Visits & medical services prices at St. Mary's Medical Center
Huntington, WV · every code in this section with a posted price and a Medicare benchmark.
337 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $84.46 | $84.46 | 0.7× |
| Acoustic Reflex Testing (92568) | $36.95 | $36.95 | 1.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$42.23–$59.12 | $42.23–$59.12 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $147.81 | $147.81 | 0.7× |
| Aep neurodiagnostic i&r (92653) | $1,232.06 | $1,232.06 | 5.9× |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$147.41–$1,232.06 | $147.41–$1,232.06 | varies |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$136.20–$499.38 | $136.20–$499.38 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $17.95 | $17.95 | 0.5× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $32.73 | $32.73 | 1.2× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $146.75 | $146.75 | 1.2× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $72.85 | $72.85 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$69.69–$73.91 | $69.69–$73.91 | varies |
| Application Modality 1/> Areas Infrared (97026) | $61.24 | $61.24 | 9.2× |
| Application on-body injector (96377) range across 2 matching MRF lines |
$42.23–$217.83 | $42.23–$217.83 | varies |
| Assessment of aphasia per hr (96105) | $506.76 | $506.76 | 5.2× |
| Audiometry Air & Bone (92553) | $83.97 | $83.97 | 0.7× |
| Auditory Function, 60 Min (92620) | $83.40 | $83.40 | 0.7× |
| Basic vestibular evaluation (92540) | $99.02 | $99.02 | 0.5× |
| Behavral qualit analys voice (92524) | $203.76 | $203.76 | 1.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $382.19 | $382.19 | 4.7× |
| Bfb training ea addl 15 min (90913) | $382.19 | $382.19 | 11.7× |
| Biofeedback training any modality (90901) range across 4 matching MRF lines |
$185.81–$199.54 | $185.81–$199.54 | varies |
| Bioimpedance Cv Analysis (93701) | $260.77 | $260.77 | 2.0× |
| Blink reflex test (95933) | $73.90 | $73.90 | 1.3× |
| Brief Emotional/Behav Assmt (96127) | $37.25 | $37.25 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$147.41–$639.79 | $147.41–$639.79 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $84.46 | $84.46 | 0.4× |
| Caloric Vstblr Test W/Rec (92537) | $83.97 | $83.97 | 0.7× |
| Canalith repositioning proc (95992) | $163.64 | $163.64 | 4.0× |
| Car seat/bed test 60 min (94780) | $121.41 | $121.41 | 3.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $477.20 | $477.20 | 2.3× |
| Cardiopulmonary exercise testing (94621) | $408.58 | $408.58 | 1.1× |
| Cardiopulmonary resuscitation (92950) | $1,132.83 | $1,132.83 | 5.5× |
| Cardioversion (92960) | $990.30 | $990.30 | 1.6× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $32.66 | $32.66 | 0.9× |
| Cbt 1st hour (94644) | $266.05 | $266.05 | 2.1× |
| Chemo Admin Peritoneal Cavity (96446) | $728.19 | $728.19 | 2.3× |
| Chemo Anti-Neopl Sq/Im (96401) range across 5 matching MRF lines |
$157.96–$258.66 | $157.96–$258.66 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 5 matching MRF lines |
$78.90–$259.71 | $78.90–$259.71 | varies |
| Chemo Ia Push (96420) | $811.88 | $811.88 | 2.6× |
| Chemo Intralesional Over 7 (96406) range across 2 matching MRF lines |
$174.20–$462.54 | $174.20–$462.54 | varies |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$71.79–$156.24 | $71.79–$156.24 | varies |
| Chemo IV infusion addl hr (96415) | $360.02 | $360.02 | 5.2× |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$140.42–$194.26 | $140.42–$194.26 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $314.62 | $314.62 | 1.0× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $728.19 | $728.19 | 2.3× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $101.31 | $101.31 | 2.3× |
| Chemotherapy Into Cns (96450) range across 4 matching MRF lines |
$147.81–$482.48 | $147.81–$482.48 | varies |
| Chemotherapy Unspecified (96549) | $101.31 | $101.31 | 2.3× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $728.19 | $728.19 | 2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$157.31–$527.88 | $157.31–$527.88 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $732.70 | $732.70 | 2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 4 matching MRF lines |
$219.60–$351.57 | $219.60–$351.57 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 3 matching MRF lines |
$117.19–$357.90 | $117.19–$357.90 | varies |
| Chest Wall Manipulation (94668) | $292.45 | $292.45 | 2.3× |
| Chron Care Mgmt Srvc 20 Min (99490) | $372.68 | $372.68 | 3.8× |
| Cmptr ophth dx img ant segmt (92132) | $28.50 | $28.50 | 0.5× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $47.51 | $47.51 | 0.8× |
| Color/duplex Doppler, complete (93975) | $1,764.17 | $1,764.17 | 7.7× |
| Color/duplex Doppler, limited (93976) | $1,764.17 | $1,764.17 | 17.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$92.91–$95.02 | $92.91–$95.02 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $115.01 | $115.01 | 0.7× |
| Comprehensive Hearing Test (92557) | $83.97 | $83.97 | 0.7× |
| Computerized dynamic posturography (92548) | $382.19 | $382.19 | 3.0× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $33.38 | $33.38 | 0.6× |
| Computerized Ophthalmic Imaging Retina (92134) | $257.60 | $257.60 | 4.6× |
| Conditioning Play Audiometry (92582) | $74.64 | $74.64 | 0.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $154.15 | $154.15 | 1.2× |
| Continuous Pulse Ox (94762) | $376.91 | $376.91 | 3.1× |
| Corneal Topography (92025) | $32.73 | $32.73 | 0.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $315.67 | $315.67 | 1.5× |
| Cpt initial (94667) range across 4 matching MRF lines |
$72.85–$263.94 | $72.85–$263.94 | varies |
| Critical care first hour (99291) | $2,447.25 | $2,447.25 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$91.27–$652.46 | $91.27–$652.46 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $120.36 | $120.36 | 1.0× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $91.85 | $91.85 | 0.7× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$466.65–$996.63 | $466.65–$996.63 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $147.81 | $147.81 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $4,086.83 | $4,086.83 | 17.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$666.18–$1,764.17 | $666.18–$1,764.17 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$345.23–$1,764.17 | $345.23–$1,764.17 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,764.17 | $1,764.17 | 7.7× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 10 matching MRF lines |
$252.32–$1,764.17 | $252.32–$1,764.17 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,799.01 | $1,799.01 | 7.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $1,799.01 | $1,799.01 | 17.9× |
| Duplex Scan Hemodialysis Access (93990) | $458.20 | $458.20 | 4.6× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$645.06–$1,764.17 | $645.06–$1,764.17 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$330.45–$1,764.17 | $330.45–$1,764.17 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $82.98 | $82.98 | 0.7× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $138.75 | $138.75 | 1.1× |
| Ear Protector Evaluation (92596) | $66.51 | $66.51 | 1.9× |
| ECG/monitoring and analysis (93271) | $123.53 | $123.53 | 1.4× |
| Echo Congenital Complete (93303) | $992.57 | $992.57 | 1.9× |
| Echo Heart Xthoracic,Limited (93308) | $570.11 | $570.11 | 2.5× |
| Echo r-t 2d w/probe placement only (93313) | $1,079.90 | $1,079.90 | 2.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $992.57 | $992.57 | 1.9× |
| Eeg 41-60 Minutes (95812) | $4,791.03 | $4,791.03 | 23.1× |
| EEG awake and asleep (95819) | $1,009.30 | $1,009.30 | 4.9× |
| EEG awake drowsy (95816) | $1,009.30 | $1,009.30 | 4.9× |
| EEG cerebral death evaluation (95824) | $1,009.30 | $1,009.30 | 2.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $626.07 | $626.07 | 3.0× |
| EEG extended monitoring 61-119 minutes (95813) | $4,791.03 | $4,791.03 | 23.1× |
| Eeg Sleep Only (95822) | $1,009.30 | $1,009.30 | 4.9× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $626.07 | $626.07 | 3.0× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,201.46 | $1,201.46 | 3.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$64.40–$92.91 | $64.40–$92.91 | varies |
| Electrocardiogram Tracing (93005) range across 7 matching MRF lines |
$45.39–$175.26 | $45.39–$175.26 | varies |
| Electrocochleography (92584) | $100.29 | $100.29 | 0.8× |
| Electroconvulsive Therapy (90870) | $1,073.72 | $1,073.72 | 1.3× |
| Emergency Dept Visit Level 2 (99282) | $229.10 | $229.10 | 1.6× |
| Emergency Dept Visit Level 3 (99283) | $577.50 | $577.50 | 2.2× |
| Emergency Dept Visit Level 4 (99284) | $843.55 | $843.55 | 2.1× |
| Emg 3 Extremities (95863) | $1,232.06 | $1,232.06 | 10.0× |
| Emg 4 Extremities (95864) | $503.60 | $503.60 | 4.1× |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,330.37 | $2,330.37 | 2.0× |
| Er level 1 (99281) range across 3 matching MRF lines |
$192.15–$202.43 | $192.15–$202.43 | varies |
| Er level v (99285) | $1,297.53 | $1,297.53 | 2.3× |
| Esoph Atrial Electrogram (93615) | $2,330.37 | $2,330.37 | 2.0× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $982.91 | $982.91 | 2.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $80.96 | $80.96 | 0.7× |
| Evaluate pt use of inhaler (94664) range across 7 matching MRF lines |
$145.70–$431.81 | $145.70–$431.81 | varies |
| Evaluate Speech Production (92522) | $195.32 | $195.32 | 1.7× |
| Evaluate Swallowing Function (92610) | $293.51 | $293.51 | 3.5× |
| Evaluation of speech fluency (92521) | $238.61 | $238.61 | 1.8× |
| Evoked Auditory Test,Limited (92587) | $147.41 | $147.41 | 0.7× |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$32.73–$80.24 | $32.73–$80.24 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $127.75 | $127.75 | 1.0× |
| External ECG rec>7d<15d recording (93246) range across 3 matching MRF lines |
$32.73–$131.97 | $32.73–$131.97 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$341.01–$986.08 | $341.01–$986.08 | varies |
| Extracranial Uni/Ltd Study (93882) | $341.01 | $341.01 | 3.4× |
| Eye Allergy Tests (95060) | $72.85 | $72.85 | 0.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $992.57 | $992.57 | 1.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $301.95 | $301.95 | 1.5× |
| Fluorescein angiography (92235) | $143.58 | $143.58 | 0.7× |
| Full Field Electroretinography W/I&R (92273) | $147.81 | $147.81 | 0.7× |
| Fundus photography (92250) | $72.51 | $72.51 | 0.6× |
| Gonioscopy (92020) | $149.92 | $149.92 | 1.2× |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$58.06–$61.24 | $58.06–$61.24 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $96.28 | $96.28 | 1.0× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $68.79 | $68.79 | 1.9× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $49.62 | $49.62 | 1.4× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $65.18 | $65.18 | 0.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $724.25 | $724.25 | 1.1× |
| Holter monitor recording (93225) range across 5 matching MRF lines |
$174.20–$428.64 | $174.20–$428.64 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $36.95 | $36.95 | 1.0× |
| Icd Device Interrogate (93289) | $65.46 | $65.46 | 1.8× |
| Icm Device Eval (93290) | $47.51 | $47.51 | 1.3× |
| Ilr Device Eval Progr (93285) | $53.84 | $53.84 | 1.5× |
| Ilr Device Interrogate (93291) | $43.83 | $43.83 | 1.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 4 matching MRF lines |
$71.79–$706.30 | $71.79–$706.30 | varies |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $35.90 | $35.90 | 0.6× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $45.39 | $45.39 | 0.8× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $27.44 | $27.44 | 0.8× |
| Immunization administration (90471) range across 4 matching MRF lines |
$74.48–$81.30 | $74.48–$81.30 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $236.49 | $236.49 | 0.7× |
| Interrogate Subq Defib (93261) | $63.35 | $63.35 | 1.8× |
| Intracranial Complete Study (93886) | $330.45 | $330.45 | 1.4× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $32.73 | $32.73 | 1.2× |
| Intracutaneous tests w/allergenic extracts (95024) | $19.01 | $19.01 | 0.3× |
| Iontophoresis 15 min (97033) | $58.06 | $58.06 | 3.0× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$22.17–$152.03 | $22.17–$152.03 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$38.01–$389.58 | $38.01–$389.58 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$129.86–$544.77 | $129.86–$544.77 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$63.35–$168.92 | $63.35–$168.92 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$50.68–$281.88 | $50.68–$281.88 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$81.30–$528.94 | $81.30–$528.94 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $600.73 | $600.73 | 2.9× |
| Mechanical chest wall oscillation per session (94669) range across 4 matching MRF lines |
$106.63–$431.81 | $106.63–$431.81 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $147.13 | $147.13 | 4.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $255.03 | $255.03 | 6.9× |
| Methacholine challenge (94070) | $692.58 | $692.58 | 1.9× |
| Motility study esophagus (91010) | $982.91 | $982.91 | 2.7× |
| Motion Fluoroscopy/Swallow (92611) | $290.33 | $290.33 | 3.2× |
| Multifocal Electroretinography W/I&R (92274) | $80.24 | $80.24 | 0.7× |
| Multiple Sleep Latency Test (95805) | $4,791.03 | $4,791.03 | 5.8× |
| Muscle Test 2 Limbs (95861) | $503.60 | $503.60 | 3.9× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$73.51–$503.60 | $73.51–$503.60 | varies |
| Muscle Test One Limb (95860) | $503.60 | $503.60 | 3.9× |
| Nasopharyngoscopy (92511) | $104.27 | $104.27 | 0.5× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,232.06 | $1,232.06 | 5.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $1,232.06 | $1,232.06 | 5.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $503.60 | $503.60 | 2.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$222.76–$585.94 | $222.76–$585.94 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,080.04 | $1,080.04 | 2.8× |
| Nerve Conduction Studies 1-2 Studies (95907) | $503.60 | $503.60 | 2.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,147.60 | $1,147.60 | 3.2× |
| Nerve conduction studies 13 or more studies (95913) | $1,147.60 | $1,147.60 | 3.2× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$147.41–$503.60 | $147.41–$503.60 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$147.41–$503.60 | $147.41–$503.60 | varies |
| Nerve conduction studies 7-8 studies (95910) | $503.60 | $503.60 | 1.4× |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$236.49–$1,147.60 | $236.49–$1,147.60 | varies |
| Neurobehavioral Status Exam (96116) | $147.81 | $147.81 | 0.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $503.60 | $503.60 | 4.1× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$92.91–$95.02 | $92.91–$95.02 | varies |
| Nose Allergy Test (95065) | $25.34 | $25.34 | 0.7× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $236.78 | $236.78 | 0.7× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $72.85 | $72.85 | 0.6× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $136.91 | $136.91 | 1.1× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $115.15 | $115.15 | 0.9× |
| Ophth medical xm&eval intermediate estab pt (92012) | $81.17 | $81.17 | 0.6× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $77.12 | $77.12 | 0.6× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $45.39 | $45.39 | 0.8× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $45.39 | $45.39 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $84.46 | $84.46 | 0.7× |
| Oral Function Therapy (92526) | $173.14 | $173.14 | 2.1× |
| Oral Speech Device Eval (92597) | $213.27 | $213.27 | 3.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $191.09 | $191.09 | 3.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$73.90–$73.91 | $73.90–$73.91 | varies |
| Oscillating Tracking Test (92545) | $147.81 | $147.81 | 0.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $29.56 | $29.56 | 1.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $42.23 | $42.23 | 2.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $92.91 | $92.91 | 6.6× |
| Ot eval high complexity (97167) | $196.38 | $196.38 | 2.0× |
| Ot Eval Low Complex (97165) | $163.64 | $163.64 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $182.65 | $182.65 | 1.8× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$116.14–$122.47 | $116.14–$122.47 | varies |
| Ot paraffin bath (97018) | $88.68 | $88.68 | 14.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $127.75 | $127.75 | 3.2× |
| Ot Re-Eval Est Plan Care (97168) | $110.86 | $110.86 | 1.6× |
| Ot rom hand (95852) | $45.39 | $45.39 | 2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $299.83 | $299.83 | 2.4× |
| Patch/Application Test Specify Number Tests (95044) | $441.80 | $441.80 | 0.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $317.79 | $317.79 | 1.5× |
| Percutaneous tests w/allergenic extracts (95004) | $15.83 | $15.83 | 0.0× |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$83.40–$237.55 | $83.40–$237.55 | varies |
| Photo patch test(s) (95052) | $45.39 | $45.39 | 0.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $166.81 | $166.81 | 2.9× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$182.65–$407.53 | $182.65–$407.53 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$147.41–$639.79 | $147.41–$639.79 | varies |
| Pm device eval in person (93288) | $50.42 | $50.42 | 1.4× |
| Pm/Icd Remote Tech Serv (93296) | $46.24 | $46.24 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,170.04 | $5,170.04 | 6.3× |
| Positional nystagmus test (92542) | $72.85 | $72.85 | 0.6× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $20.27 | $20.27 | 0.5× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $69.69 | $69.69 | 1.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22.17 | $22.17 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $24.28 | $24.28 | 0.5× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $40.12 | $40.12 | 0.9× |
| Psych diag eval w/med srvcs (90792) | $188.98 | $188.98 | 1.1× |
| Psychiatric diagnostic evaluation (90791) | $167.30 | $167.30 | 1.0× |
| Psychoanalysis (90845) | $95.02 | $95.02 | 0.6× |
| Psychological tst eval svc phys/qhp first hour (96130) | $147.41 | $147.41 | 0.7× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $181.44 | $181.44 | 0.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $72.51 | $72.51 | 0.6× |
| Psytx Crisis Initial 60 Min (90839) | $142.52 | $142.52 | 0.8× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $96.07 | $96.07 | 2.5× |
| Pt Eval High Complex (97163) | $196.38 | $196.38 | 2.0× |
| Pt eval low complex 20 min (97161) | $163.64 | $163.64 | 1.7× |
| Pt Eval Mod Complex (97162) | $182.65 | $182.65 | 1.9× |
| Pt gait training 15 min (97116) | $92.91 | $92.91 | 3.2× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$95.01–$95.02 | $95.01–$95.02 | varies |
| Pt Re-Eval Est Plan Care (97164) | $110.86 | $110.86 | 1.6× |
| Pulm function test by gas (94727) | $83.97 | $83.97 | 0.4× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$30.83–$316.73 | $30.83–$316.73 | varies |
| Pulmonary Stress Testing (94618) range across 7 matching MRF lines |
$28.25–$173.14 | $28.25–$173.14 | varies |
| Pure Tone Audiometry Air (92552) | $72.51 | $72.51 | 0.6× |
| Refill/Maint Portable Pump (96521) range across 3 matching MRF lines |
$108.74–$543.71 | $108.74–$543.71 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $312.50 | $312.50 | 1.5× |
| Rem interrog icpms <30 d phys/qhp (93297) | $54.90 | $54.90 | 1.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $90.80 | $90.80 | 2.5× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$35.90–$203.76 | $35.90–$203.76 | varies |
| Replacement of contact lens (92326) | $33.78 | $33.78 | 0.6× |
| Respiratory flow volume loop (94375) | $639.79 | $639.79 | 3.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $358.96 | $358.96 | 1.9× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $58.06 | $58.06 | 2.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $1,163.45 | $1,163.45 | 9.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $307.22 | $307.22 | 6.4× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$73.90–$73.91 | $73.90–$73.91 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $58.06 | $58.06 | 1.0× |
| Sensory Integration Ea 15 Min (97533) range across 4 matching MRF lines |
$92.91–$99.25 | $92.91–$99.25 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $1,232.06 | $1,232.06 | 5.9× |
| Short-latency somatosens ep std upr limbs (95925) | $1,232.06 | $1,232.06 | 5.9× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $116.14 | $116.14 | 0.9× |
| Sleep study unattended (95806) | $538.44 | $538.44 | 2.6× |
| Somatosensory Testing (95938) | $732.70 | $732.70 | 0.9× |
| Speech Audiometry Complete (92556) | $38.83 | $38.83 | 0.7× |
| Speech audiometry threshold (92555) | $25.07 | $25.07 | 0.4× |
| Speech sound lang comprehen (92523) | $403.30 | $403.30 | 1.8× |
| Spirometry (94010) range across 5 matching MRF lines |
$65.09–$376.91 | $65.09–$376.91 | varies |
| Spontaneous Nystagmus Test (92541) | $72.85 | $72.85 | 0.6× |
| Ssep lower limbs (95926) | $1,232.06 | $1,232.06 | 5.9× |
| Standardized Cognitive Performance Testing (96125) | $458.20 | $458.20 | 4.5× |
| Stenger Test, Pure Tone (92565) | $45.39 | $45.39 | 0.8× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 3 matching MRF lines |
$101.31–$163.64 | $101.31–$163.64 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 3 matching MRF lines |
$462.54–$524.71 | $462.54–$524.71 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $156.24 | $156.24 | 2.3× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $572.23 | $572.23 | 5.7× |
| Temp transcutaneous pacing (92953) | $1,231.02 | $1,231.02 | 1.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 4 matching MRF lines |
$57.02–$67.57 | $57.02–$67.57 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $116.14 | $116.14 | 5.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $77.07 | $77.07 | 2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $92.91 | $92.91 | 3.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $323.07 | $323.07 | 3.2× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $490.41 | $490.41 | 10.9× |
| Ther/Proph/Diag Inj Ia (96373) | $462.54 | $462.54 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$59.12–$239.65 | $59.12–$239.65 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$167.86–$451.86 | $167.86–$451.86 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$88.68–$96.07 | $88.68–$96.07 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $915.34 | $915.34 | 2.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$26.40–$139.36 | $26.40–$139.36 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 6 matching MRF lines |
$14.03–$139.36 | $14.03–$139.36 | varies |
| Tone Decay Test (92563) | $29.56 | $29.56 | 0.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $250.22 | $250.22 | 2.0× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $417.02 | $417.02 | 4.2× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $330.45 | $330.45 | 3.3× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $39.07 | $39.07 | 1.1× |
| Tte w/doppler, complete (93306) | $1,604.75 | $1,604.75 | 3.1× |
| Tte W/O Doppler Complete (93307) | $921.68 | $921.68 | 4.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $139.36 | $139.36 | 1.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $73.90 | $73.90 | 3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$50.68–$239.65 | $50.68–$239.65 | varies |
| Tympanometry (92567) | $37.25 | $37.25 | 1.0× |
| Tympanometry and reflex threshold measurements (92550) | $83.97 | $83.97 | 0.4× |
| Unlis neurological/neuromuscular dx px (95999) | $178.43 | $178.43 | 1.4× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $50.68 | $50.68 | 1.8× |
| Unlisted cardiovascular service/procedure (93799) | $178.43 | $178.43 | 1.4× |
| Unlisted ophthalmological service/procedure (92499) range across 4 matching MRF lines |
$42.23–$102.75 | $42.23–$102.75 | varies |
| Unlisted otorhinolaryngological service (92700) | $45.61 | $45.61 | 1.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
$251.26–$514.15 | $251.26–$514.15 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 7 matching MRF lines |
$80.56–$628.17 | $80.56–$628.17 | varies |
| Vasopneumatic device (97016) | $135.14 | $135.14 | 11.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,201.46 | $1,201.46 | 3.4× |
| Veeg 2-12 hr unmonitored (95711) | $626.07 | $626.07 | 3.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,201.46 | $1,201.46 | 3.4× |
| Veeg ea 12-26hr cont mntr (95716) | $2,249.81 | $2,249.81 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,322.87 | $1,322.87 | 2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,322.87 | $1,322.87 | 2.2× |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$147.81–$1,209.90 | $147.81–$1,209.90 | varies |
| Visual Field Exam Extended (92083) | $57.05 | $57.05 | 0.4× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $42.23 | $42.23 | 0.7× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $30.62 | $30.62 | 0.5× |
| Visual reinforcement audiometry (vra) (92579) | $84.46 | $84.46 | 0.4× |
| Vital capacity, total (94150) | $376.91 | $376.91 | 3.1× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $2,481.03 | $2,481.03 | 3.0× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$88.68–$92.91 | $88.68–$92.91 | varies |
| Whirlpool Therapy (97022) | $143.58 | $143.58 | 9.1× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $21.12 | $21.12 | 0.6× |
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.