Visits & medical services prices at St. Lukes Regional Medical Center
Sioux City, IA · every code in this section with a posted price and a Medicare benchmark.
270 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) | $4,746.88 | $5,933.59 | 0.6× |
| Actinotherapy Ultraviolet Light (96900) | $274.95 | $343.68 | 7.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $70.44 | $88.05 | 1.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $540.67 | $675.83 | 2.5× |
| Aep neurodiagnostic i&r (92653) | $539.63 | $674.53 | 2.5× |
| Aep threshold estimation mlt frequencies i&r (92652) | $539.63 | $674.53 | 2.5× |
| Airway Inhalation Treatment (94640) | $167.81 | $209.76 | 0.8× |
| Airway resistance by oscillometry (94728) | $128.90 | $161.12 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $98.90 | $123.62 | 6.9× |
| Application on-body injector (96377) | $115.72 | $144.65 | 2.4× |
| Assessment of aphasia per hr (96105) | $703.61 | $879.51 | 7.2× |
| Behavral qualit analys voice (92524) | $295.08 | $368.85 | 2.7× |
| Brief Emotional/Behav Assmt (96127) | $78.48 | $98.09 | 2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $321.56 | $401.94 | 0.8× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$1,234.12 | $1,542.65 | 0.2× |
| C motor evoked uppr limbs (95928) | $985.86 | $1,232.32 | 1.1× |
| C motor evoked upr&lwr limbs (95939) | $1,478.32 | $1,847.90 | 1.7× |
| Canalith repositioning proc (95992) | $83.20 | $103.99 | 2.0× |
| Car seat/bed test 60 min (94780) | $124.18 | $155.22 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $526.67 | $658.33 | 2.4× |
| Cardiopulmonary resuscitation (92950) | $921.30 | $1,151.62 | 4.2× |
| Cardioversion (92960) | $996.40 | $1,245.50 | 1.5× |
| Cardioversion elective internal (92961) | $1,109.27 | $1,386.58 | 1.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $97.24 | $121.54 | 3.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $12,987.12 | $16,233.89 | 3.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,711.91 | $12,139.88 | 3.0× |
| Cbt 1st hour (94644) | $170.87 | $213.58 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $171.60 | $214.50 | 2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $171.60 | $214.50 | 2.3× |
| Chemo IV infusion addl hr (96415) | $171.60 | $214.50 | 2.3× |
| Chemo IV push addl drug (96411) | $171.60 | $214.50 | 2.3× |
| Chemotherapy Into Cns (96450) | $824.98 | $1,031.22 | 2.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $171.60 | $214.50 | 2.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $824.98 | $1,031.22 | 2.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $824.98 | $1,031.22 | 2.5× |
| Chest Wall Manipulation (94668) | $110.99 | $138.73 | 0.8× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $456.47 | $570.58 | 1.2× |
| Color/duplex Doppler, complete (93975) | $673.96 | $842.45 | 2.8× |
| Color/duplex Doppler, limited (93976) | $463.59 | $579.48 | 4.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $91.91 | $114.88 | 2.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $406 | $507.50 | 3.0× |
| Continuous Pulse Ox (94762) | $350.80 | $438.50 | 2.7× |
| Coronary Art/Grft Angio S&I (93455) | $7,485.28 | $9,356.59 | 2.3× |
| Coronary Artery Angio S&I (93454) | $5,650.43 | $7,063.03 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$779.25–$1,178.72 | $974.06–$1,473.40 | varies |
| Cpt initial (94667) | $302.69 | $378.36 | 2.2× |
| Critical care first hour (99291) | $904.94 | $1,131.17 | 1.1× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $985.86 | $1,232.32 | 2.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $170.81 | $213.51 | 0.8× |
| Dialysis One Evaluation (90945) | $500.81 | $626.01 | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $463.59 | $579.48 | 1.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $341.39 | $426.73 | 3.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $383.83 | $479.78 | 1.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $247.20 | $308.99 | 2.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $383.83 | $479.78 | 1.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $247.20 | $308.99 | 2.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $475.52 | $594.40 | 2.0× |
| Duplex Scan Hemodialysis Access (93990) | $256.04 | $320.05 | 2.4× |
| Duplex up extrem art bilat (93930) | $383.83 | $479.78 | 1.6× |
| Duplex up extrem art unilat/ltd (93931) | $247.20 | $308.99 | 2.3× |
| ECG/monitoring and analysis (93271) | $350.68 | $438.34 | 3.6× |
| Echo Congenital Complete (93303) | $1,176.33 | $1,470.41 | 2.1× |
| Echo Heart Xthoracic,Limited (93308) | $391.16 | $488.94 | 1.6× |
| Echo transesophageal (93312) | $1,336.37 | $1,670.46 | 2.4× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,530.42 | $1,913.02 | 2.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,367.93 | $1,709.91 | 2.5× |
| EEG awake and asleep (95819) | $531.13 | $663.91 | 2.4× |
| EEG awake drowsy (95816) | $559.68 | $699.59 | 2.6× |
| EEG cerebral death evaluation (95824) | $568.40 | $710.50 | 1.5× |
| EEG cont rec w/video by tech min 8 channels (95700) | $516.80 | $645.99 | 2.4× |
| EEG extended monitoring 61-119 minutes (95813) | $746.69 | $933.36 | 3.4× |
| Eeg Sleep Only (95822) | $542.61 | $678.26 | 2.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $516.80 | $645.99 | 2.4× |
| EEG w/o vid 2-12hr cont mntr (95707) | $516.80 | $645.99 | 2.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $990.36 | $1,237.95 | 2.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $990.36 | $1,237.95 | 2.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $516.80 | $645.99 | 2.4× |
| EEG wo vid ea 12-26hr unmntr (95708) | $990.36 | $1,237.95 | 2.6× |
| Electrical Stimulation Ea 15 Min (97032) | $98.90 | $123.62 | 6.7× |
| Electrocardiogram Tracing (93005) | $142.09 | $177.61 | 2.4× |
| Electroconvulsive Therapy (90870) | $1,181.24 | $1,476.55 | 1.4× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,870.77 | $4,838.46 | 0.5× |
| Electrophysiology Evaluation (93642) | $2,356.94 | $2,946.17 | 1.9× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$44–$237.64 | $55–$297.05 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$44–$416.72 | $55–$520.90 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$44–$648.43 | $55–$810.53 | varies |
| Emg 3 Extremities (95863) | $367.88 | $459.84 | 2.8× |
| Emg 4 Extremities (95864) | $490.53 | $613.16 | 3.8× |
| Endomyocardial Biopsy (93505) | $2,036.94 | $2,546.17 | 0.6× |
| Ep & ablate supravent arrhyt (93653) | $28,817.44 | $36,021.80 | 1.1× |
| Ep & ablate ventric tachy (93654) | $35,121.57 | $43,901.96 | 1.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $8,102.91 | $10,128.63 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,479.10 | $5,598.87 | 0.6× |
| Er level 1 (99281) range across 2 matching MRF lines |
$44–$128.16 | $55–$160.20 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$44–$931.05 | $55–$1,163.81 | varies |
| Evaluate pt use of inhaler (94664) | $81.79 | $102.23 | 0.4× |
| Evaluate Speech Production (92522) | $295.08 | $368.85 | 2.6× |
| Evaluate Swallowing Function (92610) | $295.08 | $368.85 | 3.5× |
| Evaluation of speech fluency (92521) | $295.08 | $368.85 | 2.2× |
| Evoked Auditory Test,Limited (92587) | $240.53 | $300.66 | 1.1× |
| External Ecg Scanning Analysis Report (93226) | $264.14 | $330.17 | 4.4× |
| Extracranial Bilat Study (93880) | $383.83 | $479.78 | 1.6× |
| Extracranial Uni/Ltd Study (93882) | $383.83 | $479.78 | 3.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $815.29 | $1,019.11 | 1.5× |
| Fundus photography (92250) | $200.42 | $250.52 | 1.5× |
| Gi tract capsule endoscopy (91110) | $1,953.77 | $2,442.21 | 2.1× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,615.49 | $2,019.36 | 1.7× |
| Group Therapeutic Procedures (97150) | $90.52 | $113.14 | 5.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $11,891.46 | $14,864.32 | 3.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,338.52 | $1,673.15 | 1.9× |
| Holter monitor recording (93225) | $352.18 | $440.22 | 2.6× |
| Icd Device Interrogate (93289) | $129.49 | $161.86 | 3.4× |
| Icd device progr eval dual (93283) | $243.60 | $304.49 | 6.4× |
| Icd Device Progr Eval Mult (93284) | $129.49 | $161.86 | 3.4× |
| Icm Device Eval (93290) | $150.61 | $188.26 | 4.0× |
| Ilr Device Eval Progr (93285) | $150.61 | $188.26 | 4.0× |
| Ilr Device Interrogate (93291) | $150.61 | $188.26 | 5.1× |
| Immunization administration (90471) | $91.09 | $113.86 | 1.2× |
| Insert/Place Heart Catheter (93503) | $3,243.93 | $4,054.91 | 2.0× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$798.78 | $998.47 | 0.1× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$1,198.18 | $1,497.72 | 0.2× |
| Intraventricular pacing (93612) | $5,001.29 | $6,251.61 | 0.6× |
| Iontophoresis 15 min (97033) | $98.90 | $123.62 | 5.2× |
| Irrig Drug Delivery Device (96523) | $149 | $186.24 | 2.5× |
| IV infusion hydration each additional hour (96361) | $115.72 | $144.65 | 2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $522.12 | $652.65 | 2.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $171.60 | $214.50 | 2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $115.72 | $144.65 | 2.4× |
| IV push initial (96374) | $522.12 | $652.65 | 2.4× |
| L Hrt Art/Grft Angio (93459) | $11,613.89 | $14,517.36 | 3.5× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $7,023.30 | $8,779.12 | 2.1× |
| Laryngeal Function Studies (92520) | $268.29 | $335.36 | 2.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $110.99 | $138.73 | 1.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $264.14 | $330.17 | 1.2× |
| Mechanical chest wall oscillation per session (94669) | $328.62 | $410.77 | 1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $40.22 | $50.27 | 1.1× |
| Methacholine challenge (94070) | $600.88 | $751.10 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) | $154.20 | $192.75 | 1.7× |
| Multiple Sleep Latency Test (95805) | $1,081.64 | $1,352.04 | 1.2× |
| Muscle Test 2 Limbs (95861) | $367.88 | $459.84 | 2.7× |
| Muscle Test Nonparaspinal (95870) | $179.86 | $224.82 | 1.3× |
| Muscle Test One Limb (95860) | $269.79 | $337.23 | 2.0× |
| Nasopharyngoscopy (92511) | $162.09 | $202.61 | 0.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,077.39 | $1,346.73 | 4.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $538.69 | $673.36 | 2.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $179.86 | $224.82 | 0.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $733.92 | $917.40 | 1.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $789.08 | $986.34 | 1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $236.64 | $295.79 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $236.64 | $295.79 | 0.6× |
| Nerve Conduction Studies 1-2 Studies (95907) | $179.86 | $224.82 | 0.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,079.08 | $1,348.85 | 2.8× |
| Nerve conduction studies 13 or more studies (95913) | $1,258.93 | $1,573.66 | 3.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $359.70 | $449.62 | 1.6× |
| Nerve conduction studies 5-6 studies (95909) | $539.54 | $674.42 | 2.5× |
| Nerve conduction studies 7-8 studies (95910) | $719.39 | $899.23 | 1.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $899.24 | $1,124.05 | 2.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $179.86 | $224.82 | 1.4× |
| Neuromuscular Reeducation (97112) | $98.90 | $123.62 | 3.0× |
| Newborn resuscitation (99465) | $412.30 | $515.37 | 0.6× |
| Oral Function Therapy (92526) | $221.31 | $276.63 | 2.6× |
| Oral Speech Device Eval (92597) | $295.08 | $368.85 | 4.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $45.92 | $57.39 | 0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $98.90 | $123.62 | 2.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $89.36 | $111.70 | 4.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $56.72 | $70.89 | 2.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $98.90 | $123.62 | 7.0× |
| Ot eval high complexity (97167) | $336.84 | $421.04 | 3.4× |
| Ot Eval Low Complex (97165) | $278.35 | $347.93 | 2.8× |
| Ot Eval Moderate Complexity (97166) | $306.22 | $382.77 | 3.0× |
| Ot manual therapy 15 min (97140) | $98.90 | $123.62 | 3.6× |
| Ot paraffin bath (97018) | $98.90 | $123.62 | 16.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $90.04 | $112.54 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) | $278.35 | $347.93 | 4.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $135.65 | $169.56 | 1.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $166.48 | $208.10 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $9,271.42 | $11,589.27 | 1.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $19,807.09 | $24,758.86 | 1.7× |
| Phlebotomy therapeutic (99195) | $109.65 | $137.06 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $151.23 | $189.03 | 2.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $151.23 | $189.03 | 2.5× |
| Plethysmography (94726) | $240.53 | $300.66 | 0.6× |
| Pm device eval in person (93288) | $129.49 | $161.86 | 3.4× |
| Pm device progr eval dual (93280) | $243.60 | $304.49 | 6.4× |
| Pm device progr eval multi (93281) | $129.49 | $161.86 | 3.4× |
| Pm Device Progr Eval Sngl (93279) | $129.49 | $161.86 | 3.4× |
| Pm/Icd Remote Tech Serv (93296) | $150.61 | $188.26 | 4.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,820.04 | $2,275.05 | 2.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $129.49 | $161.86 | 3.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $11,028.95 | $13,786.18 | 0.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $11,028.95 | $13,786.18 | 0.9× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $22,513.93 | $28,142.41 | 1.9× |
| Psychiatric diagnostic evaluation (90791) | $265.60 | $332 | 1.5× |
| Psytx Crisis Initial 60 Min (90839) | $336.66 | $420.82 | 1.9× |
| Pt Eval High Complex (97163) | $241.36 | $301.69 | 2.5× |
| Pt eval low complex 20 min (97161) | $199.46 | $249.32 | 2.0× |
| Pt Eval Mod Complex (97162) | $219.40 | $274.25 | 2.2× |
| Pt gait training 15 min (97116) | $98.90 | $123.62 | 3.4× |
| Pt group caregiver training (97552) | $76.64 | $95.79 | 3.5× |
| Pt mechanical traction (97012) | $98.90 | $123.62 | 6.9× |
| Pt Re-Eval Est Plan Care (97164) | $199.46 | $249.32 | 3.0× |
| Pulm function test by gas (94727) | $128.29 | $160.36 | 0.6× |
| Pulmonary Stress Testing (94618) | $128.90 | $161.12 | 1.0× |
| R Hrt Art/Grft Angio (93457) | $11,872.55 | $14,840.68 | 3.6× |
| R hrt coronary artery angio (93456) | $12,208 | $15,259.99 | 3.7× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $6,492.48 | $8,115.60 | 2.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,485.28 | $9,356.59 | 2.3× |
| Rem interrog icpms <30 d phys/qhp (93297) | $73.84 | $92.29 | 1.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $73.84 | $92.29 | 1.9× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $75.72 | $94.65 | 2.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $242 | $302.49 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $264.14 | $330.17 | 7.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $114.24 | $142.79 | 1.9× |
| Right Heart Cath (93451) | $5,681.04 | $7,101.29 | 1.7× |
| Right ventricular recording (93603) | $1,198.18 | $1,497.72 | 1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $236.64 | $295.79 | 1.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $338.09 | $422.61 | 2.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $295.08 | $368.85 | 6.2× |
| Self Care Mngment Training (97535) | $91.91 | $114.88 | 2.8× |
| Sensory Integration Ea 15 Min (97533) | $91.91 | $114.88 | 1.5× |
| Short-latency somatosens ep std upr limbs (95925) | $540.67 | $675.83 | 2.5× |
| Sleep study attended (95807) | $739.93 | $924.91 | 2.0× |
| Sleep study unattended (95806) | $556.40 | $695.50 | 2.5× |
| Slp caregiver training 1st 30 min (97550) | $180.34 | $225.42 | 3.4× |
| Slp Stdy Unatnd W/Anal (95801) | $230.26 | $287.82 | 3.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $556.76 | $695.95 | 2.5× |
| Somatosensory Testing (95938) | $928.23 | $1,160.28 | 1.1× |
| Speech sound lang comprehen (92523) | $295.08 | $368.85 | 1.3× |
| Spirometry (94010) | $182.10 | $227.62 | 0.8× |
| Ssep lower limbs (95926) | $540.67 | $675.83 | 2.5× |
| Standardized Cognitive Performance Testing (96125) | $264.80 | $331 | 2.6× |
| Stress Tte Only (93350) | $841.27 | $1,051.58 | 1.5× |
| Subcutaneous Infusion Each Additional Hour (96370) | $115.72 | $144.65 | 2.4× |
| Surfactant Admin Thru Tube (94610) | $328.62 | $410.77 | 1.5× |
| Temp transcutaneous pacing (92953) | $830.53 | $1,038.16 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $91.91 | $114.88 | 4.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $91.91 | $114.88 | 4.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $98.90 | $123.62 | 2.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $201.79 | $252.23 | 2.0× |
| Ther/Proph/Diag Inj Ia (96373) | $522.12 | $652.65 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $171.60 | $214.50 | 2.3× |
| Ther/Proph/Diag Iv Inf Init (96365) | $522.12 | $652.65 | 2.4× |
| Therapeutic Activities (97530) | $98.90 | $123.62 | 2.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,860.48 | $2,325.60 | 4.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $71.08 | $88.84 | 1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $71.08 | $88.84 | 1.9× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $256.04 | $320.05 | 2.4× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $150.61 | $188.26 | 4.0× |
| Tte w/doppler, complete (93306) | $1,111.76 | $1,389.69 | 2.0× |
| Tte W/O Doppler Complete (93307) | $815.29 | $1,019.11 | 3.4× |
| Tx atrial fib pulm vein isol (93656) | $32,426.20 | $40,532.75 | 1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $206.56 | $258.19 | 2.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $169.16 | $211.45 | 7.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $115.72 | $144.65 | 2.4× |
| Unlisted cardiovascular service/procedure (93799) | $6,572.36 | $8,215.44 | 50.3× |
| Unlisted Psychiatric Service/Procedure (90899) range across 2 matching MRF lines |
$338.48–$417.30 | $423.09–$521.62 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $264.14 | $330.17 | 2.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $330.16 | $412.70 | 1.5× |
| Vasopneumatic device (97016) | $98.90 | $123.62 | 8.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $990.36 | $1,237.95 | 2.6× |
| Veeg 2-12 hr intmt mntr (95712) | $516.80 | $645.99 | 1.4× |
| Veeg 2-12 hr unmonitored (95711) | $516.80 | $645.99 | 2.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $990.36 | $1,237.95 | 2.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $990.36 | $1,237.95 | 2.6× |
| Veeg ea 12-26hr cont mntr (95716) | $1,854.67 | $2,318.33 | 2.1× |
| Vent Mgmt Inpat Init Day (94002) | $1,523.50 | $1,904.37 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $974.12 | $1,217.64 | 1.6× |
| Vital capacity, total (94150) | $110.99 | $138.73 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $91.91 | $114.88 | 3.0× |
| Whirlpool Therapy (97022) | $98.90 | $123.62 | 6.3× |
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.