Visits & medical services prices at Straub Benioff Medical Center
Honolulu, HI · every code in this section with a posted price and a Medicare benchmark.
366 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) | $7,579.20 | $12,632 | 0.8× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $21.60 | $36 | 0.1× |
| Actigraphy Testing Recording Analysis I&R (95803) | $235.80 | $393 | 3.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$41.40–$45.60 | $69–$76 | varies |
| Advncd Care Plan 30 Min (99497) | $55.20 | $92 | 0.5× |
| Airway Inhalation Treatment (94640) range across 12 matching MRF lines |
$26.40–$301.80 | $44–$503 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $48 | $80 | 1.1× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $13.80 | $23 | 0.4× |
| Analyze Pacemaker System (93724) | $640.20 | $1,067 | 1.8× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $351.60 | $586 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $51 | $85 | 3.6× |
| Application on-body injector (96377) | $75 | $125 | 1.4× |
| Assessment of tinnitus (92625) | $47.40 | $79 | 0.3× |
| Assmt & care planning pt w/cognitive impairment (99483) | $105 | $175 | 0.9× |
| Audiometry Air & Bone (92553) | $84 | $140 | 0.6× |
| Basic vestibular evaluation (92540) | $45 | $75 | 0.2× |
| Behavral qualit analys voice (92524) | $219 | $365 | 2.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $81 | $135 | 1.0× |
| Bfb training ea addl 15 min (90913) | $22.80 | $38 | 0.7× |
| Blink reflex test (95933) | $67.20 | $112 | 1.0× |
| Breath hydrogen/methane test (91065) | $159.60 | $266 | 0.6× |
| Breathing response to hypoxia (94450) | $293.40 | $489 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$62.40–$410.40 | $104–$684 | varies |
| Bundle of his recording (93600) | $7,555.80 | $12,593 | 0.8× |
| C motor evoked upr&lwr limbs (95939) | $1,813.20 | $3,022 | 1.8× |
| Caloric vestibular test w/rec bi monothermal (92538) | $9.60 | $16 | 0.0× |
| Caloric Vstblr Test W/Rec (92537) | $14.40 | $24 | 0.1× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$11.40–$98.40 | $19–$164 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $541.20 | $902 | 2.1× |
| Cardiopulmonary exercise testing (94621) | $528 | $880 | 1.2× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$441–$487.80 | $735–$813 | varies |
| Cardioversion (92960) | $1,183.20 | $1,972 | 1.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $104.40 | $174 | 4.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,398.20 | $13,997 | 2.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $6,382.20 | $10,637 | 1.7× |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$45–$256.80 | $75–$428 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $154.80 | $258 | 0.6× |
| Cervical Vemp Testing W/I&R (92517) | $83.40 | $139 | 0.5× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$62.40–$239.40 | $104–$399 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$58.20–$245.40 | $97–$409 | varies |
| Chemo Ia Push (96420) | $195 | $325 | 0.5× |
| Chemo Intralesional Over 7 (96406) range across 2 matching MRF lines |
$135–$438.60 | $225–$731 | varies |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$58.80–$100.20 | $98–$167 | varies |
| Chemo IV infusion addl hr (96415) | $282 | $470 | 3.3× |
| Chemo IV push addl drug (96411) | $295.80 | $493 | 3.5× |
| Chemother Prolong Infuse W/Pump (96416) | $679.20 | $1,132 | 1.7× |
| Chemotherapy Into Cns (96450) range across 3 matching MRF lines |
$97.80–$460.80 | $163–$768 | varies |
| Chemotherapy Unspecified (96549) | $218.40 | $364 | 3.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $159.60 | $266 | 1.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $658.80 | $1,098 | 1.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $445.80 | $743 | 1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $387 | $645 | 1.0× |
| Chest Wall Manipulation (94668) | $123 | $205 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $45 | $75 | 0.4× |
| Cmptr ophth dx img ant segmt (92132) | $10.20 | $17 | 0.1× |
| Color/duplex Doppler, complete (93975) | $794.40 | $1,324 | 2.8× |
| Color/duplex Doppler, limited (93976) | $652.20 | $1,087 | 5.3× |
| Comprehensive Hearing Test (92557) | $53.40 | $89 | 0.4× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $28.80 | $48 | 0.4× |
| Computerized Ophthalmic Imaging Retina (92134) | $19.80 | $33 | 0.3× |
| Continuous Pulse Ox (94762) | $314.40 | $524 | 2.1× |
| Cornea hysteresis determin impulse stimj uni/bi (92145) | $4.80 | $8 | 0.1× |
| Corneal Topography (92025) | $23.40 | $39 | 0.3× |
| Coronary Art/Grft Angio S&I (93455) | $8,481.60 | $14,136 | 2.2× |
| Coronary Artery Angio S&I (93454) | $7,741.20 | $12,902 | 2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 7 matching MRF lines |
$278.40–$1,279.20 | $464–$2,132 | varies |
| Cpt initial (94667) | $160.20 | $267 | 1.0× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $37.80 | $63 | 0.1× |
| Critical care first hour (99291) | $3,713.40 | $6,189 | 3.8× |
| Debridement Open Wound 20 Sq Cm< (97597) | $106.20 | $177 | 0.4× |
| Developmental tst admin phys/qhp 1st hour (96112) | $66 | $110 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $607.20 | $1,012 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $393.60 | $656 | 3.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $615 | $1,025 | 2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $508.80 | $848 | 4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$435.60–$646.20 | $726–$1,077 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$273–$525 | $455–$875 | varies |
| Duplex Scan Hemodialysis Access (93990) | $270.60 | $451 | 2.2× |
| Duplex up extrem art bilat (93930) | $543 | $905 | 1.9× |
| Duplex up extrem art unilat/ltd (93931) | $375.60 | $626 | 3.0× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $59.40 | $99 | 0.4× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$1,107–$1,396.80 | $1,845–$2,328 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$202.20–$759.60 | $337–$1,266 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,186.80–$1,383 | $1,978–$2,305 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,105.80 | $1,843 | 1.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$1,152.60–$1,250.40 | $1,921–$2,084 | varies |
| Eeg 41-60 Minutes (95812) | $217.80 | $363 | 0.9× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$217.80–$495.60 | $363–$826 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$217.80–$403.80 | $363–$673 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$98.40–$217.80 | $164–$363 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $519 | $865 | 2.0× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$217.80–$421.80 | $363–$703 | varies |
| Eeg Sleep Only (95822) | $585.60 | $976 | 2.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $509.40 | $849 | 2.0× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $868.20 | $1,447 | 2.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $26.40 | $44 | 0.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $18.60 | $31 | 0.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $15.60 | $26 | 0.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$75–$84.60 | $125–$141 | varies |
| Electro-Oculography (92270) | $362.40 | $604 | 2.3× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$16.80–$276 | $28–$460 | varies |
| Electrocochleography (92584) | $288 | $480 | 1.9× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $7,070.40 | $11,784 | 0.8× |
| Electrophysiology Evaluation (93642) | $1,525.20 | $2,542 | 1.1× |
| Emergency Dept Visit Level 2 (99282) | $515.40 | $859 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $1,132.80 | $1,888 | 3.5× |
| Emergency Dept Visit Level 4 (99284) | $1,734 | $2,890 | 3.5× |
| Emg 3 Extremities (95863) | $145.20 | $242 | 1.0× |
| Emg 4 Extremities (95864) | $169.20 | $282 | 1.1× |
| Endomyocardial Biopsy (93505) | $3,943.80 | $6,573 | 1.1× |
| Ep & ablate supravent arrhyt (93653) | $24,427.80 | $40,713 | 0.8× |
| Ep & ablate ventric tachy (93654) | $24,517.20 | $40,862 | 0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,555.80 | $12,593 | 0.8× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,388.40 | $12,314 | 0.8× |
| Er level 1 (99281) | $292.80 | $488 | 2.9× |
| Er level v (99285) | $2,486.40 | $4,144 | 3.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $566.40 | $944 | 1.3× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$29.40–$140.40 | $49–$234 | varies |
| Evaluate Speech Production (92522) | $214.20 | $357 | 1.9× |
| Evaluate Swallowing Function (92610) | $294.60 | $491 | 3.5× |
| Evaluation of speech fluency (92521) | $247.20 | $412 | 1.9× |
| Exercise test for bronchospasm (94617) | $355.80 | $593 | 2.3× |
| External ECG rec>48hr<7d recording (93242) | $57.60 | $96 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $104.40 | $174 | 2.4× |
| External Ecg Scanning Analysis Report (93226) | $497.40 | $829 | 7.1× |
| Extracranial Bilat Study (93880) | $669.60 | $1,116 | 2.4× |
| Extracranial Uni/Ltd Study (93882) | $610.80 | $1,018 | 4.9× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$966–$1,170 | $1,610–$1,950 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $502.80 | $838 | 2.5× |
| Fluorescein angiography (92235) | $97.20 | $162 | 0.4× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $259.80 | $433 | 1.0× |
| Full Field Electroretinography W/I&R (92273) | $507.60 | $846 | 2.0× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $200.40 | $334 | 0.2× |
| Fundus photography (92250) | $22.20 | $37 | 0.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $179.40 | $299 | 0.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $607.80 | $1,013 | 0.6× |
| Gi tract capsule endoscopy (91110) | $1,001.40 | $1,669 | 0.9× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,170 | $1,950 | 1.1× |
| Gonioscopy (92020) | $31.80 | $53 | 0.2× |
| Health Behavior Assessment/Re-Assessment (96156) | $36.60 | $61 | 0.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $26.40 | $44 | 0.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $4.20 | $7 | 0.1× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $24.60 | $41 | 0.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,919.80 | $16,533 | 2.6× |
| High altitude simulation test (94452) | $297.60 | $496 | 1.9× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $297.60 | $496 | 1.9× |
| Holter monitor recording (93225) | $353.40 | $589 | 2.2× |
| Icd Device Interrogate (93289) | $92.40 | $154 | 2.1× |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$67.80–$108 | $113–$180 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$67.80–$115.80 | $113–$193 | varies |
| Ilr Device Interrogate (93291) | $82.20 | $137 | 2.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $22.80 | $38 | 0.3× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $33 | $55 | 0.5× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $36 | $60 | 0.8× |
| Immunization administration (90471) range across 7 matching MRF lines |
$28.80–$79.80 | $48–$133 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $190.20 | $317 | 0.7× |
| Ingestion challenge test initial 120 minutes (95076) | $184.80 | $308 | 0.4× |
| Insert/Place Heart Catheter (93503) | $1,546.80 | $2,578 | 0.8× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $262.20 | $437 | 1.7× |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$83.40–$88.20 | $139–$147 | varies |
| Interrogation vad in person (93750) | $34.80 | $58 | 0.3× |
| Intra-atrial pacing (93610) | $7,555.80 | $12,593 | 0.8× |
| Intra-atrial recording (93602) | $7,555.80 | $12,593 | 0.8× |
| Intraventricular pacing (93612) | $7,555.80 | $12,593 | 0.8× |
| Iontophoresis 15 min (97033) | $75.60 | $126 | 4.0× |
| Irrig Drug Delivery Device (96523) | $105 | $175 | 1.5× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$34.80–$191.40 | $58–$319 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$91.20–$441 | $152–$735 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $187.20 | $312 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$51–$214.20 | $85–$357 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$95.40–$201 | $159–$335 | varies |
| L Hrt Art/Grft Angio (93459) | $7,446.60 | $12,411 | 1.9× |
| Laryngeal Function Studies (92520) | $175.20 | $292 | 1.1× |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$29.40–$292.80 | $49–$488 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $162 | $270 | 2.3× |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$136.80–$731.40 | $228–$1,219 | varies |
| Motility study esophagus (91010) | $224.40 | $374 | 0.5× |
| Motion Fluoroscopy/Swallow (92611) | $216.60 | $361 | 2.4× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $60 | $100 | 0.1× |
| Multifocal Electroretinography W/I&R (92274) | $274.80 | $458 | 1.8× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$684.60–$1,657.80 | $1,141–$2,763 | varies |
| Muscle Test 2 Limbs (95861) | $104.40 | $174 | 0.7× |
| Muscle Test Nonparaspinal (95870) | $81.60 | $136 | 0.5× |
| Muscle Test One Limb (95860) | $83.40 | $139 | 0.5× |
| Nasopharyngoscopy (92511) | $159.60 | $266 | 0.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $102 | $170 | 0.4× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $85.80 | $143 | 0.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $100.20 | $167 | 0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $19.80 | $33 | 0.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $24 | $40 | 0.0× |
| Nerve Conduction Studies 1-2 Studies (95907) | $51 | $85 | 0.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $126 | $210 | 0.3× |
| Nerve conduction studies 13 or more studies (95913) | $141.60 | $236 | 0.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $64.80 | $108 | 0.3× |
| Nerve conduction studies 5-6 studies (95909) | $78 | $130 | 0.3× |
| Nerve conduction studies 7-8 studies (95910) | $98.40 | $164 | 0.2× |
| Nerve Conduction Studies 9-10 Studies (95911) | $114 | $190 | 0.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $89.40 | $149 | 0.6× |
| Neuromuscular Reeducation (97112) | $111.60 | $186 | 3.4× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $40.20 | $67 | 1.6× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $60.60 | $101 | 1.7× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $21 | $35 | 1.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $66 | $110 | 0.1× |
| Ocular Vemp Testing W/I&R (92518) | $87.60 | $146 | 0.6× |
| Oculoelectromyography (92265) | $55.80 | $93 | 0.8× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $31.20 | $52 | 0.2× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $87 | $145 | 0.6× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $89.40 | $149 | 0.6× |
| Ophth medical xm&eval intermediate estab pt (92012) | $105 | $175 | 0.7× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $57.60 | $96 | 0.4× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $6 | $10 | 0.1× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $15.60 | $26 | 0.2× |
| Optokinetic Nystagmus Test (92544) | $27.60 | $46 | 0.2× |
| Oral Function Therapy (92526) | $217.80 | $363 | 2.6× |
| Oral Speech Device Eval (92597) | $160.20 | $267 | 2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $111.60 | $186 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $103.20 | $172 | 2.2× |
| Oscillating Tracking Test (92545) | $26.40 | $44 | 0.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $24 | $40 | 0.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $33 | $55 | 1.3× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $40.80 | $68 | 1.6× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $51.60 | $86 | 2.0× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $60 | $100 | 2.4× |
| Ot eval high complexity (97167) | $267 | $445 | 2.7× |
| Ot Eval Low Complex (97165) | $208.80 | $348 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $248.40 | $414 | 2.5× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$111.60–$160.20 | $186–$267 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$92.40–$93.60 | $154–$156 | varies |
| Ot Re-Eval Est Plan Care (97168) | $160.20 | $267 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $268.80 | $448 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $268.80 | $448 | 1.8× |
| Patch/Application Test Specify Number Tests (95044) | $13.80 | $23 | 0.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $309.60 | $516 | 1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $265.20 | $442 | 1.0× |
| Percutaneous tests w/allergenic extracts (95004) | $10.80 | $18 | 0.0× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) likely a partial charge, not the full procedure |
$4,085.40 | $6,809 | 0.2× |
| Perq transcath closure pda (93582) | $22,160.40 | $36,934 | 1.0× |
| Perq Transcath Cls Aortic (93591) | $17,009.40 | $28,349 | 0.8× |
| Perq Transcath Cls Mitral (93590) | $17,009.40 | $28,349 | 0.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,420.20 | $12,367 | 1.1× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$24,780–$25,179.60 | $41,300–$41,966 | varies |
| Phlebotomy therapeutic (99195) | $266.40 | $444 | 1.7× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $180 | $300 | 2.6× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $78.60 | $131 | 1.1× |
| Physical Performance Test (97750) | $82.80 | $138 | 2.5× |
| Plethysmography (94726) | $312.60 | $521 | 0.7× |
| Pm device eval in person (93288) | $93 | $155 | 2.1× |
| Pm device progr eval dual (93280) | $105.60 | $176 | 2.4× |
| Pm device progr eval multi (93281) | $107.40 | $179 | 2.4× |
| Pm Device Progr Eval Sngl (93279) | $92.40 | $154 | 2.1× |
| Pm/Icd Remote Tech Serv (93296) | $39.60 | $66 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$979.20–$2,728.80 | $1,632–$4,548 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,407 | $2,345 | 1.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,485 | $2,475 | 1.5× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $2,170.80 | $3,618 | 2.1× |
| Positional nystagmus test (92542) | $24.60 | $41 | 0.2× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $40.20 | $67 | 0.7× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $79.20 | $132 | 1.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$83.40–$88.20 | $139–$147 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $99 | $165 | 2.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $28.20 | $47 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $35.40 | $59 | 0.6× |
| Prq Card Angio/Athrect 1 Art (92924) | $9,051.60 | $15,086 | 0.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$16,081.80–$16,340.40 | $26,803–$27,234 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$24,780–$25,179.60 | $41,300–$41,966 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$24,780–$25,179.60 | $41,300–$41,966 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $16,863 | $28,105 | 0.8× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $16,777.20 | $27,962 | 1.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $11,292 | $18,820 | 0.8× |
| Psych diag eval w/med srvcs (90792) | $43.20 | $72 | 0.2× |
| Psychiatric diagnostic evaluation (90791) | $70.20 | $117 | 0.3× |
| Psychological tst eval svc phys/qhp first hour (96130) | $42 | $70 | 0.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $43.80 | $73 | 0.3× |
| Pt Eval High Complex (97163) | $306.60 | $511 | 3.1× |
| Pt eval low complex 20 min (97161) | $224.40 | $374 | 2.3× |
| Pt Eval Mod Complex (97162) | $249 | $415 | 2.5× |
| Pt gait training 15 min (97116) | $84 | $140 | 2.9× |
| Pt group caregiver training (97552) | $67.80 | $113 | 3.1× |
| Pt mechanical traction (97012) | $87 | $145 | 6.1× |
| Pt Re-Eval Est Plan Care (97164) | $157.20 | $262 | 2.3× |
| Pulm function test by gas (94727) | $226.20 | $377 | 0.9× |
| Pulmonary service/procedure (94799) range across 6 matching MRF lines |
$49.20–$238.20 | $82–$397 | varies |
| Pulmonary Stress Testing (94618) | $279 | $465 | 1.8× |
| Pure Tone Audiometry Air (92552) | $69 | $115 | 0.4× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $39 | $65 | 1.7× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $60.60 | $101 | 1.8× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $21 | $35 | 1.7× |
| R Hrt Art/Grft Angio (93457) | $9,519 | $15,865 | 2.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $3,116.40 | $5,194 | 0.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $3,116.40 | $5,194 | 0.8× |
| R hrt coronary artery angio (93456) | $9,236.40 | $15,394 | 2.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $3,116.40 | $5,194 | 0.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $3,445.80 | $5,743 | 0.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,061.80 | $10,103 | 1.6× |
| Rectal sensation tone&compliance study (91124) | $265.80 | $443 | 1.0× |
| Refill/Maint Portable Pump (96521) | $289.20 | $482 | 1.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $126.60 | $211 | 2.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $28.20 | $47 | 0.7× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $45.60 | $76 | 0.8× |
| Respiratory flow volume loop (94375) | $277.80 | $463 | 1.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $281.40 | $469 | 4.0× |
| Right Heart Cath (93451) | $4,398 | $7,330 | 1.1× |
| Right ventricular recording (93603) | $1,420.20 | $2,367 | 1.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $253.80 | $423 | 2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $93.60 | $156 | 2.0× |
| Select picture audiometry (92583) | $76.80 | $128 | 1.1× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$89.40–$90.60 | $149–$151 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $34.20 | $57 | 0.5× |
| Short-latency somatosens ep std upr limbs (95925) | $581.40 | $969 | 2.3× |
| Sleep study attended (95807) | $567 | $945 | 1.3× |
| Sleep study unattended (95806) | $108 | $180 | 0.4× |
| Slp caregiver training 1st 30 min (97550) | $137.40 | $229 | 2.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $169.20 | $282 | 0.7× |
| Somatosensory Testing (95938) | $581.40 | $969 | 0.6× |
| Speech Audiometry Complete (92556) | $83.40 | $139 | 1.2× |
| Speech audiometry threshold (92555) | $52.20 | $87 | 0.7× |
| Speech sound lang comprehen (92523) | $261 | $435 | 1.2× |
| Spin/Brain Pump Refil & Main (95991) | $133.80 | $223 | 0.4× |
| Spirometry (94010) range across 2 matching MRF lines |
$36.60–$275.40 | $61–$459 | varies |
| Spontaneous Nystagmus Test (92541) | $28.80 | $48 | 0.2× |
| Ssep lower limbs (95926) | $664.20 | $1,107 | 2.6× |
| Standardized Cognitive Performance Testing (96125) | $263.40 | $439 | 2.6× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$1,097.40–$1,225.20 | $1,829–$2,042 | varies |
| Surfactant Admin Thru Tube (94610) | $201.60 | $336 | 0.8× |
| Tensilon Test (95857) | $55.20 | $92 | 0.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $57 | $95 | 2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$52.80–$54 | $88–$90 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$115.20–$346.20 | $192–$577 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $45.60 | $76 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$35.40–$119.40 | $59–$199 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$165.60–$439.20 | $276–$732 | varies |
| Therapeutic Activities (97530) | $108 | $180 | 3.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,023 | $1,705 | 2.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $69.60 | $116 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $63.60 | $106 | 1.4× |
| Trans Care Mgmt 14 Day Disch (99495) | $176.40 | $294 | 1.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $230.40 | $384 | 1.5× |
| Transcath Closure of Asd (93580) | $17,880 | $29,800 | 0.8× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,202.40–$1,323 | $2,004–$2,205 | varies |
| Tte W/O Doppler Complete (93307) | $915 | $1,525 | 3.2× |
| Tx atrial fib pulm vein isol (93656) | $18,333 | $30,555 | 0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $164.40 | $274 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$39.60–$100.20 | $66–$167 | varies |
| Tympanometry (92567) | $21.60 | $36 | 0.5× |
| Tympanometry and reflex threshold measurements (92550) | $51.60 | $86 | 0.2× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$172.80–$11,494.80 | $288–$19,158 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$167.40–$274.20 | $279–$457 | varies |
| Valvuloplasty aortic valve (92986) | $8,893.20 | $14,822 | 1.3× |
| Valvuloplasty mitral valve (92987) | $9,340.20 | $15,567 | 0.7× |
| Valvuloplasty pulmonary valve (92990) | $11,292 | $18,820 | 0.8× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,132.20 | $1,887 | 2.6× |
| Veeg 2-12 hr intmt mntr (95712) | $604.20 | $1,007 | 1.4× |
| Veeg 2-12 hr unmonitored (95711) | $604.20 | $1,007 | 2.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,132.20 | $1,887 | 2.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,159.20 | $1,932 | 2.6× |
| Veeg ea 12-26hr cont mntr (95716) | $2,170.80 | $3,618 | 2.1× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$1,569–$2,628 | $2,615–$4,380 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$1,120.80–$2,034 | $1,868–$3,390 | varies |
| Visual Evoked Potential Test (95930) | $664.20 | $1,107 | 2.6× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$46.80–$78.60 | $78–$131 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) | $33 | $55 | 0.5× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $37.20 | $62 | 0.5× |
| Vital capacity, total (94150) | $184.80 | $308 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $91.80 | $153 | 3.0× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $105.60 | $176 | 1.5× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $26.40 | $44 | 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.