Visits & medical services prices at Swedish Hospital
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
450 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $89 | $89 | 0.8× |
| Ablate Heart Dysrhythm Focus (93650) | $21,519 | $21,519 | 2.6× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $156 | $156 | 1.1× |
| Acoustic Reflex Testing (92568) | $40 | $40 | 1.0× |
| Actigraphy Testing Recording Analysis I&R (95803) | $563 | $563 | 8.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $99 | $99 | 2.3× |
| Advncd Care Plan 30 Min (99497) | $89 | $89 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $314 | $314 | 1.4× |
| Aep neurodiagnostic i&r (92653) | $1,246 | $1,246 | 5.4× |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$336–$1,207 | $336–$1,207 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$213–$229 | $213–$229 | varies |
| Airway resistance by oscillometry (94728) | $278 | $278 | 2.0× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $40 | $40 | 1.0× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $30 | $30 | 1.0× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $128 | $128 | 0.9× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $128 | $128 | 0.9× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $374 | $374 | 2.7× |
| Analyze neurostim complex (95972) | $106 | $106 | 1.0× |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$128–$384 | $128–$384 | varies |
| Analyze Neurostim Simple (95971) | $106 | $106 | 1.0× |
| Analyze Pacemaker System (93724) | $1,050 | $1,050 | 3.2× |
| Ans parasymp & symp w/tilt (95924) | $614 | $614 | 2.7× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $146 | $146 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $155 | $155 | 10.8× |
| Application on-body injector (96377) | $111 | $111 | 2.2× |
| Arrhythmia Induction (93618) | $4,865 | $4,865 | 3.7× |
| Assessment of aphasia per hr (96105) | $350 | $350 | 3.6× |
| Assessment of tinnitus (92625) | $157 | $157 | 1.1× |
| Audiometry Air & Bone (92553) | $156 | $156 | 1.1× |
| Auditory Function, 60 Min (92620) | $210 | $210 | 1.5× |
| Basic vestibular evaluation (92540) | $253 | $253 | 1.1× |
| Behavral qualit analys voice (92524) | $262 | $262 | 2.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $256 | $256 | 3.1× |
| Bfb training ea addl 15 min (90913) | $141 | $141 | 4.3× |
| Biofeedback training any modality (90901) | $207 | $207 | 5.0× |
| Bis Xtracell Fluid Analysis (93702) range across 2 matching MRF lines |
$158–$325 | $158–$325 | varies |
| Blink reflex test (95933) range across 2 matching MRF lines |
$96–$378 | $96–$378 | varies |
| Brief Emotional/Behav Assmt (96127) | $40 | $40 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$314–$1,014 | $314–$1,014 | varies |
| Bundle of his recording (93600) | $13,617 | $13,617 | 1.6× |
| C motor evoked uppr limbs (95928) | $1,119 | $1,119 | 1.2× |
| C motor evoked upr&lwr limbs (95939) | $1,239 | $1,239 | 1.3× |
| Caloric vestibular test w/rec bi monothermal (92538) | $156 | $156 | 0.7× |
| Caloric Vstblr Test W/Rec (92537) | $264 | $264 | 1.9× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$16–$358 | $16–$358 | varies |
| Car seat/bed test 60 min (94780) | $249 | $249 | 6.2× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$314–$1,765 | $314–$1,765 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$314–$2,859 | $314–$2,859 | varies |
| Cardiopulmonary resuscitation (92950) | $1,589 | $1,589 | 6.9× |
| Cardioversion (92960) | $2,439 | $2,439 | 3.4× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $31 | $31 | 0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $22,273 | $22,273 | 6.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $21,689 | $21,689 | 6.2× |
| Cbt 1st hour (94644) | $408 | $408 | 2.9× |
| Chemo Admin Peritoneal Cavity (96446) | $954 | $954 | 2.7× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$205–$569 | $205–$569 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$141–$553 | $141–$553 | varies |
| Chemo Intralesional Over 7 (96406) | $983 | $983 | 4.3× |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$70–$321 | $70–$321 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$85–$425 | $85–$425 | varies |
| Chemo IV push addl drug (96411) | $382 | $382 | 5.0× |
| Chemother Prolong Infuse W/Pump (96416) | $1,052 | $1,052 | 3.0× |
| Chemotherapy Into Cns (96450) | $1,146 | $1,146 | 3.2× |
| Chemotherapy Unspecified (96549) | $573 | $573 | 11.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $473 | $473 | 6.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$390–$1,099 | $390–$1,099 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $805 | $805 | 2.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $677 | $677 | 1.9× |
| Chest Wall Manipulation (94668) | $241 | $241 | 1.7× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$89–$144 | $89–$144 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $536 | $536 | 1.3× |
| Cmptr ophth dx img ant segmt (92132) | $70 | $70 | 1.1× |
| Color/duplex Doppler, complete (93975) | $2,045 | $2,045 | 8.0× |
| Color/duplex Doppler, limited (93976) | $1,389 | $1,389 | 12.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $113 | $113 | 3.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $287 | $287 | 1.5× |
| Comprehensive Hearing Test (92557) | $156 | $156 | 1.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $70 | $70 | 1.1× |
| Computerized Ophthalmic Imaging Retina (92134) | $70 | $70 | 1.1× |
| Conditioning Play Audiometry (92582) | $191 | $191 | 1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$424–$730 | $424–$730 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $146 | $146 | 2.3× |
| Corneal Topography (92025) | $70 | $70 | 1.1× |
| Coronary Art/Grft Angio S&I (93455) | $18,172 | $18,172 | 5.2× |
| Coronary Artery Angio S&I (93454) | $16,243 | $16,243 | 4.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $906 | $906 | 3.9× |
| Cpt initial (94667) | $304 | $304 | 2.1× |
| Critical care first hour (99291) | $4,851 | $4,851 | 5.5× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,119 | $1,119 | 2.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$200–$276 | $200–$276 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $278 | $278 | 2.0× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $237 | $237 | 1.7× |
| Dialysis One Evaluation (90945) | $2,365 | $2,365 | 5.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $314 | $314 | 0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,644 | $1,644 | 6.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$267–$957 | $267–$957 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$134–$987 | $134–$987 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,934 | $1,934 | 7.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$312–$1,298 | $312–$1,298 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,609 | $2,609 | 10.2× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$314–$1,168 | $314–$1,168 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $971 | $971 | 3.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $530 | $530 | 4.7× |
| Duplex Scan Hemodialysis Access (93990) | $1,018 | $1,018 | 9.1× |
| Duplex up extrem art bilat (93930) | $1,403 | $1,403 | 5.5× |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$296–$1,278 | $296–$1,278 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $179 | $179 | 1.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $211 | $211 | 1.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $350 | $350 | 2.5× |
| ECG/monitoring and analysis (93271) | $350 | $350 | 3.4× |
| Echo Congenital Complete (93303) | $3,543 | $3,543 | 6.1× |
| Echo Heart Xthoracic,Limited (93308) | $1,219 | $1,219 | 4.8× |
| Echo transesophag congen probe plcmt only (93316) | $2,867 | $2,867 | 4.9× |
| Echo transesophageal (93312) | $3,674 | $3,674 | 6.3× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,238 | $2,238 | 3.8× |
| Eeg 41-60 Minutes (95812) | $1,732 | $1,732 | 7.5× |
| EEG awake and asleep (95819) | $1,227 | $1,227 | 5.3× |
| EEG awake drowsy (95816) | $1,452 | $1,452 | 6.3× |
| EEG cerebral death evaluation (95824) | $956 | $956 | 2.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,226 | $1,226 | 5.3× |
| EEG extended monitoring 61-119 minutes (95813) | $2,306 | $2,306 | 10.0× |
| Eeg Sleep Only (95822) | $810 | $810 | 3.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,199 | $1,199 | 5.2× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,238 | $1,238 | 5.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,376 | $2,376 | 5.9× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,376 | $2,376 | 5.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,199 | $1,199 | 5.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,376 | $2,376 | 5.9× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $106 | $106 | 1.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $106 | $106 | 1.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $39 | $39 | 1.0× |
| Electrical Stimulation Ea 15 Min (97032) | $180 | $180 | 12.2× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$81–$355 | $81–$355 | varies |
| Electrocochleography (92584) | $265 | $265 | 1.9× |
| Electroconvulsive Therapy (90870) | $1,800 | $1,800 | 2.0× |
| Electrophysiology Evaluation (93642) | $5,666 | $5,666 | 4.3× |
| Emergency Dept Visit Level 2 (99282) | $965 | $965 | 5.9× |
| Emergency Dept Visit Level 3 (99283) | $1,748 | $1,748 | 6.0× |
| Emergency Dept Visit Level 4 (99284) | $2,835 | $2,835 | 6.3× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$176–$750 | $176–$750 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$210–$1,080 | $210–$1,080 | varies |
| Endomyocardial Biopsy (93505) | $9,563 | $9,563 | 2.8× |
| Ep & ablate supravent arrhyt (93653) | $54,234 | $54,234 | 1.9× |
| Ep & ablate ventric tachy (93654) | $55,101 | $55,101 | 2.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $16,044 | $16,044 | 1.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $11,068 | $11,068 | 1.3× |
| Er level 1 (99281) | $462 | $462 | 5.1× |
| Er level v (99285) | $4,066 | $4,066 | 6.4× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $7,067 | $7,067 | 17.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,983 | $1,983 | 5.0× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $156 | $156 | 1.1× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$213–$234 | $213–$234 | varies |
| Evaluate Speech Production (92522) | $334 | $334 | 3.0× |
| Evaluate Swallowing Function (92610) | $416 | $416 | 4.9× |
| Evaluation of speech fluency (92521) | $304 | $304 | 2.3× |
| Evoked Auditory Test,Limited (92587) | $314 | $314 | 1.4× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $200 | $200 | 0.9× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$131–$541 | $131–$541 | varies |
| External ECG rec>48hr<7d recording (93242) | $143 | $143 | 3.6× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $499 | $499 | 3.5× |
| External ECG rec>7d<15d recording (93246) | $256 | $256 | 6.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $517 | $517 | 3.6× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$119–$1,270 | $119–$1,270 | varies |
| Extracranial Bilat Study (93880) | $1,936 | $1,936 | 7.6× |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$293–$980 | $293–$980 | varies |
| Eye Allergy Tests (95060) | $128 | $128 | 0.9× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $3,189 | $3,189 | 5.4× |
| Facial nerve function studies (92516) | $760 | $760 | 3.3× |
| Filtered Speech Test (92571) | $69 | $69 | 1.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $532 | $532 | 2.7× |
| Fluorescein angiography (92235) | $359 | $359 | 1.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$1,027–$1,046 | $1,027–$1,046 | varies |
| Fundus photography (92250) | $146 | $146 | 1.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,880 | $1,880 | 4.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $889 | $889 | 3.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,880 | $1,880 | 2.0× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$1,286–$3,784 | $1,286–$3,784 | varies |
| Gonioscopy (92020) | $128 | $128 | 0.9× |
| Group Therapeutic Procedures (97150) | $166 | $166 | 9.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $20,925 | $20,925 | 6.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,905–$2,409 | $1,905–$2,409 | varies |
| High altitude simulation test (94452) | $766 | $766 | 5.4× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $766 | $766 | 5.4× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$128–$1,515 | $128–$1,515 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $40 | $40 | 1.0× |
| Icd Device Interrogate (93289) | $340 | $340 | 8.5× |
| Icd device progr eval dual (93283) | $540 | $540 | 13.5× |
| Icd Device Progr Eval Mult (93284) | $647 | $647 | 16.2× |
| Icm Device Eval (93290) | $143 | $143 | 3.6× |
| Ilr Device Eval Progr (93285) | $157 | $157 | 3.9× |
| Ilr Device Interrogate (93291) | $186 | $186 | 6.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $68 | $68 | 0.9× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $106 | $106 | 1.7× |
| Immunization administration (90471) range across 4 matching MRF lines |
$70–$86 | $70–$86 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$536–$1,303 | $536–$1,303 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $536 | $536 | 1.3× |
| Insert/Place Heart Catheter (93503) | $4,574 | $4,574 | 2.7× |
| Interrogate Subq Defib (93261) | $149 | $149 | 3.7× |
| Interrogation eval in person wr defibrillator (93292) | $166 | $166 | 4.2× |
| Interrogation vad in person (93750) | $470 | $470 | 4.6× |
| Intra-atrial pacing (93610) | $18,069 | $18,069 | 2.2× |
| Intra-atrial recording (93602) | $16,356 | $16,356 | 2.0× |
| Intracranial Complete Study (93886) | $1,768 | $1,768 | 6.9× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $30 | $30 | 1.0× |
| Intracutaneous tests w/allergenic extracts (95024) | $61 | $61 | 1.0× |
| Intraventricular pacing (93612) | $13,617 | $13,617 | 1.6× |
| Iontophoresis 15 min (97033) | $191 | $191 | 10.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$91–$331 | $91–$331 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$230–$333 | $230–$333 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$250–$606 | $250–$606 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$135–$442 | $135–$442 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$128–$344 | $128–$344 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$215–$359 | $215–$359 | varies |
| L Hrt Art/Grft Angio (93459) | $22,476 | $22,476 | 6.5× |
| Laryngeal Function Studies (92520) | $374 | $374 | 2.6× |
| Liver Elastography W/O Imag W/I&R (91200) | $162 | $162 | 1.2× |
| Loudness balance test (92562) | $314 | $314 | 1.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,646 | $1,646 | 7.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $42 | $42 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $46 | $46 | 1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $41 | $41 | 2.4× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$314–$2,241 | $314–$2,241 | varies |
| Motility study esophagus (91010) | $2,540 | $2,540 | 6.4× |
| Motion Fluoroscopy/Swallow (92611) | $652 | $652 | 7.1× |
| Multiple Family Group Psychotherapy (90849) | $207 | $207 | 1.1× |
| Multiple Sleep Latency Test (95805) | $5,982 | $5,982 | 6.5× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$131–$724 | $131–$724 | varies |
| Muscle Test Hemidiaphragm (95866) | $447 | $447 | 3.2× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$136–$262 | $136–$262 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$131–$548 | $131–$548 | varies |
| Nasopharyngoscopy (92511) | $198 | $198 | 0.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $825 | $825 | 3.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$314–$525 | $314–$525 | varies |
| Needle electromyography larynx (95865) | $495 | $495 | 3.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$314–$359 | $314–$359 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
$166–$485 | $166–$485 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $791 | $791 | 1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $266 | $266 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $421 | $421 | 1.0× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$164–$289 | $164–$289 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$536–$627 | $536–$627 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$536–$627 | $536–$627 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$314–$393 | $314–$393 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$314–$470 | $314–$470 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$314–$470 | $314–$470 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$536–$627 | $536–$627 | varies |
| Neurobehavioral Status Exam (96116) | $314 | $314 | 1.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$170–$444 | $170–$444 | varies |
| Neuromuscular Reeducation (97112) | $165 | $165 | 5.0× |
| Newborn resuscitation (99465) | $1,072 | $1,072 | 1.5× |
| Nitric oxide expired gas determination (95012) | $44 | $44 | 1.1× |
| Nose Allergy Test (95065) | $64 | $64 | 1.6× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $536 | $536 | 1.3× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $399 | $399 | 1.0× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $146 | $146 | 1.0× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $132 | $132 | 0.9× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $132 | $132 | 0.9× |
| Ophth medical xm&eval intermediate estab pt (92012) | $132 | $132 | 0.9× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $132 | $132 | 0.9× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $70 | $70 | 1.1× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) range across 2 matching MRF lines |
$70–$293 | $70–$293 | varies |
| Optokinetic Nystagmus Test (92544) | $179 | $179 | 1.3× |
| Oral Function Therapy (92526) | $418 | $418 | 5.0× |
| Oral Speech Device Eval (92597) | $803 | $803 | 11.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $133 | $133 | 2.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $183 | $183 | 4.0× |
| Oscillating Tracking Test (92545) | $359 | $359 | 1.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $28 | $28 | 1.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $28 | $28 | 1.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $28 | $28 | 1.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $28 | $28 | 1.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $28 | $28 | 1.2× |
| Ot eval high complexity (97167) | $402 | $402 | 4.0× |
| Ot Eval Low Complex (97165) | $327 | $327 | 3.3× |
| Ot Eval Moderate Complexity (97166) | $376 | $376 | 3.7× |
| Ot manual therapy 15 min (97140) | $141 | $141 | 5.1× |
| Ot paraffin bath (97018) | $144 | $144 | 24.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $131 | $131 | 3.2× |
| Ot Re-Eval Est Plan Care (97168) | $240 | $240 | 3.5× |
| Ot rom hand (95852) | $115 | $115 | 5.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $361 | $361 | 2.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 5 matching MRF lines |
$20–$401 | $20–$401 | varies |
| Patch/Application Test Specify Number Tests (95044) | $18 | $18 | 0.0× |
| Pdt dstr prmlg les phys/qhp (96573) | $200 | $200 | 0.9× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $334 | $334 | 1.6× |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$134–$790 | $134–$790 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$213–$458 | $213–$458 | varies |
| Percutaneous tests w/allergenic extracts (95004) | $15 | $15 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $195 | $195 | 3.1× |
| Perq transcath closure pda (93582) | $50,189 | $50,189 | 2.6× |
| Perq Transcath Cls Aortic (93591) | $42,240 | $42,240 | 2.2× |
| Perq Transcath Cls Mitral (93590) | $47,200 | $47,200 | 2.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $21,799 | $21,799 | 3.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $25,784 | $25,784 | 2.1× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$280–$281 | $280–$281 | varies |
| Photo patch test(s) (95052) | $61 | $61 | 1.0× |
| Photo Tests (95056) | $128 | $128 | 0.9× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $273 | $273 | 4.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $286 | $286 | 4.5× |
| Physical Performance Test (97750) | $144 | $144 | 4.3× |
| Plethysmography (94726) range across 2 matching MRF lines |
$314–$1,094 | $314–$1,094 | varies |
| Pm device eval in person (93288) | $286 | $286 | 7.2× |
| Pm device progr eval dual (93280) | $346 | $346 | 8.7× |
| Pm device progr eval multi (93281) | $416 | $416 | 10.4× |
| Pm Device Progr Eval Sngl (93279) | $288 | $288 | 7.2× |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$103–$398 | $103–$398 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,021 | $5,021 | 5.5× |
| Polysom <6 yrs 4/> paramtrs (95782) | $5,642 | $5,642 | 6.1× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,327 | $4,327 | 4.7× |
| Positional nystagmus test (92542) | $146 | $146 | 1.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$48–$56 | $48–$56 | varies |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) range across 2 matching MRF lines |
$70–$145 | $70–$145 | varies |
| Prepj& antigen allergen immunotherapy 5 insect (95149) range across 2 matching MRF lines |
$70–$283 | $70–$283 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $149 | $149 | 3.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $517 | $517 | 12.9× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $89 | $89 | 0.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $48 | $48 | 1.0× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $48 | $48 | 1.0× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 2 matching MRF lines |
$70–$213 | $70–$213 | varies |
| Prq Card Angio/Athrect 1 Art (92924) | $34,892 | $34,892 | 2.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $31,704 | $31,704 | 2.6× |
| Prq Card Stent/Ath/Angio (92933) | $28,386 | $28,386 | 1.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $31,271 | $31,271 | 2.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $26,092 | $26,092 | 1.3× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $13,528 | $13,528 | 1.1× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$160–$646 | $160–$646 | varies |
| Psychiatric diagnostic evaluation (90791) range across 8 matching MRF lines |
$160–$594 | $160–$594 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $314 | $314 | 1.4× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $30 | $30 | 1.0× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $399 | $399 | 0.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $128 | $128 | 0.9× |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$160–$304 | $160–$304 | varies |
| Pt Eval High Complex (97163) | $402 | $402 | 4.1× |
| Pt eval low complex 20 min (97161) | $327 | $327 | 3.3× |
| Pt Eval Mod Complex (97162) | $376 | $376 | 3.8× |
| Pt gait training 15 min (97116) | $142 | $142 | 4.9× |
| Pt mechanical traction (97012) | $144 | $144 | 10.0× |
| Pt Re-Eval Est Plan Care (97164) | $222 | $222 | 3.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $150 | $150 | 3.7× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$166–$448 | $166–$448 | varies |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$330–$553 | $330–$553 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$128–$559 | $128–$559 | varies |
| Pure Tone Audiometry Air (92552) | $128 | $128 | 0.9× |
| Quan puplmtry phy/qhp uni/bi (95919) | $128 | $128 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $20,988 | $20,988 | 6.0× |
| R hrt coronary artery angio (93456) | $20,231 | $20,231 | 5.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $13,472 | $13,472 | 3.9× |
| Rapid Desensitization Procedure Each Hour (95180) | $399 | $399 | 0.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$339–$447 | $339–$447 | varies |
| Refill/Maint Portable Pump (96521) | $577 | $577 | 2.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $148 | $148 | 3.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) range across 2 matching MRF lines |
$132–$545 | $132–$545 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$154–$571 | $154–$571 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $1,643 | $1,643 | 4.1× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $314 | $314 | 1.4× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $314 | $314 | 1.4× |
| Respiratory flow volume loop (94375) | $314 | $314 | 1.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$61–$228 | $61–$228 | varies |
| Right Heart Cath (93451) | $12,791 | $12,791 | 3.7× |
| Right ventricular recording (93603) | $4,280 | $4,280 | 3.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$200–$327 | $200–$327 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $537 | $537 | 1.3× |
| Sbsq Psyc Collab Care Mgmt (99493) | $160 | $160 | 1.5× |
| Select picture audiometry (92583) | $126 | $126 | 2.0× |
| Self Care Mngment Training (97535) | $169 | $169 | 5.2× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $70 | $70 | 1.1× |
| Sensory Integration Ea 15 Min (97533) | $110 | $110 | 1.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $1,076 | $1,076 | 4.7× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$337–$1,202 | $337–$1,202 | varies |
| Sleep study attended (95807) | $4,192 | $4,192 | 10.5× |
| Sleep study unattended (95806) | $1,402 | $1,402 | 6.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,281 | $1,281 | 5.5× |
| Somatosensory Testing (95938) | $1,235 | $1,235 | 1.3× |
| Speech Audiometry Complete (92556) | $100 | $100 | 1.6× |
| Speech audiometry threshold (92555) | $64 | $64 | 1.0× |
| Speech sound lang comprehen (92523) | $530 | $530 | 2.3× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$296–$306 | $296–$306 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$166–$569 | $166–$569 | varies |
| Spontaneous Nystagmus Test (92541) | $146 | $146 | 1.0× |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$314–$1,536 | $314–$1,536 | varies |
| Staggered Spondaic Word Test (92572) | $156 | $156 | 1.1× |
| Standardized Cognitive Performance Testing (96125) | $410 | $410 | 4.0× |
| Stenger Test Speech (92577) | $536 | $536 | 1.3× |
| Stenger Test, Pure Tone (92565) | $61 | $61 | 1.0× |
| Stress Tte Only (93350) | $2,706 | $2,706 | 4.6× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$55–$304 | $55–$304 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$371–$982 | $371–$982 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $268 | $268 | 3.5× |
| Surfactant Admin Thru Tube (94610) | $892 | $892 | 3.8× |
| Synthetic Sentence Identification Test (92576) | $94 | $94 | 2.3× |
| Temp transcutaneous pacing (92953) | $1,165 | $1,165 | 1.6× |
| Temperature Gradient Studies (93740) | $156 | $156 | 1.1× |
| Tensilon Test (95857) range across 2 matching MRF lines |
$314–$881 | $314–$881 | varies |
| Test to assess hearing loss using different tone pitches (92575) | $164 | $164 | 4.1× |
| Testing Autonomic Nervous System Function (95923) | $505 | $505 | 3.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $142 | $142 | 6.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $133 | $133 | 6.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $121 | $121 | 3.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $73 | $73 | 2.5× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$133–$234 | $133–$234 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$70–$204 | $70–$204 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$304–$675 | $304–$675 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $314 | $314 | 1.4× |
| Therapeutic Activities (97530) | $221 | $221 | 6.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,787 | $2,787 | 7.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$34–$106 | $34–$106 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$34–$106 | $34–$106 | varies |
| Tone Decay Test (92563) | $77 | $77 | 1.9× |
| Transcath Closure of Asd (93580) | $32,436 | $32,436 | 1.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $463 | $463 | 4.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $252 | $252 | 6.3× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $313 | $313 | 2.3× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $313 | $313 | 2.2× |
| Tte w/doppler, complete (93306) | $3,756 | $3,756 | 6.4× |
| Tte W/O Doppler Complete (93307) | $1,718 | $1,718 | 6.7× |
| Tx atrial fib pulm vein isol (93656) | $42,847 | $42,847 | 1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $355 | $355 | 4.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $148 | $148 | 6.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$105–$306 | $105–$306 | varies |
| Tympanometry (92567) | $40 | $40 | 1.0× |
| Tympanometry and reflex threshold measurements (92550) | $156 | $156 | 0.7× |
| Unlis neurological/neuromuscular dx px (95999) range across 2 matching MRF lines |
$513–$530 | $513–$530 | varies |
| Unlisted allergy/clinical immunologic srvc/px (95199) range across 2 matching MRF lines |
$18–$173 | $18–$173 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$15–$19,439 | $15–$19,439 | varies |
| Unlisted Psychiatric Service/Procedure (90899) | $95 | $95 | 2.4× |
| Unlisted Special Dermatological Service/Px (96999) | $221 | $221 | 1.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $924 | $924 | 6.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,529 | $1,529 | 6.6× |
| Valvuloplasty aortic valve (92986) | $7,583 | $7,583 | 1.2× |
| Valvuloplasty mitral valve (92987) | $17,142 | $17,142 | 1.4× |
| Valvuloplasty pulmonary valve (92990) | $40,927 | $40,927 | 3.3× |
| Vasopneumatic device (97016) | $114 | $114 | 9.5× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,301 | $2,301 | 5.8× |
| Veeg 2-12 hr intmt mntr (95712) | $1,199 | $1,199 | 3.0× |
| Veeg 2-12 hr unmonitored (95711) | $1,199 | $1,199 | 5.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,376 | $2,376 | 5.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,376 | $2,376 | 5.9× |
| Veeg ea 12-26hr cont mntr (95716) | $4,445 | $4,445 | 4.8× |
| Vent Mgmt Inpat Init Day (94002) | $2,517 | $2,517 | 3.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,196 | $2,196 | 3.3× |
| Visual Evoked Potential Test (95930) | $1,238 | $1,238 | 5.4× |
| Visual Field Exam Extended (92083) | $146 | $146 | 1.0× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $70 | $70 | 1.1× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $70 | $70 | 1.1× |
| Visual reinforcement audiometry (vra) (92579) | $156 | $156 | 0.7× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$166–$330 | $166–$330 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,992 | $1,992 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $132 | $132 | 4.2× |
| Whirlpool Therapy (97022) | $124 | $124 | 7.9× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $68 | $68 | 1.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.