Visits & medical services prices at Stony Brook University Hospital
Stony Brook, NY · every code in this section with a posted price and a Medicare benchmark.
403 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) range across 3 matching MRF lines |
$10,144–$18,667 | $10,144–$18,667 | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$686–$734 | $686–$734 | varies |
| Acoustic Reflex Testing (92568) | $268 | $268 | 5.7× |
| Acupunct W/Stimul 15 Min (97813) | $39 | $39 | 1.1× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $55 | $55 | 1.5× |
| Advncd Care Plan 30 Min (99497) | $375 | $375 | 3.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$1,639–$1,754 | $1,639–$1,754 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$1,639–$1,754 | $1,639–$1,754 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 3 matching MRF lines |
$2,033–$3,303 | $2,033–$3,303 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$351–$376 | $351–$376 | varies |
| Airway resistance by oscillometry (94728) | $961 | $961 | 6.0× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $122 | $122 | 2.6× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 2 matching MRF lines |
$1,927–$2,062 | $1,927–$2,062 | varies |
| Analyze neurostim complex (95972) | $444 | $444 | 3.7× |
| Analyze neurostim no prog (95970) | $496 | $496 | 3.0× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$415–$444 | $415–$444 | varies |
| Analyze Pacemaker System (93724) | $1,011 | $1,011 | 2.6× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $3,695 | $3,695 | 7.9× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $714 | $714 | 4.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$157–$168 | $157–$168 | varies |
| Application on-body injector (96377) range across 2 matching MRF lines |
$579–$620 | $579–$620 | varies |
| Arrhythmia Induction (93618) | $3,861 | $3,861 | 2.5× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$624–$668 | $624–$668 | varies |
| Auditory Function, 60 Min (92620) range across 2 matching MRF lines |
$1,122–$1,201 | $1,122–$1,201 | varies |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$996–$1,066 | $996–$1,066 | varies |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$1,143–$1,223 | $1,143–$1,223 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$168–$578 | $168–$578 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$131–$540 | $131–$540 | varies |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$490–$561 | $490–$561 | varies |
| Bioimpedance Cv Analysis (93701) | $529 | $529 | 3.2× |
| Blink reflex test (95933) | $541 | $541 | 7.3× |
| Breath hydrogen/methane test (91065) range across 3 matching MRF lines |
$639–$684 | $639–$684 | varies |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$114–$122 | $114–$122 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$898–$961 | $898–$961 | varies |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,861 | $3,861 | 0.4× |
| C motor evoked uppr limbs (95928) | $3,486 | $3,486 | 3.3× |
| C motor evoked upr&lwr limbs (95939) | $3,486 | $3,486 | 3.3× |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$1,028–$1,100 | $1,028–$1,100 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$1,238–$1,325 | $1,238–$1,325 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,890–$2,022 | $1,890–$2,022 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$1,568–$1,678 | $1,568–$1,678 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,360–$1,455 | $1,360–$1,455 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$4,027–$4,983 | $4,027–$4,983 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $83 | $83 | 3.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$15,634–$16,728 | $15,634–$16,728 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$15,634–$16,728 | $15,634–$16,728 | varies |
| Cbt 1st hour (94644) | $672 | $672 | 4.0× |
| Cervical Vemp Testing W/I&R (92517) range across 2 matching MRF lines |
$1,220–$1,305 | $1,220–$1,305 | varies |
| Chemo Admin Peritoneal Cavity (96446) range across 2 matching MRF lines |
$1,247–$1,334 | $1,247–$1,334 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$1,205–$1,556 | $1,205–$1,556 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$789–$1,289 | $789–$1,289 | varies |
| Chemo Ia Push (96420) range across 3 matching MRF lines |
$1,587–$2,113 | $1,587–$2,113 | varies |
| Chemo intralesional up to 7 (96405) | $248 | $248 | 2.8× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$1,540–$4,317 | $1,540–$4,317 | varies |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$1,342–$2,684 | $1,342–$2,684 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$1,247–$1,334 | $1,247–$1,334 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) range across 2 matching MRF lines |
$19,508–$20,874 | $19,508–$20,874 | varies |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) range across 2 matching MRF lines |
$8,309–$8,891 | $8,309–$8,891 | varies |
| Chemotherapy Into Cns (96450) range across 4 matching MRF lines |
$7,636–$10,820 | $7,636–$10,820 | varies |
| Chemotherapy Unspecified (96549) range across 2 matching MRF lines |
$164–$175 | $164–$175 | varies |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) range across 2 matching MRF lines |
$27,286–$35,751 | $27,286–$35,751 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$1,439–$2,878 | $1,439–$2,878 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$3,834–$4,102 | $3,834–$4,102 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 3 matching MRF lines |
$1,483–$1,587 | $1,483–$1,587 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$870–$931 | $870–$931 | varies |
| Cmptr ophth dx img ant segmt (92132) | $239 | $239 | 3.2× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$3,047–$3,260 | $3,047–$3,260 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$2,705–$2,894 | $2,705–$2,894 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$261–$299 | $261–$299 | varies |
| Comprehensive Hearing Test (92557) range across 3 matching MRF lines |
$771–$825 | $771–$825 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$239–$256 | $239–$256 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$239–$256 | $239–$256 | varies |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$748–$800 | $748–$800 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $421 | $421 | 2.5× |
| Corneal Topography (92025) range across 2 matching MRF lines |
$202–$216 | $202–$216 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$15,634–$16,728 | $15,634–$16,728 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$15,634–$16,728 | $15,634–$16,728 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $2,944 | $2,944 | 10.8× |
| Cpt initial (94667) range across 3 matching MRF lines |
$302–$2,256 | $302–$2,256 | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) range across 2 matching MRF lines |
$749–$1,124 | $749–$1,124 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$14,472–$15,485 | $14,472–$15,485 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $3,486 | $3,486 | 7.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $679 | $679 | 2.7× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 2 matching MRF lines |
$1,686–$1,804 | $1,686–$1,804 | varies |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$2,176–$2,328 | $2,176–$2,328 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $987 | $987 | 2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$676–$723 | $676–$723 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $980 | $980 | 7.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$2,779–$2,974 | $2,779–$2,974 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$1,762–$3,524 | $1,762–$3,524 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$2,921–$3,651 | $2,921–$3,651 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$2,038–$6,456 | $2,038–$6,456 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,271 | $1,271 | 4.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $610 | $610 | 4.7× |
| Duplex Scan Hemodialysis Access (93990) | $438 | $438 | 3.4× |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$2,748–$3,138 | $2,748–$3,138 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$1,519–$1,867 | $1,519–$1,867 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) range across 2 matching MRF lines |
$980–$1,122 | $980–$1,122 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$1,210–$1,295 | $1,210–$1,295 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 2 matching MRF lines |
$1,342–$1,436 | $1,342–$1,436 | varies |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$2,479–$8,494.50 | $2,479–$8,494.50 | varies |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$3,011–$3,222 | $3,011–$3,222 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$2,049–$3,267 | $2,049–$3,267 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $4,025 | $4,025 | 5.9× |
| Echo transesophageal (93312) range across 6 matching MRF lines |
$1,042–$16,052 | $1,042–$16,052 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $4,046 | $4,046 | 5.9× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$4,287–$4,587 | $4,287–$4,587 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$1,466–$1,569 | $1,466–$1,569 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$1,184–$1,267 | $1,184–$1,267 | varies |
| EEG cerebral death evaluation (95824) | $1,716 | $1,716 | 3.7× |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$981–$1,050 | $981–$1,050 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$5,357–$5,732 | $5,357–$5,732 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$1,274–$1,363 | $1,274–$1,363 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $3,002 | $3,002 | 11.1× |
| EEG w/o vid 2-12hr cont mntr (95707) | $3,602 | $3,602 | 13.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $4,802 | $4,802 | 10.3× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $4,802 | $4,802 | 10.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $3,302 | $3,302 | 12.3× |
| EEG wo vid ea 12-26hr unmntr (95708) | $4,501 | $4,501 | 9.7× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$208–$223 | $208–$223 | varies |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$478–$956 | $478–$956 | varies |
| Electrocochleography (92584) range across 2 matching MRF lines |
$1,409–$1,508 | $1,409–$1,508 | varies |
| Electroconvulsive Therapy (90870) | $2,693 | $2,693 | 2.5× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $18,667 | $18,667 | 1.9× |
| Electrophysiology Evaluation (93642) | $3,861 | $3,861 | 2.5× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$2,045–$2,188 | $2,045–$2,188 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$2,752–$2,945 | $2,752–$2,945 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$4,124–$4,413 | $4,124–$4,413 | varies |
| Emg 3 Extremities (95863) | $1,351 | $1,351 | 8.4× |
| Emg 4 Extremities (95864) | $697 | $697 | 4.3× |
| Endomyocardial Biopsy (93505) range across 3 matching MRF lines |
$7,296–$7,297 | $7,296–$7,297 | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$55,923–$59,326 | $55,923–$59,326 | varies |
| Ep & ablate ventric tachy (93654) range across 3 matching MRF lines |
$75,707–$81,006 | $75,707–$81,006 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$17,446–$18,667 | $17,446–$18,667 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $18,667 | $18,667 | 1.9× |
| Er level 1 (99281) range across 2 matching MRF lines |
$1,559–$1,668 | $1,559–$1,668 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$4,744–$7,804.09 | $4,744–$7,804.09 | varies |
| Esophageal Capsule Endoscopy (91111) | $3,731 | $3,731 | 3.3× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $4,336.33 | $4,336.33 | 9.3× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 3 matching MRF lines |
$1,512–$3,024 | $1,512–$3,024 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 3 matching MRF lines |
$873–$934 | $873–$934 | varies |
| Evaluate pt use of inhaler (94664) | $549 | $549 | 2.0× |
| Evaluate Speech Production (92522) range across 4 matching MRF lines |
$594–$681 | $594–$681 | varies |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$1,102–$1,262 | $1,102–$1,262 | varies |
| Evaluation of speech fluency (92521) | $1,179 | $1,179 | 8.8× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$969–$1,037 | $969–$1,037 | varies |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$380–$407 | $380–$407 | varies |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$472–$753 | $472–$753 | varies |
| External ECG rec>7d<15d recording (93246) | $820 | $820 | 17.6× |
| External Ecg Scanning Analysis Report (93226) | $1,000 | $1,000 | 13.6× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$2,892–$3,094 | $2,892–$3,094 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$1,195–$1,279 | $1,195–$1,279 | varies |
| Eye exam w anesth; complete (92018) range across 3 matching MRF lines |
$6,803–$14,004 | $6,803–$14,004 | varies |
| Eye exam w anesth; limited (92019) range across 2 matching MRF lines |
$9,626–$9,837 | $9,626–$9,837 | varies |
| Eye Exam With Photos (92230) | $857 | $857 | 1.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$2,506–$2,681 | $2,506–$2,681 | varies |
| Filtered Speech Test (92571) | $268 | $268 | 5.7× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$1,275–$1,364 | $1,275–$1,364 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $1,066 | $1,066 | 4.7× |
| Fluorescein angiography (92235) range across 2 matching MRF lines |
$961–$1,116 | $961–$1,116 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $3,088 | $3,088 | 2.9× |
| Fundus photography (92250) range across 2 matching MRF lines |
$370–$396 | $370–$396 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,824 | $1,824 | 3.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 4 matching MRF lines |
$952–$2,040 | $952–$2,040 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$1,739–$1,861 | $1,739–$1,861 | varies |
| Gi tract capsule endoscopy (91110) | $4,227 | $4,227 | 3.7× |
| Gi wireless capsule measure (91112) | $4,227 | $4,227 | 3.7× |
| Gonioscopy (92020) range across 2 matching MRF lines |
$232–$248 | $232–$248 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $1,512 | $1,512 | 11.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$15,634–$16,728 | $15,634–$16,728 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 4 matching MRF lines |
$2,677–$3,029 | $2,677–$3,029 | varies |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$735–$1,669 | $735–$1,669 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$260–$278 | $260–$278 | varies |
| Icd device progr eval dual (93283) | $227 | $227 | 4.9× |
| Icd Device Progr Eval Mult (93284) | $227 | $227 | 4.9× |
| Icm Device Eval (93290) | $146 | $146 | 3.1× |
| Ilr Device Eval Progr (93285) | $146 | $146 | 3.1× |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$207–$221 | $207–$221 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $150 | $150 | 1.7× |
| Immunization administration (90471) range across 4 matching MRF lines |
$175–$288 | $175–$288 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $903 | $903 | 3.4× |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$1,508–$1,614 | $1,508–$1,614 | varies |
| Insert/Place Heart Catheter (93503) | $7,357 | $7,357 | 3.7× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $32,523 | $32,523 | 202.5× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $32,523 | $32,523 | 202.5× |
| Interrogate Subq Defib (93261) | $164 | $164 | 3.5× |
| Interrogation eval in person wr defibrillator (93292) | $227 | $227 | 4.9× |
| Interrogation vad in person (93750) range across 2 matching MRF lines |
$637–$682 | $637–$682 | varies |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,861 | $3,861 | 0.4× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$3,861 | $3,861 | 0.4× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$1,926–$2,061 | $1,926–$2,061 | varies |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$177–$189 | $177–$189 | varies |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$3,861 | $3,861 | 0.4× |
| Iontophoresis 15 min (97033) | $219 | $219 | 11.5× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$706–$755 | $706–$755 | varies |
| Ischemic limb exercise test (95875) | $3,229 | $3,229 | 20.1× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$870–$2,610 | $870–$2,610 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$1,588–$1,699 | $1,588–$1,699 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$710.84–$1,834 | $710.84–$1,834 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$903–$2,709 | $903–$2,709 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$1,042–$1,115 | $1,042–$1,115 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$15,634–$16,728 | $15,634–$16,728 | varies |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$432–$462 | $432–$462 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $552 | $552 | 3.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $438 | $438 | 1.6× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $2,633 | $2,633 | 1.5× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) range across 2 matching MRF lines |
$898–$961 | $898–$961 | varies |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $959 | $959 | 2.1× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $529 | $529 | 3.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$137–$512 | $137–$512 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 4 matching MRF lines |
$158–$316 | $158–$316 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 5 matching MRF lines |
$62–$232 | $62–$232 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$1,483–$1,587 | $1,483–$1,587 | varies |
| Microvolt T-Wave Assess (93025) | $1,988 | $1,988 | 12.4× |
| Motility study esophagus (91010) range across 4 matching MRF lines |
$3,453–$7,390 | $3,453–$7,390 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$1,557–$1,666 | $1,557–$1,666 | varies |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$5,561–$11,897 | $5,561–$11,897 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$521–$557 | $521–$557 | varies |
| Muscle Test Nonparaspinal (95870) | $782 | $782 | 4.7× |
| Muscle Test One Limb (95860) | $651 | $651 | 3.9× |
| Nasopharyngoscopy (92511) | $843 | $843 | 3.4× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,351 | $1,351 | 5.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $1,692 | $1,692 | 6.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $541 | $541 | 2.0× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
$1,026–$1,201 | $1,026–$1,201 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $747 | $747 | 3.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,176 | $1,176 | 2.3× |
| Nerve Conduction Studies 1-2 Studies (95907) | $1,135 | $1,135 | 4.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $2,550 | $2,550 | 5.5× |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$2,580–$2,761 | $2,580–$2,761 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,135 | $1,135 | 4.2× |
| Nerve conduction studies 5-6 studies (95909) | $1,366 | $1,366 | 5.1× |
| Nerve conduction studies 7-8 studies (95910) | $1,699 | $1,699 | 3.6× |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$2,124–$2,273 | $2,124–$2,273 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$642–$782 | $642–$782 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$332–$355 | $332–$355 | varies |
| Nitric oxide expired gas determination (95012) | $217 | $217 | 4.7× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 5 matching MRF lines |
$301–$4,734.33 | $301–$4,734.33 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$516–$552 | $516–$552 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$399–$427 | $399–$427 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$338–$362 | $338–$362 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$476–$509 | $476–$509 | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $375 | $375 | 5.1× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $211 | $211 | 2.9× |
| Optokinetic Nystagmus Test (92544) | $743 | $743 | 4.6× |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$628–$948 | $628–$948 | varies |
| Oral Speech Device Eval (92597) range across 3 matching MRF lines |
$1,474–$1,687 | $1,474–$1,687 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$316–$338 | $316–$338 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$320–$342 | $320–$342 | varies |
| Oscillating Tracking Test (92545) | $743 | $743 | 2.8× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$594–$636 | $594–$636 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$296–$317 | $296–$317 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$444–$475 | $444–$475 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$302–$604 | $302–$604 | varies |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$135–$144 | $135–$144 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $282 | $282 | 7.0× |
| Ot Re-Eval Est Plan Care (97168) | $522 | $522 | 7.6× |
| Ot rom hand (95852) range across 3 matching MRF lines |
$279–$299 | $279–$299 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$448–$479 | $448–$479 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $479 | $479 | 3.0× |
| Patch/Application Test Specify Number Tests (95044) | $857 | $857 | 0.8× |
| Penile Vascular Study,Ltd or F/U (93981) | $856 | $856 | 6.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$361–$587 | $361–$587 | varies |
| Percutaneous tests w/allergenic extracts (95004) range across 3 matching MRF lines |
$13–$208 | $13–$208 | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $32,523 | $32,523 | 1.4× |
| Perq transcath closure pda (93582) | $63,737 | $63,737 | 2.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 4 matching MRF lines |
$20,013–$21,414 | $20,013–$21,414 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 3 matching MRF lines |
$30,395–$33,034 | $30,395–$33,034 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$448–$479 | $448–$479 | varies |
| Photo Tests (95056) | $508 | $508 | 3.1× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $363 | $363 | 4.9× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $416 | $416 | 5.6× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$302–$323 | $302–$323 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$914–$978 | $914–$978 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$136–$146 | $136–$146 | varies |
| Pm device progr eval dual (93280) | $146 | $146 | 3.1× |
| Pm device progr eval multi (93281) | $146 | $146 | 3.1× |
| Pm Device Progr Eval Sngl (93279) | $146 | $146 | 3.1× |
| Pm/Icd Remote Tech Serv (93296) | $227 | $227 | 4.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$7,203–$15,414 | $7,203–$15,414 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 4 matching MRF lines |
$2,705–$5,788 | $2,705–$5,788 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$6,484–$12,969 | $6,484–$12,969 | varies |
| Positional nystagmus test (92542) | $743 | $743 | 4.5× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $164 | $164 | 3.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$212–$227 | $212–$227 | varies |
| Prq Card Angio/Athrect 1 Art (92924) | $40,827 | $40,827 | 2.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 4 matching MRF lines |
$30,395–$33,545 | $30,395–$33,545 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$30,873–$32,523 | $30,873–$32,523 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$30,395–$33,034 | $30,395–$33,034 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) | $30,395 | $30,395 | 2.1× |
| Psych diag eval w/med srvcs (90792) | $682 | $682 | 3.1× |
| Psychiatric diagnostic evaluation (90791) range across 5 matching MRF lines |
$614–$4,744 | $614–$4,744 | varies |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$614–$657 | $614–$657 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$304–$325 | $304–$325 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$459–$491 | $459–$491 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$314–$336 | $314–$336 | varies |
| Pt group caregiver training (97552) | $287 | $287 | 13.0× |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$137–$147 | $137–$147 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$523–$560 | $523–$560 | varies |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$914–$978 | $914–$978 | varies |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$1,645–$1,760 | $1,645–$1,760 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$789–$844 | $789–$844 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$343–$367 | $343–$367 | varies |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$15,634–$16,728 | $15,634–$16,728 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$15,634–$16,728 | $15,634–$16,728 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $16,728 | $16,728 | 4.1× |
| Rapid Desensitization Procedure Each Hour (95180) | $1,278 | $1,278 | 2.3× |
| Rectal sensation tone&compliance study (91124) | $713 | $713 | 2.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $1,254 | $1,254 | 3.0× |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$1,669–$1,786 | $1,669–$1,786 | varies |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$1,669–$1,786 | $1,669–$1,786 | varies |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $122 | $122 | 2.6× |
| Rem ther mntr dev sply resp (98976) | $168 | $168 | 3.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $1,029 | $1,029 | 22.1× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $256 | $256 | 1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $205 | $205 | 4.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $216 | $216 | 4.0× |
| Respiratory flow volume loop (94375) | $240 | $240 | 0.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$264.55–$362 | $264.55–$362 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$15,634–$16,728 | $15,634–$16,728 | varies |
| Right ventricular recording (93603) | $3,861 | $3,861 | 2.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$595–$637 | $595–$637 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 3 matching MRF lines |
$279–$314 | $279–$314 | varies |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $122 | $122 | 2.6× |
| Rtm dev sply data respir sys 2-15 days in 30d pd (98984) | $168 | $168 | 3.6× |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) | $201 | $201 | 7.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 3 matching MRF lines |
$1,092–$1,168 | $1,092–$1,168 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 4 matching MRF lines |
$300–$642 | $300–$642 | varies |
| Select picture audiometry (92583) range across 2 matching MRF lines |
$250–$268 | $250–$268 | varies |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$296–$317 | $296–$317 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 2 matching MRF lines |
$346–$370 | $346–$370 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$189–$268 | $189–$268 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $800 | $800 | 3.0× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$748–$800 | $748–$800 | varies |
| Slp caregiver training 1st 30 min (97550) | $317 | $317 | 6.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $8,346 | $8,346 | 31.0× |
| Somatosensory Testing (95938) | $1,427 | $1,427 | 1.3× |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$250–$268 | $250–$268 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$250–$268 | $250–$268 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$1,102–$1,179 | $1,102–$1,179 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$674–$721 | $674–$721 | varies |
| Spirometry (94010) range across 6 matching MRF lines |
$414–$529 | $414–$529 | varies |
| Spontaneous Nystagmus Test (92541) | $1,141 | $1,141 | 6.9× |
| Ssep lower limbs (95926) | $800 | $800 | 3.0× |
| Staggered Spondaic Word Test (92572) | $934 | $934 | 5.8× |
| Stenger Test, Pure Tone (92565) | $253 | $253 | 3.4× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$3,101–$3,318 | $3,101–$3,318 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $177 | $177 | 3.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $931 | $931 | 3.5× |
| Subq Infusion Additional Pump Infusion Site (96371) | $366 | $366 | 4.1× |
| Surfactant Admin Thru Tube (94610) | $719 | $719 | 2.6× |
| Temp transcutaneous pacing (92953) | $1,978 | $1,978 | 2.4× |
| Temperature Gradient Studies (93740) | $438 | $438 | 2.7× |
| Tensilon Test (95857) | $800 | $800 | 3.0× |
| Testing Autonomic Nervous System Function (95923) | $1,692 | $1,692 | 10.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$76–$81 | $76–$81 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $81 | $81 | 3.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$124–$133 | $124–$133 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $931 | $931 | 9.1× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $143 | $143 | 2.4× |
| Ther/Proph/Diag Inj Ia (96373) | $736 | $736 | 2.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$269.93–$1,860 | $269.93–$1,860 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$3,331–$3,564 | $3,331–$3,564 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$299–$960 | $299–$960 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$1,604–$1,716 | $1,604–$1,716 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$124–$133 | $124–$133 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$114–$122 | $114–$122 | varies |
| Transcath Closure of Asd (93580) range across 3 matching MRF lines |
$60,045–$63,737 | $60,045–$63,737 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $1,471 | $1,471 | 11.3× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $227 | $227 | 4.9× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $1,580 | $1,580 | 9.8× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$5,457–$6,499 | $5,457–$6,499 | varies |
| Tte W/O Doppler Complete (93307) | $1,988 | $1,988 | 6.7× |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$77,894–$82,324 | $77,894–$82,324 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 5 matching MRF lines |
$346–$729 | $346–$729 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 8 matching MRF lines |
$470.73–$4,350 | $470.73–$4,350 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$274–$293 | $274–$293 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$617–$660 | $617–$660 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$2,629–$2,813 | $2,629–$2,813 | varies |
| Unlisted ophthalmological service/procedure (92499) | $43 | $43 | 1.2× |
| Unlisted otorhinolaryngological service (92700) range across 2 matching MRF lines |
$250–$268 | $250–$268 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$1,179–$1,262 | $1,179–$1,262 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$1,868–$1,999 | $1,868–$1,999 | varies |
| Valvuloplasty aortic valve (92986) | $18,291 | $18,291 | 2.6× |
| Valvuloplasty mitral valve (92987) | $43,136 | $43,136 | 3.0× |
| Valvuloplasty pulmonary valve (92990) | $18,291 | $18,291 | 1.3× |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$5,331–$5,704 | $5,331–$5,704 | varies |
| Veeg 2-12 hr intmt mntr (95712) range across 2 matching MRF lines |
$5,190–$5,553 | $5,190–$5,553 | varies |
| Veeg 2-12 hr unmonitored (95711) | $5,404 | $5,404 | 20.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$6,592–$7,053 | $6,592–$7,053 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) | $6,905 | $6,905 | 14.8× |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$6,734–$7,205 | $6,734–$7,205 | varies |
| Vent Mgmt Inpat Init Day (94002) | $2,944 | $2,944 | 3.8× |
| Visual Evoked Potential Test (95930) | $1,946 | $1,946 | 7.2× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$370–$396 | $370–$396 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) | $293 | $293 | 4.0× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $212 | $212 | 2.9× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$748–$800 | $748–$800 | varies |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$494–$1,976 | $494–$1,976 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $5,250 | $5,250 | 4.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $243 | $243 | 7.8× |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$256–$274 | $256–$274 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 2 matching MRF lines |
$370–$396 | $370–$396 | 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.