Visits & medical services prices at St. Luke's Hospital
Chesterfield, MO · every code in this section with a posted price and a Medicare benchmark.
263 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) | $7,455.60 | $12,426 | 1.0× |
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$38.40–$93.60 | $64–$156 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $48 | $80 | 1.2× |
| Advncd Care Plan 30 Min (99497) | $105.14 | $175.24 | 1.0× |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$301.19–$376.49 | $501.98–$627.48 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) | $301.19 | $501.98 | 1.4× |
| Airway Inhalation Treatment (94640) range across 22 matching MRF lines |
$57.30–$210 | $95.50–$350 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $172.14 | $286.90 | 1.3× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $309.78 | $516.30 | 2.3× |
| Analyze neurostim complex (95972) | $204.78 | $341.30 | 2.2× |
| Analyze neurostim no prog (95970) range across 4 matching MRF lines |
$33–$120 | $55–$200 | varies |
| Analyze Pacemaker System (93724) range across 2 matching MRF lines |
$120–$613.38 | $200–$1,022.30 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 10 matching MRF lines |
$63.66–$76.20 | $106.10–$127 | varies |
| Application on-body injector (96377) | $90 | $150 | 1.9× |
| Arrhythmia Induction (93618) | $1,724.84 | $2,874.73 | 1.4× |
| Assessment of aphasia per hr (96105) range across 8 matching MRF lines |
$45–$90 | $75–$150 | varies |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$123.32–$188.60 | $205.53–$314.34 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $66.47 | $110.78 | 0.8× |
| Bfb training ea addl 15 min (90913) | $66.47 | $110.78 | 2.0× |
| Blink reflex test (95933) | $97.92 | $163.20 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$300–$480 | $500–$800 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$1,832.22 | $3,053.70 | 0.2× |
| C motor evoked uppr limbs (95928) | $183.84 | $306.40 | 0.2× |
| C motor evoked upr&lwr limbs (95939) | $864 | $1,440 | 1.0× |
| Canalith repositioning proc (95992) | $78.60 | $131 | 1.9× |
| Car seat/bed test 60 min (94780) | $55.62 | $92.70 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $640.62 | $1,067.70 | 3.0× |
| Cardiopulmonary exercise testing (94621) | $636.54 | $1,060.90 | 1.7× |
| Cardiopulmonary resuscitation (92950) range across 10 matching MRF lines |
$286.44–$385.20 | $477.40–$642 | varies |
| Cardioversion (92960) range across 9 matching MRF lines |
$232.20–$893.52 | $387–$1,489.20 | varies |
| Cardioversion elective internal (92961) | $480.30 | $800.50 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,416.52 | $14,027.53 | 2.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,894.16 | $14,823.60 | 2.7× |
| Cbt 1st hour (94644) | $143.28 | $238.80 | 1.1× |
| Chemo Admin Peritoneal Cavity (96446) | $329.10 | $548.50 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $159.12 | $265.20 | 2.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $159.12 | $265.20 | 2.2× |
| Chemo Ia Push (96420) | $464.40 | $774 | 1.4× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$111.42–$123.60 | $185.70–$206 | varies |
| Chemo IV push addl drug (96411) | $171.24 | $285.40 | 2.4× |
| Chemother Prolong Infuse W/Pump (96416) | $329.10 | $548.50 | 1.0× |
| Chemotherapy Into Cns (96450) range across 5 matching MRF lines |
$329.10–$464.40 | $548.50–$774 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $127.32 | $212.20 | 1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $268.02 | $446.70 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $190.98 | $318.30 | 0.6× |
| Chest Wall Manipulation (94668) | $141 | $235 | 1.1× |
| Color/duplex Doppler, complete (93975) range across 5 matching MRF lines |
$192.60–$565.38 | $321–$942.30 | varies |
| Color/duplex Doppler, limited (93976) range across 9 matching MRF lines |
$79.92–$421.20 | $133.20–$702 | varies |
| Continuous Pulse Ox (94762) | $243.36 | $405.60 | 1.9× |
| Coronary Art/Grft Angio S&I (93455) | $7,673.04 | $12,788.40 | 2.4× |
| Coronary Artery Angio S&I (93454) | $6,523.92 | $10,873.20 | 2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $391.68 | $652.80 | 1.8× |
| Cpt initial (94667) | $141 | $235 | 1.1× |
| Critical care first hour (99291) range across 7 matching MRF lines |
$366–$1,140 | $610–$1,900 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $183.84 | $306.40 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 13 matching MRF lines |
$111–$239.52 | $185–$399.20 | varies |
| Dialysis One Evaluation (90945) range across 6 matching MRF lines |
$81.76–$1,822.35 | $136.27–$3,037.25 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$69.60–$562.74 | $116–$937.90 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 5 matching MRF lines |
$47.40–$157.17 | $79–$261.95 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$50.40–$681 | $84–$1,135 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 5 matching MRF lines |
$40.80–$375 | $68–$625 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 7 matching MRF lines |
$57.60–$1,089.36 | $96–$1,815.60 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 10 matching MRF lines |
$37.80–$606.36 | $63–$1,010.60 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $328.20 | $547 | 1.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $347.40 | $579 | 3.3× |
| Duplex Scan Hemodialysis Access (93990) | $520.20 | $867 | 5.0× |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$43.99–$681 | $73.32–$1,135 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$32.40–$375 | $54–$625 | varies |
| Echo Congenital Complete (93303) | $1,631.58 | $2,719.30 | 3.0× |
| Echo Heart Xthoracic,Limited (93308) range across 8 matching MRF lines |
$143.40–$511.14 | $239–$851.90 | varies |
| Echo transesophageal (93312) range across 7 matching MRF lines |
$1,049.88–$1,560 | $1,749.80–$2,600 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,049.88 | $1,749.80 | 1.9× |
| Eeg 41-60 Minutes (95812) | $355.15 | $591.92 | 1.6× |
| EEG awake and asleep (95819) | $645 | $1,075 | 3.0× |
| EEG awake drowsy (95816) | $864 | $1,440 | 4.0× |
| EEG cerebral death evaluation (95824) | $530.34 | $883.90 | 1.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $388.68 | $647.80 | 1.8× |
| EEG extended monitoring 61-119 minutes (95813) | $443.94 | $739.90 | 2.1× |
| Eeg Sleep Only (95822) | $864 | $1,440 | 4.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 4 matching MRF lines |
$96–$141 | $160–$235 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 4 matching MRF lines |
$66.60–$73.20 | $111–$122 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 10 matching MRF lines |
$63.66–$88.80 | $106.10–$148 | varies |
| Electrocardiogram Tracing (93005) | $240 | $400 | 4.1× |
| Electrophysiology Evaluation (93642) | $840 | $1,400 | 0.7× |
| Emergency Dept Visit Level 2 (99282) range across 6 matching MRF lines |
$63–$375 | $105–$625 | varies |
| Emergency Dept Visit Level 3 (99283) range across 7 matching MRF lines |
$93.60–$501 | $156–$835 | varies |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$153.60–$900 | $256–$1,500 | varies |
| Endomyocardial Biopsy (93505) | $3,432.98 | $5,721.64 | 1.1× |
| Ep & ablate supravent arrhyt (93653) | $33,825 | $56,375 | 1.3× |
| Ep & ablate ventric tachy (93654) | $33,825 | $56,375 | 1.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,841.52 | $13,069.20 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,440 | $7,400 | 0.6× |
| Er level 1 (99281) range across 6 matching MRF lines |
$34.20–$138 | $57–$230 | varies |
| Er level v (99285) range across 6 matching MRF lines |
$230.40–$1,200 | $384–$2,000 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$93.60–$210 | $156–$350 | varies |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$118.30–$180.92 | $197.16–$301.53 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$143.28–$238.74 | $238.80–$397.90 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$145.75–$222.70 | $242.92–$371.17 | varies |
| Exercise test for bronchospasm (94617) | $509.22 | $848.70 | 3.8× |
| External ECG rec>48hr<7d recording (93242) | $265.20 | $442 | 7.1× |
| External ECG rec>7d<15d recording (93246) | $265.20 | $442 | 7.1× |
| External Ecg Scanning Analysis Report (93226) | $508.68 | $847.80 | 8.6× |
| Extracranial Bilat Study (93880) range across 5 matching MRF lines |
$61.20–$1,123.20 | $102–$1,872 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$42–$367.80 | $70–$613 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 8 matching MRF lines |
$215.10–$314.70 | $358.50–$524.50 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,002.60 | $1,671 | 1.2× |
| Gi tract capsule endoscopy (91110) | $2,416.50 | $4,027.50 | 2.7× |
| Group Therapeutic Procedures (97150) | $25.38 | $42.30 | 1.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,640 | $14,400 | 2.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 7 matching MRF lines |
$617.40–$1,822.35 | $1,029–$3,037.25 | varies |
| Holter monitor recording (93225) | $265.20 | $442 | 2.0× |
| Icd Device Interrogate (93289) | $67.28 | $112.14 | 1.8× |
| Immunization administration (90471) range across 8 matching MRF lines |
$35.88–$58.75 | $59.80–$97.92 | varies |
| Inital newborn e/m (99460) | $112.80 | $188 | 0.8× |
| Insert/Place Heart Catheter (93503) | $1,012.92 | $1,688.20 | 0.6× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,832.22 | $3,053.70 | 0.2× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$1,832.22 | $3,053.70 | 0.2× |
| Iontophoresis 15 min (97033) | $76.38 | $127.30 | 4.0× |
| Irrig Drug Delivery Device (96523) range across 6 matching MRF lines |
$36.24–$129.60 | $60.40–$216 | varies |
| IV infusion hydration each additional hour (96361) range across 11 matching MRF lines |
$61.31–$123.84 | $102.18–$206.40 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 11 matching MRF lines |
$206.88–$313.40 | $344.80–$522.33 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 10 matching MRF lines |
$111.42–$120 | $185.70–$200 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 12 matching MRF lines |
$61.31–$126 | $102.18–$210 | varies |
| IV push initial (96374) range across 15 matching MRF lines |
$127.32–$172.50 | $212.20–$287.50 | varies |
| L Hrt Art/Grft Angio (93459) | $10,697.40 | $17,829 | 3.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $72.60 | $121 | 1.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $401.40 | $669 | 1.9× |
| Mechanical chest wall oscillation per session (94669) | $220.69 | $367.82 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $57 | $95 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $57 | $95 | 1.6× |
| Methacholine challenge (94070) | $785.52 | $1,309.20 | 2.1× |
| Motion Fluoroscopy/Swallow (92611) range across 8 matching MRF lines |
$206.88–$298.80 | $344.80–$498 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$73.80–$2,005.20 | $123–$3,342 | varies |
| Muscle Test 2 Limbs (95861) | $250.98 | $418.30 | 1.9× |
| Muscle Test Nonparaspinal (95870) | $111.72 | $186.20 | 0.8× |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$146.21–$205.02 | $243.68–$341.70 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$83.34–$333 | $138.90–$555 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$183.84–$720 | $306.40–$1,200 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $183.84 | $306.40 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $286.13 | $476.88 | 1.4× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$167.59–$240 | $279.32–$400 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$322.74–$1,440 | $537.90–$2,400 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 18 matching MRF lines |
$322.74–$1,718.82 | $537.90–$2,864.70 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$322.74–$480 | $537.90–$800 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$322.74–$720 | $537.90–$1,200 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$322.74–$960 | $537.90–$1,600 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$322.74–$1,200 | $537.90–$2,000 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$131.34–$165 | $218.90–$275 | varies |
| Neuromuscular Reeducation (97112) | $87 | $145 | 2.7× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$176.40–$527.24 | $294–$878.74 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$34.44–$36 | $57.40–$60 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$47.45–$67.92 | $79.08–$113.20 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$18.63–$22.50 | $31.05–$37.50 | varies |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$127.44–$231.12 | $212.40–$385.20 | varies |
| Oral Speech Device Eval (92597) range across 4 matching MRF lines |
$77.40–$193.50 | $129–$322.50 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 14 matching MRF lines |
$31.74–$55.98 | $52.90–$93.30 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 10 matching MRF lines |
$56.88–$59.64 | $94.80–$99.40 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$32.54–$37.13 | $54.23–$61.88 | varies |
| Ot eval high complexity (97167) range across 4 matching MRF lines |
$168.72–$318.96 | $281.20–$531.60 | varies |
| Ot Eval Low Complex (97165) | $152.76 | $254.60 | 1.5× |
| Ot Eval Moderate Complexity (97166) range across 5 matching MRF lines |
$99–$159.12 | $165–$265.20 | varies |
| Ot manual therapy 15 min (97140) | $84 | $140 | 3.0× |
| Ot paraffin bath (97018) | $42.66 | $71.10 | 7.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $53.04 | $88.40 | 1.3× |
| Ot Re-Eval Est Plan Care (97168) | $100.14 | $166.90 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $219.60 | $366 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 9 matching MRF lines |
$30–$219.60 | $8.50–$366 | varies |
| Oxygen Uptake Rest Indirect (94690) | $45 | $75 | 0.8× |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$46.80–$230.94 | $78–$384.90 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $159.12 | $265.20 | 0.7× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $22,033.48 | $36,722.46 | 1.2× |
| Perq Transcath Cls Aortic (93591) | $17,413.20 | $29,022 | 0.9× |
| Perq Transcath Cls Mitral (93590) | $17,413.20 | $29,022 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,920 | $13,200 | 1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $10,781.28 | $17,968.80 | 0.9× |
| Phlebotomy therapeutic (99195) | $144.42 | $240.70 | 1.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 8 matching MRF lines |
$100.26–$212.40 | $167.10–$354 | varies |
| Physical Performance Test (97750) range across 8 matching MRF lines |
$58.14–$75.60 | $96.90–$126 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$385.20–$390 | $642–$650 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$43.32–$112.08 | $72.20–$186.80 | varies |
| Pm device progr eval dual (93280) | $135.84 | $226.40 | 3.6× |
| Pm/Icd Remote Tech Serv (93296) | $54.30 | $90.50 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 5 matching MRF lines |
$495–$3,600 | $825–$6,000 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$817.20–$3,090 | $1,362–$5,150 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$865.80–$2,494.80 | $1,443–$4,158 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $135.84 | $226.40 | 3.6× |
| Prq Card Angio/Athrect 1 Art (92924) | $8,760 | $14,600 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $12,728.88 | $21,214.80 | 1.1× |
| Prq Card Stent/Ath/Angio (92933) unusually low: confirm this is the full procedure |
$6,960 | $11,600 | 0.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $6,960 | $11,600 | 0.6× |
| Psychiatric diagnostic evaluation (90791) | $152.40 | $254 | 0.9× |
| Pt Eval High Complex (97163) range across 5 matching MRF lines |
$176.94–$298.08 | $294.90–$496.80 | varies |
| Pt eval low complex 20 min (97161) range across 5 matching MRF lines |
$128.28–$212.40 | $213.80–$354 | varies |
| Pt Eval Mod Complex (97162) range across 9 matching MRF lines |
$99–$223.20 | $165–$372 | varies |
| Pt gait training 15 min (97116) range across 11 matching MRF lines |
$62.88–$75.60 | $104.80–$126 | varies |
| Pt mechanical traction (97012) | $72.84 | $121.40 | 5.1× |
| Pt Re-Eval Est Plan Care (97164) range across 4 matching MRF lines |
$95.46–$198 | $159.10–$330 | varies |
| Pulmonary service/procedure (94799) range across 42 matching MRF lines |
$32.17–$5,760 | $53.62–$9,600 | varies |
| Pulmonary Stress Testing (94618) | $240 | $400 | 1.8× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $24 | $40 | 1.0× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $72 | $120 | 2.1× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $12 | $20 | 1.0× |
| R Hrt Art/Grft Angio (93457) | $5,700 | $9,500 | 1.8× |
| R hrt coronary artery angio (93456) | $5,700 | $9,500 | 1.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $4,517.88 | $7,529.80 | 1.4× |
| Rapid Desensitization Procedure Each Hour (95180) | $147.18 | $245.30 | 0.3× |
| Refill/Maint Portable Pump (96521) | $185.40 | $309 | 0.9× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $111.60 | $186 | 0.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $293.40 | $489 | 7.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $61.80 | $103 | 1.0× |
| Right Heart Cath (93451) | $2,563.26 | $4,272.10 | 0.8× |
| Right ventricular recording (93603) | $1,832.22 | $3,053.70 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $200.40 | $334 | 1.0× |
| Same day nb discharge (99463) | $91.20 | $152 | 0.7× |
| Self Care Mngment Training (97535) | $61.50 | $102.50 | 1.9× |
| Short-latency somatosens ep std upr limbs (95925) range across 3 matching MRF lines |
$577.02–$953.28 | $961.70–$1,588.80 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$75–$343.44 | $125–$572.40 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$144–$600 | $240–$1,000 | varies |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$1,128.96–$1,154.04 | $1,881.60–$1,923.40 | varies |
| Speech sound lang comprehen (92523) range across 12 matching MRF lines |
$245.73–$375.82 | $409.55–$626.36 | varies |
| Spin/Brain Pump Refil & Main (95991) | $210 | $350 | 0.7× |
| Spirometry (94010) range across 4 matching MRF lines |
$211.80–$240 | $353–$400 | varies |
| Ssep lower limbs (95926) range across 3 matching MRF lines |
$576.84–$577.02 | $961.40–$961.70 | varies |
| Standardized Cognitive Performance Testing (96125) range across 8 matching MRF lines |
$51–$215.28 | $85–$358.80 | varies |
| Stress Tte Only (93350) range across 6 matching MRF lines |
$1,072.14–$1,077.06 | $1,786.90–$1,795.10 | varies |
| Surfactant Admin Thru Tube (94610) | $93.60 | $156 | 0.4× |
| Temp transcutaneous pacing (92953) range across 3 matching MRF lines |
$134.28–$265.56 | $223.80–$442.60 | varies |
| Tensilon Test (95857) | $63.11 | $105.18 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 9 matching MRF lines |
$23.34–$78.48 | $38.90–$130.80 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $23.34 | $38.90 | 1.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$62.40–$69 | $104–$115 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$10.80–$42 | $18–$70 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $163.50 | $272.50 | 1.6× |
| Ther/Proph/Diag Inj Ia (96373) | $95.64 | $159.40 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 19 matching MRF lines |
$19.80–$102.96 | $33–$171.60 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 13 matching MRF lines |
$102–$313.40 | $170–$522.33 | varies |
| Therapeutic Activities (97530) range across 20 matching MRF lines |
$82.86–$85.98 | $138.10–$143.30 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $709.20 | $1,182 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 5 matching MRF lines |
$25.44–$152.64 | $42.40–$254.40 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $25.44 | $42.40 | 0.7× |
| Transcath Closure of Asd (93580) range across 3 matching MRF lines |
$16,653.60–$17,413.20 | $27,756–$29,022 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $85.62 | $142.70 | 2.3× |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$1,631.40–$1,661.58 | $2,719–$2,769.30 | varies |
| Tx atrial fib pulm vein isol (93656) | $33,825 | $56,375 | 1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 15 matching MRF lines |
$72–$215.18 | $120–$358.63 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $34.22 | $57.03 | 1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 13 matching MRF lines |
$111.42–$159.12 | $185.70–$265.20 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 9 matching MRF lines |
$83.16–$7,180.20 | $138.60–$11,967 | varies |
| Unlisted Special Dermatological Service/Px (96999) | $44.76 | $74.60 | 0.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$153.90–$371.16 | $256.50–$618.60 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$375–$445.56 | $625–$742.60 | varies |
| Valvuloplasty aortic valve (92986) | $4,600.26 | $7,667.10 | 0.8× |
| Valvuloplasty mitral valve (92987) | $15,739.50 | $26,232.50 | 1.4× |
| Vasopneumatic device (97016) | $42.66 | $71.10 | 3.5× |
| Veeg 2-12 hr unmonitored (95711) | $363 | $605 | 1.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $696 | $1,160 | 1.9× |
| Vent Mgmt Inpat Init Day (94002) range across 6 matching MRF lines |
$570–$1,200 | $950–$2,000 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 6 matching MRF lines |
$465–$1,080 | $775–$1,800 | varies |
| Visual Evoked Potential Test (95930) | $446.70 | $744.50 | 2.1× |
| Vital capacity, total (94150) range across 13 matching MRF lines |
$91.80–$165.17 | $153–$275.28 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,020 | $1,700 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$41.16–$46.38 | $68.60–$77.30 | varies |
| Whirlpool Therapy (97022) | $54.12 | $90.20 | 3.4× |
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.