 | $994 | 2.8× |
| Stenger Test, Pure Tone (92565) | $58.20 | $97 | 1.0× |
| Surfactant Admin Thru Tube (94610) | $255 | $425 | 1.2× |
| Temp transcutaneous pacing (92953) | $857.40 | $1,429 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $55.80 | $93 | 2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $45 | $75 | 2.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 4 matching MRF lines |
$127.20–$248.40 | $212–$414 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $88.20 | $147 | 1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $841.80 | $1,403 | 4.0× |
| Therapeutic Activities (97530) | $90 | $150 | 2.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $822.60 | $1,371 | 2.2× |
| Transcath Closure of Asd (93580) | $59,981.80 | $99,969.67 | 3.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $345.60 | $576 | 3.3× |
| Tte w/doppler, complete (93306) | $2,154 | $3,590 | 3.9× |
| Tte W/O Doppler Complete (93307) | $553.20 | $922 | 2.3× |
| Tx atrial fib pulm vein isol (93656) | $27,665.15 | $46,108.58 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 16 matching MRF lines |
$211.80–$1,008.60 | $353–$1,681 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 4 matching MRF lines |
$125.40–$244.80 | $209–$408 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $96.60 | $161 | 2.1× |
| Tympanometry (92567) range across 6 matching MRF lines |
$180–$360 | $300–$600 | varies |
| Tympanometry and reflex threshold measurements (92550) | $219 | $365 | 1.0× |
| Unlisted cardiovascular service/procedure (93799) | $21,640.01 | $36,066.69 | 167.9× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $271.29 | $452.15 | 2.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $696 | $1,160 | 3.2× |
| Valvuloplasty aortic valve (92986) | $7,466.40 | $12,444 | 1.3× |
| Valvuloplasty pulmonary valve (92990) | $31,446.20 | $52,410.34 | 2.7× |
| Veeg 2-12 Hr Cont Mntr (95713) | $704.40 | $1,174 | 1.9× |
| Veeg 2-12 hr intmt mntr (95712) | $670.80 | $1,118 | 1.8× |
| Veeg 2-12 hr unmonitored (95711) | $639 | $1,065 | 3.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $947.40 | $1,579 | 2.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $870 | $1,450 | 2.3× |
| Veeg ea 12-26hr cont mntr (95716) | $1,332.60 | $2,221 | 1.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,686 | $2,810 | 2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,605.60 | $2,676 | 2.6× |
| Visual Evoked Potential Test (95930) range across 3 matching MRF lines |
$1,366.20–$2,732.40 | $2,277–$4,554 | varies |
| Visual Field Exam Extended (92083) | $592.80 | $988 | 4.4× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $166.80 | $278 | 2.8× |
| Visual reinforcement audiometry (vra) (92579) | $338.40 | $564 | 1.6× |
| Vital capacity, total (94150) | $141 | $235 | 1.1× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,169.40 | $1,949 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $87.60 | $146 | 2.8× |
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.