Visits & medical services prices at Ste. Genevieve County Memorial Hospital
Ste. Genevieve, MO · every code in this section with a posted price and a Medicare benchmark.
232 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $134 | $268 | 1.3× |
| Acoustic Reflex Testing (92568) | $28.50 | $57 | 0.8× |
| Actinotherapy Ultraviolet Light (96900) | $17.50 | $35 | 0.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $36.50 | $73 | 0.9× |
| Advncd Care Plan 30 Min (99497) | $81 | $162 | 0.8× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$16.50–$133.25 | $33–$266.50 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $222.75 | $445.50 | 1.7× |
| Analyze neurostim complex (95972) | $61.50 | $123 | 0.6× |
| Analyze neurostim no prog (95970) | $20.50 | $41 | 0.2× |
| Analyze Neurostim Simple (95971) | $49 | $98 | 0.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 2 matching MRF lines |
$250–$649 | $500–$1,298 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 9 matching MRF lines |
$18–$154 | $36–$308 | varies |
| Application on-body injector (96377) | $115.75 | $231.50 | 2.5× |
| Assessment of aphasia per hr (96105) | $95.25 | $190.50 | 1.0× |
| Behavral qualit analys voice (92524) | $304.25 | $608.50 | 2.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $102.75 | $205.50 | 1.3× |
| Bfb training ea addl 15 min (90913) range across 4 matching MRF lines |
$59–$235.25 | $118–$470.50 | varies |
| Biofeedback training any modality (90901) range across 3 matching MRF lines |
$39–$69.75 | $78–$139.50 | varies |
| Bioimpedance Cv Analysis (93701) | $70.25 | $140.50 | 0.5× |
| Brief Emotional/Behav Assmt (96127) | $6 | $12 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$41.50–$413.25 | $83–$826.50 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$38.50–$170.75 | $77–$341.50 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$32.50–$403.50 | $65–$807 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$727–$1,239.50 | $1,454–$2,479 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$155–$602.50 | $310–$1,205 | varies |
| Cbt 1st hour (94644) | $177.50 | $355 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$124.25–$247.50 | $248.50–$495 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$124.25–$247.50 | $248.50–$495 | varies |
| Chemo IV infusion addl hr (96415) | $87.75 | $175.50 | 1.2× |
| Chemo IV push addl drug (96411) | $66.75 | $133.50 | 0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $178.75 | $357.50 | 2.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $538.50 | $1,077 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $435.50 | $871 | 1.3× |
| Chest Wall Manipulation (94668) | $43.25 | $86.50 | 0.3× |
| Chiropract manj 3-4 regions (98941) | $51.50 | $103 | 2.4× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $34 | $68 | 1.6× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $72.50 | $145 | 3.4× |
| Chron Care Mgmt Srvc 20 Min (99490) | $48 | $96 | 0.5× |
| Colon Motility 6 Hr Study (91117) | $130.25 | $260.50 | 0.6× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$62–$841 | $124–$1,682 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$42.50–$430 | $85–$860 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 8 matching MRF lines |
$49.50–$205 | $99–$410 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $106 | $212 | 0.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $129.50 | $259 | 1.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $50 | $100 | 0.8× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$16–$193.25 | $32–$386.50 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $595.75 | $1,191.50 | 2.7× |
| Cpt initial (94667) | $137.50 | $275 | 1.0× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$306–$893.75 | $612–$1,787.50 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$65.75–$974.50 | $131.50–$1,949 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $30.50 | $61 | 0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$42.50–$364.50 | $85–$729 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$26.50–$321.50 | $53–$643 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$42.50–$1,173.25 | $85–$2,346.50 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$26–$648.50 | $52–$1,297 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$37–$1,255.50 | $74–$2,511 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$24–$701.75 | $48–$1,403.50 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$43–$1,173.25 | $86–$2,346.50 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$26.50–$648.50 | $53–$1,297 | varies |
| Ear and throat examination (92502) | $90 | $180 | 0.2× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$27.50–$826.75 | $55–$1,653.50 | varies |
| Echo transesophageal (93312) | $32.50 | $65 | 0.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$241.50–$2,222.25 | $483–$4,444.50 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$55.50–$546 | $111–$1,092 | varies |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $55 | $110 | 0.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 8 matching MRF lines |
$38.50–$158.25 | $77–$316.50 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$6–$92.75 | $12–$185.50 | varies |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $27.50 | $55 | 0.1× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$42–$292 | $84–$584 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$93.50–$419.25 | $187–$838.50 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$224.50–$664 | $449–$1,328 | varies |
| Emg 4 Extremities (95864) | $117 | $234 | 0.9× |
| Er level 1 (99281) range across 3 matching MRF lines |
$31–$199.25 | $62–$398.50 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$172.50–$902.75 | $345–$1,805.50 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $52.50 | $105 | 0.1× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$43.50–$133.25 | $87–$266.50 | varies |
| Evaluate Speech Production (92522) | $295 | $590 | 2.6× |
| Evaluate Swallowing Function (92610) | $169.75 | $339.50 | 2.0× |
| Evaluation of speech fluency (92521) | $175.25 | $350.50 | 1.3× |
| Evoked Auditory Test,Limited (92587) | $22 | $44 | 0.1× |
| Exercise test for bronchospasm (94617) | $94.50 | $189 | 0.7× |
| External ECG rec>48hr<7d recording (93242) | $370 | $740 | 9.9× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$43–$860 | $86–$1,720 | varies |
| Extracranial Uni/Ltd Study (93882) | $23.50 | $47 | 0.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$39.50–$1,297.50 | $79–$2,595 | varies |
| Fluorescein angiography (92235) range across 3 matching MRF lines |
$104–$208 | $208–$416 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $48 | $96 | 0.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $46.50 | $93 | 0.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$77.50–$2,025.50 | $155–$4,051 | varies |
| Gi tract capsule endoscopy (91110) | $900 | $1,800 | 1.0× |
| Gi tract imaging intraluminal colon i&r (91113) | $115 | $230 | 0.1× |
| Group Therapeutic Procedures (97150) | $46.25 | $92.50 | 2.6× |
| Hubbard tank 15 min (97036) range across 8 matching MRF lines |
$36.25–$150 | $72.50–$300 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$39.50–$68 | $79–$136 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$60–$94 | $120–$188 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $14 | $28 | 0.2× |
| Immunization administration (90471) range across 3 matching MRF lines |
$14–$49.25 | $28–$98.50 | varies |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$172.50–$209.50 | $345–$419 | varies |
| Interrogation vad in person (93750) | $56 | $112 | 0.6× |
| Iontophoresis 15 min (97033) range across 14 matching MRF lines |
$76.75–$435.25 | $153.50–$870.50 | varies |
| Irrig Drug Delivery Device (96523) | $262.75 | $525.50 | 4.4× |
| IV infusion hydration each additional hour (96361) | $69 | $138 | 1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$47.50–$538.50 | $95–$1,077 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $128.50 | $257 | 1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $68.50 | $137 | 1.5× |
| IV push initial (96374) | $152.75 | $305.50 | 0.7× |
| Liver Elastography W/O Imag W/I&R (91200) | $15 | $30 | 0.1× |
| Lung Function Test (Mbc/Mvv) (94200) | $59 | $118 | 1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$26.50–$694.25 | $53–$1,388.50 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $30 | $60 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$34.50–$42.25 | $69–$84.50 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 4 matching MRF lines |
$16–$133.75 | $32–$267.50 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$206–$1,081.75 | $412–$2,163.50 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$94–$106.25 | $188–$212.50 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $30 | $60 | 0.1× |
| Multiple Family Group Psychotherapy (90849) | $103 | $206 | 0.6× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$56.68–$1,672 | $113.36–$3,344 | varies |
| Muscle Test 2 Limbs (95861) | $175 | $350 | 1.3× |
| Muscle Test Nonparaspinal (95870) | $21 | $42 | 0.2× |
| Muscle Test One Limb (95860) | $121.50 | $243 | 0.9× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$109–$218 | $218–$436 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$296–$392 | $592–$784 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$297.50–$512.50 | $595–$1,025 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$16–$974.50 | $32–$1,949 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$974.50 | $40–$1,949 | 2.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $56 | $112 | 0.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $269.50 | $539 | 0.7× |
| Nerve conduction studies 13 or more studies (95913) | $285.50 | $571 | 0.8× |
| Nerve Conduction Studies 3-4 Studies (95908) | $69.50 | $139 | 0.3× |
| Nerve conduction studies 5-6 studies (95909) | $151 | $302 | 0.7× |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$198.50–$220 | $397–$440 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$239–$268 | $478–$536 | varies |
| Neurobehavioral Status Exam (96116) | $92.50 | $185 | 0.4× |
| Neuromuscular Reeducation (97112) range across 8 matching MRF lines |
$55.75–$229.50 | $111.50–$459 | varies |
| Newborn resuscitation (99465) range across 4 matching MRF lines |
$136–$782.50 | $272–$1,565 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $130.50 | $261 | 0.3× |
| Oral Function Therapy (92526) | $108 | $216 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 8 matching MRF lines |
$36.50–$151 | $73–$302 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 24 matching MRF lines |
$66.25–$273 | $132.50–$546 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$24.25–$228.25 | $48.50–$456.50 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $61 | $122 | 2.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $75 | $150 | 3.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $89.50 | $179 | 4.1× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $104.50 | $209 | 4.8× |
| Ot eval high complexity (97167) | $174.50 | $349 | 1.7× |
| Ot Eval Low Complex (97165) | $87.75 | $175.50 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $131.50 | $263 | 1.3× |
| Ot manual therapy 15 min (97140) range across 9 matching MRF lines |
$38–$255.50 | $76–$511 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$33–$34 | $66–$68 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 8 matching MRF lines |
$60–$247 | $120–$494 | varies |
| Ot Re-Eval Est Plan Care (97168) | $87.75 | $175.50 | 1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$14–$232.25 | $28–$464.50 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 3 matching MRF lines |
$9–$173.50 | $18–$347 | varies |
| Peripheral arterial disease rehab per session (93668) | $160.25 | $320.50 | 2.7× |
| Phlebotomy therapeutic (99195) | $234.50 | $469 | 1.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$26–$223.25 | $52–$446.50 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$18–$223.25 | $36–$446.50 | varies |
| Physical Performance Test (97750) range across 8 matching MRF lines |
$68.50–$280.50 | $137–$561 | varies |
| Plethysmography (94726) | $129.25 | $258.50 | 0.3× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$23–$45.50 | $46–$91 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$40–$73.50 | $80–$147 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$44–$78.50 | $88–$157 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$33–$62 | $66–$124 | varies |
| Pm/Icd Remote Tech Serv (93296) | $26 | $52 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$372.50–$2,630.25 | $745–$5,260.50 | varies |
| Positional nystagmus test (92542) | $28.25 | $56.50 | 0.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$44–$75 | $88–$150 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $55 | $110 | 0.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$8–$171.75 | $16–$343.50 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$10–$196 | $20–$392 | varies |
| Psych diag eval w/med srvcs (90792) | $170 | $340 | 1.0× |
| Psychiatric diagnostic evaluation (90791) | $107.50 | $215 | 0.6× |
| Psychoanalysis (90845) | $98 | $196 | 0.6× |
| Psytx Crisis Initial 60 Min (90839) | $85.50 | $171 | 0.5× |
| Pt Eval High Complex (97163) | $135.75 | $271.50 | 1.4× |
| Pt eval low complex 20 min (97161) | $60.75 | $121.50 | 0.6× |
| Pt Eval Mod Complex (97162) | $90.50 | $181 | 0.9× |
| Pt gait training 15 min (97116) range across 8 matching MRF lines |
$60–$247 | $120–$494 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$49.50–$51.25 | $99–$102.50 | varies |
| Pt Re-Eval Est Plan Care (97164) | $67.75 | $135.50 | 1.0× |
| Pt ultraviolet (97028) | $43.50 | $87 | 5.2× |
| Pulm function test by gas (94727) | $213.50 | $427 | 1.0× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$35–$454.50 | $70–$909 | varies |
| Rectal sensation tone&compliance study (91124) | $225 | $450 | 1.0× |
| Refill/Maint Portable Pump (96521) | $76 | $152 | 0.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $23.50 | $47 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $418.50 | $837 | 11.2× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$36.75–$57.25 | $73.50–$114.50 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $26.75 | $53.50 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$53.25–$186.75 | $106.50–$373.50 | varies |
| Same day nb discharge (99463) | $104 | $208 | 0.8× |
| Sbsq Psyc Collab Care Mgmt (99493) | $124.50 | $249 | 1.2× |
| Self Care Mngment Training (97535) range across 8 matching MRF lines |
$63.50–$262.25 | $127–$524.50 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $10 | $20 | 0.3× |
| Sleep study attended (95807) | $381.50 | $763 | 1.0× |
| Sleep study unattended (95806) range across 4 matching MRF lines |
$43.50–$1,272.25 | $87–$2,544.50 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $40 | $80 | 0.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $40 | $80 | 0.2× |
| Speech sound lang comprehen (92523) | $136 | $272 | 0.6× |
| Spirometry (94010) range across 4 matching MRF lines |
$26.50–$289.50 | $18–$579 | varies |
| Standardized Cognitive Performance Testing (96125) | $200.25 | $400.50 | 1.9× |
| Stress Tte Only (93350) | $160.50 | $321 | 0.3× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$233–$369.75 | $466–$739.50 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$48.50–$66.25 | $97–$132.50 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 9 matching MRF lines |
$46.50–$264.25 | $93–$528.50 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$82–$327.25 | $164–$654.50 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 5 matching MRF lines |
$32.50–$182 | $65–$364 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $517.50 | $1,035 | 11.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$13–$202.75 | $26–$405.50 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$61.15–$527.50 | $122.30–$1,055 | varies |
| Therapeutic Activities (97530) range across 8 matching MRF lines |
$51.50–$247 | $103–$494 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $101 | $202 | 0.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$26.50–$62 | $53–$124 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$14–$47.50 | $28–$95 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $191.50 | $383 | 1.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $259.50 | $519 | 1.9× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$15.50–$53 | $31–$106 | varies |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $86 | $172 | 0.6× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$79–$1,651.50 | $158–$3,303 | varies |
| Tte W/O Doppler Complete (93307) | $267 | $534 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $255 | $510 | 3.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $126 | $252 | 5.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $120.50 | $241 | 2.6× |
| Tympanometry (92567) | $28.50 | $57 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) | $29 | $58 | 0.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$13.50–$427.75 | $27–$855.50 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$24–$748.50 | $48–$1,497 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$37.50–$38.50 | $75–$77 | varies |
| Vent Mgmt Inpat Init Day (94002) | $595.75 | $1,191.50 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $141.75 | $283.50 | 0.2× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$19.25–$82.75 | $38.50–$165.50 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$49.25–$51 | $98.50–$102 | varies |
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.