Visits & medical services prices at St. Mary-Corwin Hospital

Pueblo, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $9,613.51 $24,033.77 1.2×
Airway Inhalation Treatment (94640) $131.92 $329.79 0.6×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $424.72 $1,061.79 3.0×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $394.58 $986.45 2.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $87.12 $217.80 6.1×
Application on-body injector (96377) $78.81 $197.01 1.6×
Arrhythmia Induction (93618) $1,593.31 $3,983.26 1.2×
Assessment of aphasia per hr (96105) $180.03 $450.07 1.9×
Behavral qualit analys voice (92524) $153.87 $384.67 1.4×
Biofeedback training any modality (90901) $257.68 $644.19 6.3×
Bioimpedance Cv Analysis (93701) $165.63 $414.07 1.2×
Brief Emotional/Behav Assmt (96127) $18.93 $47.31 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $492.58 $1,231.44 1.3×
Bundle of his recording (93600) $5,363.09 $13,407.72 0.7×
C motor evoked uppr limbs (95928) $1,063.92 $2,659.79 1.2×
C motor evoked upr&lwr limbs (95939)
range across 2 matching MRF lines
$667.62–$1,595.87 $1,669.05–$3,989.66 varies
Canalith repositioning proc (95992) $28.30 $70.75 0.7×
Cardiac Stress Tst,Tracing Only (93017) $798.33 $1,995.82 3.5×
Cardiopulmonary resuscitation (92950) $1,573.97 $3,934.91 6.9×
Cardioversion (92960) $1,133.99 $2,834.96 1.6×
Cardioversion elective internal (92961) $736.03 $1,840.06 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $20.64 $51.59 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,335.62 $25,839.04 3.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,001.72 $20,004.29 2.3×
Cbt 1st hour (94644) $277.38 $693.43 2.0×
Chemo Anti-Neopl Sq/Im (96401) $221.22 $553.05 2.9×
Chemo Hormon Antineopl Sq/Im (96402) $221.22 $553.05 2.9×
Chemo Ia Push (96420) $187.67 $469.16 0.5×
Chemo IV infusion addl hr (96415) $372.30 $930.73 4.9×
Chemo IV push addl drug (96411) $316.90 $792.25 4.2×
Chemother Prolong Infuse W/Pump (96416) $496.26 $1,240.65 1.4×
Chemotherapy Into Cns (96450) $1,237.70 $3,094.23 3.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $525.42 $1,313.54 6.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $482.71 $1,206.76 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $316.90 $792.25 0.9×
Chest Wall Manipulation (94668) $62.72 $156.78 0.4×
Color/duplex Doppler, complete (93975) $1,877.52 $4,693.79 7.5×
Color/duplex Doppler, limited (93976) $778.67 $1,946.67 7.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $75.22 $188.03 2.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $484.50 $1,211.24 3.4×
Continuous Pulse Ox (94762) $273.66 $684.14 2.0×
Coronary Art/Grft Angio S&I (93455) $7,875.52 $19,688.79 2.3×
Coronary Artery Angio S&I (93454) $7,274.84 $18,187.10 2.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $692.27 $1,730.66 3.0×
Cpt initial (94667) $65.91 $164.76 0.5×
Critical care first hour (99291) $3,813.56 $9,533.90 4.4×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,063.92 $2,659.79 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $265.72 $664.28 1.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $904.53 $2,261.31 3.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $739.40 $1,848.48 6.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,618.66 $4,046.64 6.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $979.57 $2,448.92 8.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,850.83 $4,627.06 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,064.93 $2,662.32 9.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,435.43 $3,588.56 13.0×
Duplex Scan Hemodialysis Access (93990) $695.34 $1,738.34 6.3×
Duplex up extrem art bilat (93930) $1,064.93 $2,662.32 4.2×
Duplex up extrem art unilat/ltd (93931) $955.44 $2,388.59 8.7×
ECG/monitoring and analysis (93271) $872.83 $2,182.07 8.7×
Echo Congenital Complete (93303) $878.33 $2,195.81 1.5×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$914.77–$1,130.54 $2,286.92–$2,826.33 varies
Echo r-t 2d w/probe placement only (93313) $851.72 $2,129.28 1.5×
Echo transesophageal (93312)
range across 2 matching MRF lines
$1,725.63–$2,192.87 $4,314.06–$5,482.16 varies
Echo Transesophageal - Congenital Tee Complete (93315) $1,084.65 $2,711.61 1.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,002.80 $5,007 3.5×
Eeg 41-60 Minutes (95812) $1,936.27 $4,840.66 8.5×
EEG awake and asleep (95819) $1,247.11 $3,117.76 5.5×
EEG awake drowsy (95816) $880.97 $2,202.42 3.9×
EEG cerebral death evaluation (95824) $853.97 $2,134.92 2.2×
EEG cont rec w/video by tech min 8 channels (95700) $546.98 $1,367.43 2.4×
EEG extended monitoring 61-119 minutes (95813) $2,017.35 $5,043.37 8.9×
Eeg Sleep Only (95822) $419.50 $1,048.75 1.8×
EEG w/o vid 2-12hr cont mntr (95707) $546.98 $1,367.43 2.4×
EEG w/o vid ea 12-26hr intmt (95709) $1,049.45 $2,623.61 2.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,049.45 $2,623.61 2.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $546.98 $1,367.43 2.4×
EEG wo vid ea 12-26hr unmntr (95708) $1,049.45 $2,623.61 2.7×
Electrical Stimulation Ea 15 Min (97032) $74.08 $185.19 5.0×
Electrocardiogram Tracing (93005) $383.20 $958 6.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $5,112.17 $12,780.41 0.6×
Emergency Dept Visit Level 2 (99282) $472.74 $1,181.85 2.9×
Emergency Dept Visit Level 3 (99283) $889.40 $2,223.49 3.1×
Emergency Dept Visit Level 4 (99284) $1,568.07 $3,920.17 3.6×
Emg 3 Extremities (95863) $748.15 $1,870.36 5.5×
Emg 4 Extremities (95864) $997.33 $2,493.31 7.3×
Ep & ablate supravent arrhyt (93653) $20,612.18 $51,530.43 0.7×
Ep & ablate ventric tachy (93654) $22,337.02 $55,842.54 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,067.51 $17,668.77 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,679.65 $14,199.12 0.7×
Er level 1 (99281) $241.77 $604.41 2.7×
Er level v (99285) $3,092.24 $7,730.58 4.9×
Evaluate pt use of inhaler (94664) $113.88 $284.70 0.5×
Evaluate Speech Production (92522) $147.65 $369.11 1.3×
Evaluate Swallowing Function (92610) $358.91 $897.27 4.2×
Evaluation of speech fluency (92521) $181.91 $454.77 1.4×
Exercise test for bronchospasm (94617) $451.63 $1,129.06 3.2×
External ECG rec>48hr<7d recording (93242) $60.06 $150.13 1.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $374.60 $936.49 2.7×
External ECG rec>7d<15d recording (93246) $374.60 $936.49 9.5×
External ECG rec>7d<15d scanning alys w/report (93247) $176.44 $441.09 1.3×
External Ecg Scanning Analysis Report (93226) $670.71 $1,676.77 10.8×
Extracranial Bilat Study (93880) $1,129.25 $2,823.11 4.5×
Extracranial Uni/Ltd Study (93882) $709.08 $1,772.70 6.4×
F-up/limited tthrc echo congenital car anomaly (93304) $450.48 $1,126.20 0.8×
Flexible endoscopic eval swallow c/v rec (92612) $230.39 $575.96 1.2×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $264.15 $660.37 1.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,595.87 $3,989.66 1.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,165.38 $2,913.45 1.3×
Gi tract capsule endoscopy (91110) $2,111.17 $5,277.92 2.2×
Group Therapeutic Procedures (97150) $205.34 $513.35 11.4×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $10,936.28 $27,340.70 3.2×
Holter monitor recording (93225) $832.83 $2,082.07 5.9×
Icd Device Interrogate (93289) $268.09 $670.21 6.8×
Icd device progr eval dual (93283) $268.09 $670.21 6.8×
Icd Device Progr Eval Mult (93284) $335.12 $837.78 8.5×
Icm Device Eval (93290) $187.39 $468.46 4.8×
Immunization administration (90471) $71.77 $179.42 0.9×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $288.64 $721.58 0.7×
Insert/Place Heart Catheter (93503) $2,502.24 $6,255.59 1.5×
Interrogation eval in person wr defibrillator (93292) $268.09 $670.21 6.8×
Intra-atrial pacing (93610) $5,363.09 $13,407.72 0.7×
Intracranial Complete Study (93886) $578.39 $1,445.96 2.3×
Intraventricular pacing (93612) $5,363.09 $13,407.72 0.7×
Iontophoresis 15 min (97033) $73.02 $182.53 3.8×
Irrig Drug Delivery Device (96523) $90.88 $227.18 1.5×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$134.78–$168.63 $336.94–$421.56 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$164.39–$205.70 $410.96–$514.25 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$209.59–$262.27 $523.97–$655.66 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$193.16–$241.70 $482.89–$604.23 varies
IV push initial (96374)
range across 2 matching MRF lines
$176.72–$221.13 $441.79–$552.82 varies
L Hrt Art/Grft Angio (93459) $8,602.39 $21,505.97 2.5×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $8,001.72 $20,004.29 2.3×
Low frequency non-thermal us (97610) $282.92 $707.29 1.3×
Lwr Xtr Vasc Stdy Bilat (93924) $1,543.04 $3,857.58 6.8×
Mechanical chest wall oscillation per session (94669) $310.59 $776.47 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $55.15 $137.87 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $55.15 $137.87 1.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $29.96 $74.88 1.8×
Methacholine challenge (94070) $663.91 $1,659.76 1.7×
Motility study esophagus (91010) $1,670.41 $4,176.01 4.2×
Motion Fluoroscopy/Swallow (92611) $403.73 $1,009.31 4.4×
Multiple Sleep Latency Test (95805) $2,572.36 $6,430.90 2.8×
Muscle Test 2 Limbs (95861) $722.27 $1,805.66 5.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $351.94 $879.84 1.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $234.63 $586.56 1.0×
Needle electromyography larynx (95865) $748.15 $1,870.36 5.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $390.26 $975.65 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $390.26 $975.65 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $230.55 $576.37 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $342.07 $855.17 0.8×
Nerve Conduction Studies 3-4 Studies (95908) $966.76 $2,416.90 4.2×
Nerve conduction studies 5-6 studies (95909) $1,414.98 $3,537.44 6.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $219.18 $547.94 1.6×
Neuromuscular Reeducation (97112) $100.78 $251.93 3.1×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681)
range across 2 matching MRF lines
$327.54–$600.11 $818.85–$1,500.26 varies
Oral Function Therapy (92526) $154.32 $385.78 1.8×
Oral Speech Device Eval (92597) $162.41 $406.02 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $63.19 $157.97 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $132.98 $332.44 2.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $22.51 $56.27 1.0×
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$11.14–$18.56 $27.83–$46.38 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines
$11.14–$20.58 $27.83–$51.44 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 2 matching MRF lines
$11.14–$18.56 $27.83–$46.38 varies
Osteopathic manipulative tx 9-10 body regions (98929) $44.46 $111.14 2.0×
Ot Contrast Bath Ea 15 Min (97034) $63.44 $158.58 4.5×
Ot eval high complexity (97167) $411.74 $1,029.34 4.1×
Ot Eval Low Complex (97165) $322.24 $805.58 3.2×
Ot Eval Moderate Complexity (97166) $358.04 $895.09 3.6×
Ot manual therapy 15 min (97140) $91.75 $229.36 3.3×
Ot paraffin bath (97018) $40.98 $102.45 6.8×
Ot Prosthetic Training, Each 15 Min (97761)
range across 3 matching MRF lines
$92.10–$111.23 $230.24–$278.07 varies
Ot Re-Eval Est Plan Care (97168) $227.52 $568.79 3.3×
Ot rom hand (95852) $95.27 $238.16 4.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $201.50 $503.74 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $538.24 $1,345.58 2.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,496.17 $28,740.41 1.9×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $18,978.59 $47,446.47 1.6×
Phlebotomy therapeutic (99195) $131.62 $329.03 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $246.42 $616.04 4.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $246.42 $616.04 4.0×
Plethysmography (94726) $449.59 $1,123.96 1.1×
Pm device eval in person (93288) $187.39 $468.46 4.8×
Pm device progr eval dual (93280) $172.61 $431.52 4.4×
Pm device progr eval multi (93281) $215.74 $539.33 5.5×
Pm Device Progr Eval Sngl (93279) $135.32 $338.29 3.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,349.01 $8,372.51 3.7×
Polysom <6 yrs 4/> paramtrs (95782) $3,240.25 $8,100.61 3.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,349.01 $8,372.51 3.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $332.53 $831.31 8.4×
Prq Card Angio/Athrect 1 Art (92924) $12,853.03 $32,132.56 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $18,978.59 $47,446.47 1.6×
Prq Card Stent/Ath/Angio (92933) $18,978.59 $47,446.47 1.0×
Prq Revasc Byp Graft 1 Vsl (92937) $18,978.59 $47,446.47 1.6×
Pt Eval High Complex (97163) $411.74 $1,029.34 4.2×
Pt eval low complex 20 min (97161) $322.24 $805.58 3.3×
Pt Eval Mod Complex (97162) $358.04 $895.09 3.7×
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$68.35–$79.94 $170.86–$199.84 varies
Pt group caregiver training (97552) $19.27 $48.17 0.9×
Pt mechanical traction (97012) $74.76 $186.88 5.2×
Pt Re-Eval Est Plan Care (97164) $227.52 $568.79 3.4×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $13.11 $32.76 0.3×
Pulm function test by gas (94727) $449.59 $1,123.96 2.0×
Pulmonary Stress Testing (94618) $451.63 $1,129.06 3.2×
R Hrt Art/Grft Angio (93457) $12,314.08 $30,785.19 3.6×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $11,713.42 $29,283.53 3.4×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $11,713.42 $29,283.53 3.4×
R hrt coronary artery angio (93456) $11,713.42 $29,283.53 3.4×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $10,335.62 $25,839.04 3.0×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $10,335.62 $25,839.04 3.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,233.95 $20,584.86 2.4×
Refill/Maint Portable Pump (96521) $321.40 $803.50 1.4×
Refill/Maint Pump/Resvr Syst (96522) $1,434.74 $3,586.85 6.4×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $48.78 $121.94 1.2×
Remote 30 Day Ecg Rev/Report (93270) $434.48 $1,086.18 11.0×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $16.97 $42.42 0.1×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981)
range across 2 matching MRF lines
$31.72–$35.75 $79.30–$89.37 varies
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980)
range across 2 matching MRF lines
$38.98–$43.93 $97.44–$109.82 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $120.01 $300.02 1.9×
Right Heart Cath (93451) $4,682.23 $11,705.57 1.4×
Right ventricular recording (93603) $5,670.44 $14,176.08 4.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $342.07 $855.17 1.6×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $72.37 $180.91 2.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $114.27 $285.67 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $57.13 $142.82 1.2×
Self Care Mngment Training (97535) $59.50 $148.74 1.8×
Sensory Integration Ea 15 Min (97533) $70.28 $175.69 1.2×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $156.42 $391.04 0.7×
Short-latency somatosens ep std upr limbs (95925) $1,338.36 $3,345.89 5.9×
Sleep study unattended (95806) $223.90 $559.73 1.0×
Slp caregiver training 1st 30 min (97550) $45.12 $112.80 0.9×
Somatosensory Testing (95938) $443.63 $1,109.07 0.5×
Speech sound lang comprehen (92523) $305.25 $763.12 1.3×
Spin/Brain Pump Refil & Main (95991) $250.03 $625.07 0.8×
Spirometry (94010) $199.38 $498.45 0.9×
Ssep lower limbs (95926) $1,137.27 $2,843.17 5.0×
Standardized Cognitive Performance Testing (96125) $197.85 $494.62 1.9×
Subcutaneous Infusion Each Additional Hour (96370) $213.76 $534.40 4.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $230.03 $575.06 1.0×
Surfactant Admin Thru Tube (94610) $114.60 $286.49 0.5×
Temp transcutaneous pacing (92953) $976.97 $2,442.41 1.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $84.10 $210.25 3.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $100.08 $250.19 3.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $97.65 $244.11 1.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$135.63–$169.71 $339.06–$424.26 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$217.81–$272.54 $544.51–$681.34 varies
Therapeutic Activities (97530) $71.94 $179.83 2.1×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,309.94 $5,774.83 5.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $20.50 $51.23 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $19.84 $49.60 0.5×
Tte w/doppler, complete (93306) $2,043.36 $5,108.39 3.5×
Tte W/O Doppler Complete (93307) $1,555.66 $3,889.14 6.2×
Tx atrial fib pulm vein isol (93656) $29,998.73 $74,996.81 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $193.65 $484.12 2.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $60.83 $152.06 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$168.50–$210.84 $421.24–$527.09 varies
Unlisted noninvasive vascular diagnostic study (93998) $462.20 $1,155.49 15.1×
Upr/L Xtremity Art 2 Levels (93922) $494.52 $1,236.30 3.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,293.19 $3,232.97 5.7×
Vasopneumatic device (97016) $144.16 $360.38 12.0×
Veeg 2-12 Hr Cont Mntr (95713) $1,049.45 $2,623.61 2.7×
Veeg 2-12 hr intmt mntr (95712) $546.98 $1,367.43 1.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,049.45 $2,623.61 2.7×
Veeg Ea 12-26 Hr Unmntr (95714) $1,049.45 $2,623.61 2.7×
Veeg ea 12-26hr cont mntr (95716) $1,964.34 $4,910.83 2.2×
Vent Mgmt Inpat Init Day (94002) $1,900.08 $4,750.19 2.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $747.37 $1,868.42 1.1×
Visual Evoked Potential Test (95930) $1,227.44 $3,068.59 5.4×
Vital capacity, total (94150) $136.84 $342.08 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $79.11 $197.76 2.5×
Whirlpool Therapy (97022) $198.13 $495.32 12.6×

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.