Visits & medical services prices at St. Mary Medical Center Inc
Hobart, IN · every code in this section with a posted price and a Medicare benchmark.
347 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) | $19,768.80 | $32,948 | 2.4× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 4 matching MRF lines |
$124.20–$348.60 | $207–$581 | varies |
| Acoustic Reflex Testing (92568) | $103.80 | $173 | 2.6× |
| Actigraphy Testing Recording Analysis I&R (95803) | $372 | $620 | 6.0× |
| Actinotherapy Ultraviolet Light (96900) | $81 | $135 | 2.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $105 | $175 | 2.4× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $453 | $755 | 2.0× |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$654–$1,020.60 | $1,090–$1,701 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) | $641.40 | $1,069 | 2.8× |
| Airway Inhalation Treatment (94640) range across 21 matching MRF lines |
$39.60–$273 | $66–$455 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $51 | $85 | 1.3× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $113.40 | $189 | 0.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $110.40 | $184 | 0.8× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $301.80 | $503 | 2.2× |
| Analyze neurostim complex (95972) | $457.80 | $763 | 4.6× |
| Analyze neurostim no prog (95970) | $150.60 | $251 | 1.1× |
| Analyze Pacemaker System (93724) | $1,798.20 | $2,997 | 5.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $67.20 | $112 | 4.7× |
| Application on-body injector (96377) | $118.20 | $197 | 2.4× |
| Arrhythmia Induction (93618) | $3,330 | $5,550 | 2.6× |
| Assessment of tinnitus (92625) | $228.60 | $381 | 1.7× |
| Audiometry Air & Bone (92553) | $169.20 | $282 | 1.2× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$301.80–$921.60 | $503–$1,536 | varies |
| Behavral qualit analys voice (92524) | $202.80 | $338 | 1.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $155.40 | $259 | 1.9× |
| Bfb training ea addl 15 min (90913) | $51.60 | $86 | 1.6× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$46.20–$223.20 | $77–$372 | varies |
| Bioimpedance Cv Analysis (93701) | $153.60 | $256 | 1.1× |
| Bis Xtracell Fluid Analysis (93702) | $136.80 | $228 | 1.0× |
| Blink reflex test (95933) | $516.60 | $861 | 8.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $358.80 | $598 | 0.9× |
| Bundle of his recording (93600) | $7,833 | $13,055 | 0.9× |
| Caloric vestibular test w/rec bi monothermal (92538) | $462.60 | $771 | 2.0× |
| Caloric Vstblr Test W/Rec (92537) | $880.20 | $1,467 | 6.5× |
| Canalith repositioning proc (95992) | $159 | $265 | 3.9× |
| Car seat/bed test 60 min (94780) | $109.20 | $182 | 2.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,254 | $2,090 | 5.5× |
| Cardiopulmonary exercise testing (94621) | $687.60 | $1,146 | 1.7× |
| Cardiopulmonary resuscitation (92950) | $1,047 | $1,745 | 4.6× |
| Cardioversion (92960) | $1,056 | $1,760 | 1.5× |
| Cardioversion elective internal (92961) | $2,520 | $4,200 | 3.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $33 | $55 | 1.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $18,486 | $30,810 | 5.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $16,749.60 | $27,916 | 4.9× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$171.60–$272.40 | $286–$454 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $575.40 | $959 | 2.5× |
| Chemo Admin Peritoneal Cavity (96446) | $468 | $780 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $218.40 | $364 | 2.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $218.40 | $364 | 2.9× |
| Chemo intralesional up to 7 (96405) | $169.20 | $282 | 2.2× |
| Chemo IV infusion addl hr (96415) | $104.40 | $174 | 1.4× |
| Chemo IV push addl drug (96411) | $222.60 | $371 | 2.9× |
| Chemother Prolong Infuse W/Pump (96416) | $462 | $770 | 1.3× |
| Chemotherapy Into Cns (96450) | $468 | $780 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $222.60 | $371 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $468 | $780 | 1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $377.40 | $629 | 1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $468 | $780 | 1.3× |
| Chest Wall Manipulation (94668) | $78 | $130 | 0.6× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 4 matching MRF lines |
$932.40–$2,131.20 | $1,554–$3,552 | varies |
| Color/duplex Doppler, complete (93975) | $839.40 | $1,399 | 3.3× |
| Color/duplex Doppler, limited (93976) | $731.40 | $1,219 | 6.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $79.80 | $133 | 2.5× |
| Comprehensive Hearing Test (92557) | $307.80 | $513 | 2.3× |
| Computerized dynamic posturography (92548) | $336 | $560 | 2.4× |
| Conditioning Play Audiometry (92582) | $257.40 | $429 | 1.9× |
| Continuous Pulse Ox (94762) | $325.20 | $542 | 2.4× |
| Coronary Art/Grft Angio S&I (93455) | $11,259.60 | $18,766 | 3.3× |
| Coronary Artery Angio S&I (93454) | $9,555 | $15,925 | 2.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$454.20–$773.40 | $757–$1,289 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$78–$172.80 | $130–$288 | varies |
| Critical care first hour (99291) | $2,923.80 | $4,873 | 3.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$243–$256.20 | $405–$427 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $301.80 | $503 | 2.2× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$764.40–$913.20 | $1,274–$1,522 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $259.80 | $433 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $715.80 | $1,193 | 2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $610.20 | $1,017 | 5.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,118.40 | $1,864 | 4.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 6 matching MRF lines |
$660–$832.20 | $1,100–$1,387 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,118.40–$1,677 | $1,864–$2,795 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 8 matching MRF lines |
$660–$1,132.20 | $1,100–$1,887 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$581.40–$872.10 | $969–$1,453.50 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $445.80 | $743 | 4.0× |
| Duplex Scan Hemodialysis Access (93990) | $581.40 | $969 | 5.3× |
| Duplex up extrem art bilat (93930) | $1,118.40 | $1,864 | 4.4× |
| Duplex up extrem art unilat/ltd (93931) range across 6 matching MRF lines |
$660–$847.20 | $1,100–$1,412 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $308.40 | $514 | 2.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $301.80 | $503 | 2.2× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $301.80 | $503 | 2.2× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,993.80–$2,491.20 | $3,323–$4,152 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$550.80–$859.20 | $918–$1,432 | varies |
| Echo transesophageal (93312) | $2,267.40 | $3,779 | 3.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,266.80 | $3,778 | 3.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 8 matching MRF lines |
$2,334.60–$2,918.40 | $3,891–$4,864 | varies |
| Eeg 41-60 Minutes (95812) | $914.40 | $1,524 | 4.0× |
| EEG awake and asleep (95819) | $769.20 | $1,282 | 3.4× |
| EEG awake drowsy (95816) | $769.20 | $1,282 | 3.4× |
| EEG cerebral death evaluation (95824) | $793.20 | $1,322 | 2.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $492 | $820 | 2.2× |
| EEG extended monitoring 61-119 minutes (95813) | $1,104 | $1,840 | 4.8× |
| Eeg Sleep Only (95822) | $769.20 | $1,282 | 3.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,777.80 | $2,963 | 7.8× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,887.80 | $4,813 | 7.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,777.20 | $2,962 | 7.8× |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$2,164.20–$2,888.40 | $3,607–$4,814 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $188.40 | $314 | 4.8× |
| Electrical Stimulation Ea 15 Min (97032) | $98.40 | $164 | 6.7× |
| Electrocardiogram Tracing (93005) | $275.40 | $459 | 4.4× |
| Electrocochleography (92584) | $301.80 | $503 | 2.2× |
| Electroconvulsive Therapy (90870) | $1,005 | $1,675 | 1.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $7,833 | $13,055 | 0.9× |
| Electrophysiology Evaluation (93642) | $2,489.40 | $4,149 | 1.9× |
| Emergency Dept Visit Level 2 (99282) | $625.20 | $1,042 | 3.8× |
| Emergency Dept Visit Level 3 (99283) | $1,120.20 | $1,867 | 3.9× |
| Emergency Dept Visit Level 4 (99284) | $1,480.20 | $2,467 | 3.4× |
| Emg 3 Extremities (95863) | $600.60 | $1,001 | 4.4× |
| Emg 4 Extremities (95864) | $671.40 | $1,119 | 4.9× |
| Endomyocardial Biopsy (93505) | $5,211 | $8,685 | 1.6× |
| Ep & ablate supravent arrhyt (93653) | $58,500.60 | $97,501 | 2.1× |
| Ep & ablate ventric tachy (93654) | $57,285.60 | $95,476 | 2.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $13,816.80 | $23,028 | 1.7× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,831.20 | $13,052 | 0.9× |
| Er level 1 (99281) | $446.40 | $744 | 5.0× |
| Er level v (99285) | $2,146.20 | $3,577 | 3.4× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $988.20 | $1,647 | 2.5× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $228.60 | $381 | 1.7× |
| Evaluate Speech Production (92522) | $202.80 | $338 | 1.8× |
| Evaluate Swallowing Function (92610) | $199.80 | $333 | 2.4× |
| Evaluation of speech fluency (92521) | $126.60 | $211 | 0.9× |
| Evoked Auditory Test,Limited (92587) | $215.40 | $359 | 0.9× |
| Exercise test for bronchospasm (94617) | $423 | $705 | 3.0× |
| External ECG rec>48hr<7d recording (93242) | $761.40 | $1,269 | 19.3× |
| External ECG rec>7d<15d recording (93246) | $761.40 | $1,269 | 19.3× |
| External Ecg Scanning Analysis Report (93226) | $628.20 | $1,047 | 10.1× |
| Extracranial Bilat Study (93880) | $1,282.80 | $2,138 | 5.1× |
| Extracranial Uni/Ltd Study (93882) | $571.20 | $952 | 5.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$1,127.40–$1,352.40 | $1,879–$2,254 | varies |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $194.40 | $324 | 1.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $259.80 | $433 | 1.3× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) range across 2 matching MRF lines |
$204.60–$298.20 | $341–$497 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,567.80 | $2,613 | 4.0× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $697.20 | $1,162 | 3.1× |
| Group Therapeutic Procedures (97150) range across 27 matching MRF lines |
$79.20–$400.20 | $132–$667 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $186 | $310 | 1.7× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $66 | $110 | 1.7× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $186 | $310 | 1.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $19,478.40 | $32,464 | 5.7× |
| Holter monitor recording (93225) | $717.60 | $1,196 | 5.1× |
| Icd Device Interrogate (93289) | $387 | $645 | 9.8× |
| Icd device progr eval dual (93283) | $571.20 | $952 | 14.5× |
| Icd Device Progr Eval Mult (93284) | $571.20 | $952 | 14.5× |
| Ilr Device Eval Progr (93285) | $191.40 | $319 | 4.8× |
| Ilr Device Interrogate (93291) | $191.40 | $319 | 6.3× |
| Immunization administration (90471) | $105.60 | $176 | 1.4× |
| Ingestion challenge test initial 120 minutes (95076) | $829.20 | $1,382 | 2.1× |
| Insert/Place Heart Catheter (93503) | $2,233.80 | $3,723 | 1.3× |
| Interrogate Subq Defib (93261) | $387 | $645 | 9.8× |
| Intra-atrial pacing (93610) | $7,831.20 | $13,052 | 0.9× |
| Intra-atrial recording (93602) | $7,831.20 | $13,052 | 0.9× |
| Intracranial Complete Study (93886) | $1,131 | $1,885 | 4.5× |
| Intraventricular pacing (93612) | $7,831.20 | $13,052 | 0.9× |
| Iontophoresis 15 min (97033) | $98.40 | $164 | 5.2× |
| Irrig Drug Delivery Device (96523) | $116.40 | $194 | 1.9× |
| IV infusion hydration each additional hour (96361) | $104.40 | $174 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $467.40 | $779 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$231–$231.60 | $385–$386 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $104.40 | $174 | 2.1× |
| IV push initial (96374) | $191.40 | $319 | 0.9× |
| L Hrt Art/Grft Angio (93459) | $17,741.40 | $29,569 | 5.2× |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$173.40–$259.80 | $289–$433 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $513.60 | $856 | 3.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $2,613 | $4,355 | 11.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $40.20 | $67 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $43.80 | $73 | 1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $21.60 | $36 | 1.3× |
| Methacholine challenge (94070) | $891 | $1,485 | 2.3× |
| Motility study esophagus (91010) | $871.20 | $1,452 | 2.2× |
| Motion Fluoroscopy/Swallow (92611) | $251.40 | $419 | 2.7× |
| Multiple Family Group Psychotherapy (90849) | $138 | $230 | 0.7× |
| Multiple Sleep Latency Test (95805) | $2,294.40 | $3,824 | 2.5× |
| Muscle Test 2 Limbs (95861) | $480.60 | $801 | 3.4× |
| Muscle Test One Limb (95860) | $366 | $610 | 2.6× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$238.80–$274.80 | $398–$458 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $735 | $1,225 | 3.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $491.40 | $819 | 2.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $694.80 | $1,158 | 3.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $498 | $830 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $541.20 | $902 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$245.40–$454.80 | $409–$758 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $492 | $820 | 1.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $801 | $1,335 | 3.5× |
| Nerve Conduction Studies 11-12 Studies (95912) | $5,190 | $8,650 | 13.1× |
| Nerve conduction studies 13 or more studies (95913) | $6,397.20 | $10,662 | 16.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,731.60 | $2,886 | 7.6× |
| Nerve conduction studies 5-6 studies (95909) | $2,595 | $4,325 | 11.4× |
| Nerve conduction studies 7-8 studies (95910) | $3,460.20 | $5,767 | 8.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $4,325.40 | $7,209 | 11.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $261.60 | $436 | 1.9× |
| Neuromuscular Reeducation (97112) | $79.80 | $133 | 2.4× |
| Newborn resuscitation (99465) | $748.20 | $1,247 | 1.1× |
| Nitric oxide expired gas determination (95012) | $166.80 | $278 | 4.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $54 | $90 | 2.2× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $69 | $115 | 2.0× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $27 | $45 | 2.0× |
| Optokinetic Nystagmus Test (92544) | $255.60 | $426 | 1.9× |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$119.40–$226.20 | $199–$377 | varies |
| Oral Speech Device Eval (92597) | $147.60 | $246 | 2.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $81.60 | $136 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $81.60 | $136 | 1.8× |
| Oscillating Tracking Test (92545) | $255.60 | $426 | 1.1× |
| Ot eval high complexity (97167) | $221.40 | $369 | 2.2× |
| Ot Eval Low Complex (97165) | $133.20 | $222 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $181.80 | $303 | 1.8× |
| Ot manual therapy 15 min (97140) | $91.80 | $153 | 3.3× |
| Ot paraffin bath (97018) | $34.80 | $58 | 5.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $81.60 | $136 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $143.40 | $239 | 2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$249–$411 | $415–$685 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $111.60 | $186 | 0.8× |
| Oxygen Uptake Rest Indirect (94690) | $168 | $280 | 2.7× |
| Patient-initiated spirometric recording (94015) | $391.80 | $653 | 1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $145.80 | $243 | 0.6× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$175.80–$255 | $293–$425 | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $23,265 | $38,775 | 1.2× |
| Perq Transcath Cls Aortic (93591) | $22,966.80 | $38,278 | 1.2× |
| Perq Transcath Cls Mitral (93590) | $22,966.80 | $38,278 | 1.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $12,134.40 | $20,224 | 2.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $18,708 | $31,180 | 1.5× |
| Phlebotomy therapeutic (99195) | $276.60 | $461 | 2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$310.80–$401.40 | $518–$669 | varies |
| Physical Performance Test (97750) range across 5 matching MRF lines |
$54–$81.60 | $90–$136 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$289.80–$523.20 | $483–$872 | varies |
| Pm device eval in person (93288) | $420 | $700 | 10.6× |
| Pm device progr eval dual (93280) | $428.40 | $714 | 10.8× |
| Pm device progr eval multi (93281) | $428.40 | $714 | 10.8× |
| Pm Device Progr Eval Sngl (93279) | $432 | $720 | 10.9× |
| Pm/Icd Remote Tech Serv (93296) | $201.60 | $336 | 5.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$4,446.60–$4,581 | $7,411–$7,635 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$1,886.40–$3,538.80 | $3,144–$5,898 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,240.20 | $7,067 | 4.7× |
| Positional nystagmus test (92542) | $255.60 | $426 | 1.8× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $387 | $645 | 9.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $571.20 | $952 | 14.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $10,455 | $17,425 | 0.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 20 matching MRF lines |
$12,556.80–$12,903 | $20,928–$21,505 | varies |
| Prq Card Stent/Ath/Angio (92933) | $20,295 | $33,825 | 1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $20,295 | $33,825 | 1.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $21,918 | $36,530 | 1.1× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $32,400 | $54,000 | 2.7× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $18,234.60 | $30,391 | 1.5× |
| Psytx Crisis Initial 60 Min (90839) | $238.80 | $398 | 1.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $81.60 | $136 | 2.2× |
| Pt Eval High Complex (97163) | $221.40 | $369 | 2.3× |
| Pt eval low complex 20 min (97161) | $133.20 | $222 | 1.4× |
| Pt Eval Mod Complex (97162) | $181.80 | $303 | 1.9× |
| Pt gait training 15 min (97116) | $79.80 | $133 | 2.7× |
| Pt group caregiver training (97552) | $52.20 | $87 | 2.4× |
| Pt mechanical traction (97012) | $69.60 | $116 | 4.8× |
| Pt Re-Eval Est Plan Care (97164) | $143.40 | $239 | 2.1× |
| Pulm function test by gas (94727) | $262.80 | $438 | 1.2× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$37.20–$94.80 | $62–$158 | varies |
| Pulmonary Stress Testing (94618) | $423 | $705 | 3.0× |
| Pure Tone Audiometry Air (92552) | $117 | $195 | 0.8× |
| R Hrt Art/Grft Angio (93457) | $17,741.40 | $29,569 | 5.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $6,379.80 | $10,633 | 1.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $6,379.80 | $10,633 | 1.9× |
| R hrt coronary artery angio (93456) | $15,756 | $26,260 | 4.6× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $6,379.80 | $10,633 | 1.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $6,379.80 | $10,633 | 1.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $16,687.20 | $27,812 | 4.9× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $750 | $1,250 | 2.1× |
| Refill/Maint Portable Pump (96521) | $354 | $590 | 1.6× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $100.80 | $168 | 2.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $226.20 | $377 | 5.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $193.80 | $323 | 3.1× |
| Right Heart Cath (93451) | $7,695 | $12,825 | 2.2× |
| Right ventricular recording (93603) | $1,873.20 | $3,122 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $229.20 | $382 | 1.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $175.80 | $293 | 1.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $57.60 | $96 | 1.2× |
| Select picture audiometry (92583) | $100.80 | $168 | 1.6× |
| Self Care Mngment Training (97535) | $79.80 | $133 | 2.5× |
| Sensory Integration Ea 15 Min (97533) | $79.80 | $133 | 1.3× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $898.20 | $1,497 | 3.9× |
| Short-latency somatosens ep std upr limbs (95925) | $898.20 | $1,497 | 3.9× |
| Sleep study attended (95807) | $1,201.20 | $2,002 | 3.0× |
| Slp caregiver training 1st 30 min (97550) | $129.60 | $216 | 2.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,765.20 | $2,942 | 7.7× |
| Somatosensory Testing (95938) | $1,795.80 | $2,993 | 2.0× |
| Speech Audiometry Complete (92556) | $103.80 | $173 | 1.7× |
| Speech audiometry threshold (92555) | $103.80 | $173 | 1.7× |
| Speech sound lang comprehen (92523) | $241.80 | $403 | 1.1× |
| Spirometry (94010) | $257.40 | $429 | 1.1× |
| Spontaneous Nystagmus Test (92541) | $255.60 | $426 | 1.8× |
| Ssep lower limbs (95926) | $898.20 | $1,497 | 3.9× |
| Standardized Cognitive Performance Testing (96125) | $195 | $325 | 1.9× |
| Subcutaneous Infusion Each Additional Hour (96370) | $104.40 | $174 | 2.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $467.40 | $779 | 2.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $1,414.20 | $2,357 | 12.8× |
| Temp transcutaneous pacing (92953) | $1,038 | $1,730 | 1.5× |
| Tensilon Test (95857) | $230.40 | $384 | 1.0× |
| Testing Autonomic Nervous System Function (95923) | $476.40 | $794 | 3.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $79.80 | $133 | 3.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $79.80 | $133 | 3.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $79.80 | $133 | 2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $79.80 | $133 | 2.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $97.80 | $163 | 1.0× |
| Ther/Proph/Diag Inj Ia (96373) | $175.80 | $293 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $118.20 | $197 | 1.6× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$467.40–$913.80 | $779–$1,523 | varies |
| Therapeutic Activities (97530) | $79.80 | $133 | 2.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,362 | $2,270 | 3.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $75 | $125 | 1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $55.20 | $92 | 1.4× |
| Transcath Closure of Asd (93580) | $22,972.80 | $38,288 | 1.2× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $1,271.40 | $2,119 | 11.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $753.60 | $1,256 | 6.8× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $141.60 | $236 | 3.6× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $952.20 | $1,587 | 7.0× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,993.80–$3,114.60 | $3,323–$5,191 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$934.20–$1,177.20 | $1,557–$1,962 | varies |
| Tx atrial fib pulm vein isol (93656) | $68,611.80 | $114,353 | 2.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 6 matching MRF lines |
$129–$277.20 | $215–$462 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 3 matching MRF lines |
$93.60–$330.60 | $156–$551 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $181.80 | $303 | 3.7× |
| Tympanometry (92567) | $141.60 | $236 | 3.6× |
| Tympanometry and reflex threshold measurements (92550) | $243.60 | $406 | 1.1× |
| Unlis neurological/neuromuscular dx px (95999) | $492 | $820 | 3.6× |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$4,290–$7,497.60 | $7,150–$12,496 | varies |
| Unlisted otorhinolaryngological service (92700) | $140.40 | $234 | 4.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
$448.20–$615.60 | $747–$1,026 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,287 | $2,145 | 5.6× |
| Valvuloplasty aortic valve (92986) | $12,317.40 | $20,529 | 2.0× |
| Valvuloplasty mitral valve (92987) | $19,136.40 | $31,894 | 1.6× |
| Vasopneumatic device (97016) | $120 | $200 | 10.0× |
| Veeg 2-12 hr intmt mntr (95712) | $1,777.80 | $2,963 | 4.5× |
| Veeg 2-12 hr unmonitored (95711) | $1,777.80 | $2,963 | 7.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,888.40 | $4,814 | 7.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,888.40 | $4,814 | 7.3× |
| Vent Mgmt Inpat Init Day (94002) range across 5 matching MRF lines |
$773.40–$1,162.80 | $1,289–$1,938 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $637.20 | $1,062 | 1.0× |
| Visual Evoked Potential Test (95930) | $591 | $985 | 2.6× |
| Visual reinforcement audiometry (vra) (92579) | $257.40 | $429 | 1.1× |
| Vital capacity, total (94150) | $126.60 | $211 | 0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $79.80 | $133 | 2.6× |
| Whirlpool Therapy (97022) | $88.80 | $148 | 5.7× |
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.