Visits & medical services prices at St. Lukes Hospital
Cedar Rapids, IA · every code in this section with a posted price and a Medicare benchmark.
305 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) | $9,476.33 | $11,845.41 | 1.3× |
| Actinotherapy Ultraviolet Light (96900) | $176.54 | $220.67 | 4.9× |
| Acupunct W/Stimul 15 Min (97813) | $109.99 | $137.48 | 3.9× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $109.99 | $137.48 | 3.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $70.44 | $88.05 | 1.8× |
| Advncd Care Plan 30 Min (99497) | $129.26 | $161.57 | 1.3× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $1,084.39 | $1,355.48 | 5.2× |
| Aep neurodiagnostic i&r (92653) | $571.55 | $714.43 | 2.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $571.55 | $714.43 | 2.7× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$219.94–$256.64 | $274.92–$320.80 | varies |
| Airway resistance by oscillometry (94728) | $352.55 | $440.68 | 2.8× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $74.93 | $93.66 | 2.1× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $358.87 | $448.58 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $119.88 | $149.85 | 8.3× |
| Arrhythmia Induction (93618) | $3,751.53 | $4,689.41 | 3.2× |
| Assessment of aphasia per hr (96105) | $566.65 | $708.31 | 5.8× |
| Audiometry Air & Bone (92553) | $248.87 | $311.08 | 2.0× |
| Behavral qualit analys voice (92524) | $331.80 | $414.74 | 3.0× |
| Blink reflex test (95933) | $209.98 | $262.47 | 3.7× |
| Brief Emotional/Behav Assmt (96127) | $93.66 | $117.07 | 2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $786.48 | $983.09 | 2.2× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,157.99 | $3,947.48 | 0.4× |
| Canalith repositioning proc (95992) | $295.03 | $368.78 | 7.2× |
| Car seat/bed test 60 min (94780) | $85.48 | $106.85 | 2.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $730.28 | $912.84 | 3.5× |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$680.47–$2,227.32 | $850.58–$2,784.15 | varies |
| Cardiopulmonary resuscitation (92950) | $563.16 | $703.94 | 2.7× |
| Cardioversion (92960) | $2,243.95 | $2,804.93 | 3.5× |
| Cardioversion elective internal (92961) | $2,718.55 | $3,398.18 | 4.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $103.04 | $128.80 | 4.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $15,145.45 | $18,931.81 | 4.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $13,124.84 | $16,406.05 | 4.2× |
| Cbt 1st hour (94644) | $283.14 | $353.92 | 2.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $143.59 | $179.48 | 2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $143.59 | $179.48 | 2.1× |
| Chemo IV infusion addl hr (96415) | $143.59 | $179.48 | 2.1× |
| Chemo IV push addl drug (96411) | $143.59 | $179.48 | 2.1× |
| Chemother Prolong Infuse W/Pump (96416) | $690.21 | $862.76 | 2.2× |
| Chemotherapy Into Cns (96450) | $690.21 | $862.76 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $143.59 | $179.48 | 2.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $690.21 | $862.76 | 2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $690.21 | $862.76 | 2.2× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$275.87–$283.51 | $344.83–$354.38 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $988.97 | $1,236.21 | 2.7× |
| Color/duplex Doppler, complete (93975) | $868.28 | $1,085.35 | 3.8× |
| Color/duplex Doppler, limited (93976) | $870.44 | $1,088.04 | 8.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $119.88 | $149.85 | 3.7× |
| Comprehensive Hearing Test (92557) | $351.25 | $439.06 | 2.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $152.44 | $190.54 | 1.2× |
| Continuous Pulse Ox (94762) | $434.11 | $542.63 | 3.5× |
| Coronary Art/Grft Angio S&I (93455) | $11,437.60 | $14,296.99 | 3.6× |
| Coronary Artery Angio S&I (93454) | $9,580.40 | $11,975.49 | 3.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $2,748.47 | $3,435.58 | 13.0× |
| Cpt initial (94667) range across 2 matching MRF lines |
$430.96–$488.17 | $538.70–$610.21 | varies |
| Critical care first hour (99291) | $3,934 | $4,917.49 | 4.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $457.52 | $571.89 | 2.4× |
| Developmental tst admin phys/qhp 1st hour (96112) | $635.10 | $793.87 | 5.1× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$304.40–$2,673.25 | $380.50–$3,341.56 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $531.40 | $664.25 | 1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,213.02 | $1,516.27 | 5.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $699.12 | $873.89 | 6.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $908.96 | $1,136.20 | 3.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $749.58 | $936.97 | 7.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $508.32 | $635.40 | 2.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $244.61 | $305.76 | 2.4× |
| Duplex Scan Hemodialysis Access (93990) | $866.73 | $1,083.41 | 8.6× |
| Duplex up extrem art bilat (93930) | $735.52 | $919.40 | 3.2× |
| Duplex up extrem art unilat/ltd (93931) | $573.86 | $717.32 | 5.7× |
| ECG/monitoring and analysis (93271) | $289.42 | $361.77 | 3.1× |
| Echo Congenital Complete (93303) | $2,213.03 | $2,766.28 | 4.2× |
| Echo Heart Xthoracic,Limited (93308) | $501.20 | $626.49 | 2.2× |
| Echo transesophageal (93312) | $1,963.66 | $2,454.57 | 3.7× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,963.66 | $2,454.57 | 3.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,490.95 | $1,863.68 | 2.8× |
| Eeg 41-60 Minutes (95812) | $1,364.82 | $1,706.02 | 6.5× |
| EEG awake and asleep (95819) | $1,138 | $1,422.50 | 5.5× |
| EEG cerebral death evaluation (95824) | $1,375.20 | $1,718.99 | 3.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,104.83 | $1,381.03 | 5.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,104.83 | $1,381.03 | 5.3× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,104.83 | $1,381.03 | 5.3× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,119.64 | $2,649.55 | 5.9× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,119.64 | $2,649.55 | 5.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,104.83 | $1,381.03 | 5.3× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,119.64 | $2,649.55 | 5.9× |
| EKG signal averaged (93278) | $350.20 | $437.74 | 6.1× |
| Electrical Stimulation Ea 15 Min (97032) | $119.88 | $149.85 | 8.2× |
| Electrocardiogram Tracing (93005) | $243.11 | $303.88 | 4.3× |
| Electroconvulsive Therapy (90870) | $542.16 | $677.70 | 0.7× |
| Electrophysiology Evaluation (93642) | $5,133.96 | $6,417.44 | 4.4× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$44–$419.48 | $55–$524.34 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$44–$772.48 | $55–$965.60 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$44–$1,238.90 | $55–$1,548.62 | varies |
| Emg 3 Extremities (95863) | $472.70 | $590.87 | 3.8× |
| Emg 4 Extremities (95864) | $493.65 | $617.06 | 4.0× |
| Endomyocardial Biopsy (93505) | $4,289.70 | $5,362.12 | 1.4× |
| Ep & ablate supravent arrhyt (93653) | $27,516.44 | $34,395.54 | 1.1× |
| Ep & ablate ventric tachy (93654) | $41,779.72 | $52,224.64 | 1.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $9,191.01 | $11,488.76 | 1.2× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $6,609.73 | $8,262.16 | 0.9× |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,363.40 | $2,954.25 | 2.0× |
| Er level 1 (99281) range across 2 matching MRF lines |
$44–$211.24 | $55–$264.05 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$44–$1,797.95 | $55–$2,247.43 | varies |
| Esoph Atrial Electrogram (93615) | $2,363.40 | $2,954.25 | 2.0× |
| Evaluate pt use of inhaler (94664) | $195.78 | $244.72 | 0.9× |
| Evaluate Speech Production (92522) | $349.61 | $437.01 | 3.1× |
| Evaluate Swallowing Function (92610) | $262.93 | $328.66 | 3.1× |
| Evaluation of speech fluency (92521) | $356.03 | $445.03 | 2.7× |
| Exhaled Air Analysis O2 (94680) | $191.82 | $239.77 | 1.5× |
| External ECG rec>48hr<7d recording (93242) | $115.43 | $144.28 | 3.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $367.73 | $459.66 | 2.9× |
| External ECG rec>7d<15d recording (93246) | $115.43 | $144.28 | 3.2× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $367.73 | $459.66 | 2.9× |
| External Ecg Scanning Analysis Report (93226) | $176.07 | $220.08 | 3.1× |
| Extracranial Bilat Study (93880) | $842.05 | $1,052.56 | 3.6× |
| Extracranial Uni/Ltd Study (93882) | $809.88 | $1,012.35 | 8.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,116.24 | $1,395.29 | 2.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $693.08 | $866.34 | 3.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,865 | $3,581.25 | 3.5× |
| Gi tract capsule endoscopy (91110) | $2,462.35 | $3,077.93 | 2.8× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,682.01 | $2,102.51 | 1.9× |
| Group Therapeutic Procedures (97150) | $174.21 | $217.76 | 9.7× |
| Health Behavior Assessment/Re-Assessment (96156) | $159.80 | $199.74 | 1.6× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $81.69 | $102.11 | 2.3× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $81.69 | $102.11 | 2.3× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $159.80 | $199.74 | 0.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $16,970.99 | $21,213.73 | 5.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,129.46 | $1,411.82 | 1.7× |
| Holter monitor recording (93225) | $367.73 | $459.66 | 2.9× |
| Hubbard tank 15 min (97036) | $77.74 | $97.17 | 2.2× |
| Icd Device Interrogate (93289) | $298.12 | $372.64 | 8.3× |
| Icd device progr eval dual (93283) | $353.84 | $442.29 | 9.8× |
| Icd Device Progr Eval Mult (93284) | $387.55 | $484.43 | 10.7× |
| Ilr Device Eval Progr (93285) | $102.65 | $128.31 | 2.8× |
| Ilr Device Interrogate (93291) | $102.65 | $128.31 | 3.7× |
| Immunization administration (90471) | $116.49 | $145.61 | 1.7× |
| Ingestion challenge test initial 120 minutes (95076) | $882.71 | $1,103.38 | 2.4× |
| Insert/Place Heart Catheter (93503) | $2,131.02 | $2,663.77 | 1.4× |
| Interrogate Subq Defib (93261) | $240.80 | $300.99 | 6.7× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$2,935.25 | $3,669.06 | 0.4× |
| Intra-atrial recording (93602) | $3,967.05 | $4,958.81 | 0.5× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$2,977.39 | $3,721.73 | 0.4× |
| Iontophoresis 15 min (97033) | $125.52 | $156.89 | 6.6× |
| Irrig Drug Delivery Device (96523) | $124.66 | $155.82 | 2.2× |
| Ischemic limb exercise test (95875) | $641.63 | $802.03 | 5.2× |
| IV infusion hydration each additional hour (96361) | $96.81 | $121.01 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $436.84 | $546.04 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $143.59 | $179.48 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $96.81 | $121.01 | 2.1× |
| IV push initial (96374) range across 3 matching MRF lines |
$15.30–$436.84 | $19.12–$546.04 | varies |
| L Hrt Art/Grft Angio (93459) | $14,691.17 | $18,363.96 | 4.7× |
| Liver Elastography W/O Imag W/I&R (91200) | $471.94 | $589.92 | 3.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $180.16 | $225.19 | 3.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,274.09 | $1,592.61 | 6.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44.52 | $55.65 | 1.2× |
| Methacholine challenge (94070) | $1,176.59 | $1,470.73 | 3.3× |
| Motility study esophagus (91010) | $3,525.47 | $4,406.83 | 9.8× |
| Motion Fluoroscopy/Swallow (92611) | $342.48 | $428.10 | 3.7× |
| Muscle Test 2 Limbs (95861) | $462.23 | $577.78 | 3.6× |
| Muscle Test Nonparaspinal (95870) | $159.77 | $199.71 | 1.2× |
| Muscle Test One Limb (95860) | $454.37 | $567.96 | 3.5× |
| Nasopharyngoscopy (92511) | $132.16 | $165.20 | 0.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $250.11 | $312.63 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $107.40 | $134.24 | 0.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $191.19 | $238.98 | 0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $309.72 | $387.15 | 0.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $365.51 | $456.88 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $356.17 | $445.21 | 1.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $420.32 | $525.40 | 1.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $235.91 | $294.88 | 1.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $742.69 | $928.36 | 2.1× |
| Nerve conduction studies 13 or more studies (95913) | $851.56 | $1,064.45 | 2.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $307.18 | $383.97 | 1.5× |
| Nerve conduction studies 5-6 studies (95909) | $416.07 | $520.08 | 2.0× |
| Nerve conduction studies 7-8 studies (95910) | $524.92 | $656.15 | 1.5× |
| Nerve Conduction Studies 9-10 Studies (95911) | $633.80 | $792.25 | 1.8× |
| Neurobehavioral Status Exam (96116) | $635.10 | $793.87 | 3.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $264.42 | $330.52 | 2.1× |
| Neuromuscular Reeducation (97112) | $114.16 | $142.70 | 3.5× |
| Newborn resuscitation (99465) | $364.67 | $455.83 | 0.6× |
| Nitric oxide expired gas determination (95012) | $146.46 | $183.07 | 4.1× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $635.10 | $793.87 | 1.8× |
| Oral Function Therapy (92526) | $224.80 | $281 | 2.7× |
| Oral Speech Device Eval (92597) | $320.32 | $400.40 | 4.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $125.64 | $157.04 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $112.29 | $140.36 | 2.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $81.19 | $101.48 | 3.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $81.19 | $101.48 | 3.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $81.19 | $101.48 | 3.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $81.19 | $101.48 | 3.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $81.19 | $101.48 | 3.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $85.23 | $106.53 | 6.1× |
| Ot eval high complexity (97167) | $216.66 | $270.82 | 2.2× |
| Ot Eval Low Complex (97165) | $194.48 | $243.09 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $219.12 | $273.90 | 2.2× |
| Ot manual therapy 15 min (97140) | $119.88 | $149.85 | 4.3× |
| Ot paraffin bath (97018) | $57.14 | $71.42 | 9.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $122.71 | $153.38 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $161.10 | $201.37 | 2.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $227.34 | $284.17 | 1.8× |
| Oxygen Uptake Rest Indirect (94690) | $518.48 | $648.09 | 9.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $233.92 | $292.40 | 1.1× |
| Perq Transcath Cls Aortic (93591) | $13,804.64 | $17,255.79 | 0.8× |
| Perq Transcath Cls Mitral (93590) | $13,804.64 | $17,255.79 | 0.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,912.30 | $14,890.37 | 2.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $16,987.83 | $21,234.78 | 1.5× |
| Phlebotomy therapeutic (99195) | $272.93 | $341.16 | 2.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $227.34 | $284.17 | 4.0× |
| Physical Performance Test (97750) | $122.71 | $153.38 | 3.6× |
| Plethysmography (94726) | $695.90 | $869.87 | 1.9× |
| Pm device eval in person (93288) | $298.12 | $372.64 | 8.3× |
| Pm device progr eval dual (93280) | $202.60 | $253.24 | 5.6× |
| Pm device progr eval multi (93281) | $227.68 | $284.59 | 6.3× |
| Pm Device Progr Eval Sngl (93279) | $177.50 | $221.87 | 4.9× |
| Pm/Icd Remote Tech Serv (93296) | $95.49 | $119.36 | 2.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $192.64 | $240.79 | 5.3× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $177.50 | $221.87 | 4.9× |
| Prq Card Angio/Athrect 1 Art (92924) | $16,527.33 | $20,659.16 | 1.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $11,473.41 | $14,341.76 | 1.0× |
| Prq Card Stent/Ath/Angio (92933) | $14,470.56 | $18,088.19 | 0.8× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $11,473.41 | $14,341.76 | 1.0× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $17,115.04 | $21,393.79 | 1.0× |
| Psych diag eval w/med srvcs (90792) | $284.98 | $356.22 | 1.7× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$119.16–$270.37 | $148.95–$337.96 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $635.10 | $793.87 | 3.0× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $254.04 | $317.55 | 9.1× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $813.89 | $1,017.36 | 1.9× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $317.55 | $396.93 | 2.5× |
| Psytx Crisis Initial 60 Min (90839) | $313.49 | $391.86 | 1.8× |
| Pt Eval High Complex (97163) | $212.40 | $265.50 | 2.2× |
| Pt eval low complex 20 min (97161) | $190.73 | $238.41 | 1.9× |
| Pt Eval Mod Complex (97162) | $206.91 | $258.63 | 2.1× |
| Pt gait training 15 min (97116) | $118.44 | $148.04 | 4.1× |
| Pt group caregiver training (97552) | $84.63 | $105.78 | 3.8× |
| Pt mechanical traction (97012) | $92.73 | $115.91 | 6.5× |
| Pt Re-Eval Est Plan Care (97164) | $162.29 | $202.86 | 2.4× |
| Pulm function test by gas (94727) | $425.15 | $531.43 | 2.0× |
| Pulmonary Stress Testing (94618) | $289.42 | $361.77 | 2.2× |
| Pure Tone Audiometry Air (92552) | $163.32 | $204.14 | 1.3× |
| R Hrt Art/Grft Angio (93457) | $16,795.20 | $20,994 | 5.4× |
| R hrt coronary artery angio (93456) | $15,228.85 | $19,036.06 | 4.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $11,860.19 | $14,825.23 | 3.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $412.95 | $516.18 | 1.3× |
| Refill/Maint Portable Pump (96521) | $436.84 | $546.04 | 2.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $436.84 | $546.04 | 2.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $474.67 | $593.33 | 13.2× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $79.30 | $99.12 | 2.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $253.43 | $316.78 | 2.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $263.38 | $329.22 | 7.3× |
| Remote 30 Day Ecg Tech Supp (93229) | $903.53 | $1,129.41 | 2.5× |
| Right Heart Cath (93451) | $6,620.56 | $8,275.69 | 2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $266.95 | $333.68 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $384.94 | $481.17 | 3.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $173.48 | $216.84 | 3.6× |
| Self Care Mngment Training (97535) | $119.20 | $149 | 3.7× |
| Sensory Integration Ea 15 Min (97533) | $119.88 | $149.85 | 2.0× |
| Short-latency somatosens ep std upr limbs (95925) | $1,236.51 | $1,545.63 | 5.9× |
| Slp caregiver training 1st 30 min (97550) | $205.72 | $257.14 | 3.9× |
| Speech sound lang comprehen (92523) | $342.48 | $428.10 | 1.5× |
| Spirometry (94010) | $554.95 | $693.68 | 2.7× |
| Ssep lower limbs (95926) | $1,338.90 | $1,673.62 | 6.4× |
| Standardized Cognitive Performance Testing (96125) | $114.28 | $142.84 | 1.1× |
| Stress Tte Only (93350) | $760.68 | $950.84 | 1.4× |
| Surfactant Admin Thru Tube (94610) | $200.67 | $250.83 | 0.9× |
| Temp transcutaneous pacing (92953) | $3,953.13 | $4,941.41 | 6.2× |
| Tensilon Test (95857) | $635.75 | $794.68 | 3.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $299.18 | $373.97 | 13.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $299.18 | $373.97 | 14.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $120.20 | $150.24 | 3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $119.88 | $149.85 | 4.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $209.81 | $262.26 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $143.59 | $179.48 | 2.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $436.84 | $546.04 | 2.1× |
| Therapeutic Activities (97530) | $117.33 | $146.66 | 3.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $5,721.72 | $7,152.14 | 15.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $97.80 | $122.25 | 2.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $60.57 | $75.71 | 1.7× |
| Transcath Closure of Asd (93580) | $26,224.95 | $32,781.18 | 1.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $86.83 | $108.53 | 2.4× |
| Tte w/doppler, complete (93306) | $2,213.28 | $2,766.59 | 4.2× |
| Tte W/O Doppler Complete (93307) | $1,316.87 | $1,646.08 | 5.7× |
| Tx atrial fib pulm vein isol (93656) | $35,050.80 | $43,813.49 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $258.65 | $323.31 | 3.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $76.80 | $96 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $96.81 | $121.01 | 2.1× |
| Tympanometry (92567) | $124.44 | $155.54 | 3.4× |
| Unlisted cardiovascular service/procedure (93799) | $12,175.88 | $15,219.84 | 97.9× |
| Unlisted Psychiatric Service/Procedure (90899) range across 5 matching MRF lines |
$170.55–$487.78 | $213.18–$609.72 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $655.84 | $819.79 | 5.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,073.02 | $1,341.27 | 5.1× |
| Valvuloplasty aortic valve (92986) | $10,992.66 | $13,740.82 | 2.0× |
| Valvuloplasty mitral valve (92987) | $13,580.78 | $16,975.97 | 1.2× |
| Vasopneumatic device (97016) | $102.10 | $127.62 | 8.5× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,119.64 | $2,649.55 | 5.9× |
| Veeg 2-12 hr intmt mntr (95712) | $1,104.83 | $1,381.03 | 3.1× |
| Veeg 2-12 hr unmonitored (95711) | $1,104.83 | $1,381.03 | 5.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,119.64 | $2,649.55 | 5.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,119.64 | $2,649.55 | 5.9× |
| Veeg ea 12-26hr cont mntr (95716) | $2,777.08 | $3,471.35 | 3.3× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$3,806.36–$4,377.32 | $4,757.95–$5,471.65 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$2,668.39–$3,068.64 | $3,335.48–$3,835.80 | varies |
| Visual Evoked Potential Test (95930) | $988.97 | $1,236.21 | 4.7× |
| Visual reinforcement audiometry (vra) (92579) | $265.70 | $332.12 | 1.3× |
| Vital capacity, total (94150) | $174.92 | $218.64 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $120.48 | $150.60 | 3.9× |
| Whirlpool Therapy (97022) | $100.22 | $125.27 | 6.4× |
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.