Visits & medical services prices at T.J. Samson Community Hospital
Glasgow, KY · every code in this section with a posted price and a Medicare benchmark.
224 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 3 matching MRF lines |
$35.75–$73.45 | $55–$113 | varies |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$108.55–$126.75 | $167–$195 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$29.25–$232.70 | $45–$358 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $11.70 | $18 | 0.3× |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$42.25–$141.70 | $65–$218 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$68.25–$123.50 | $105–$190 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $22.75 | $35 | 1.6× |
| Application on-body injector (96377) | $50.05 | $77 | 1.1× |
| Assessment of aphasia per hr (96105) | $170.30 | $262 | 1.8× |
| Audiometry Air & Bone (92553) | $163.15 | $251 | 1.3× |
| Behavral qualit analys voice (92524) | $172.25 | $265 | 1.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $124.80 | $192 | 1.5× |
| Bfb training ea addl 15 min (90913) | $51.35 | $79 | 1.6× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$9.75–$40.95 | $15–$63 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$21.45–$396.50 | $33–$610 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$61.75–$71.50 | $95–$110 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $425.75 | $655 | 2.1× |
| Cardiopulmonary resuscitation (92950) | $324.35 | $499 | 1.6× |
| Cardioversion (92960) range across 2 matching MRF lines |
$200.85–$978.25 | $309–$1,505 | varies |
| Cardioversion elective internal (92961) | $702.65 | $1,081 | 1.1× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$6.50–$40.30 | $10–$62 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$622.70–$3,889.60 | $958–$5,984 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$495.30–$3,651.05 | $762–$5,617 | varies |
| Cbt 1st hour (94644) | $141.70 | $218 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $104 | $160 | 1.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $104 | $160 | 1.5× |
| Chemo IV infusion addl hr (96415) | $76.70 | $118 | 1.1× |
| Chemo IV push addl drug (96411) | $92.95 | $143 | 1.4× |
| Chemother Prolong Infuse W/Pump (96416) | $351 | $540 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $78.65 | $121 | 1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $351 | $540 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $351 | $540 | 1.1× |
| Chest Wall Manipulation (94668) | $141.70 | $218 | 1.1× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$76.70–$108.55 | $118–$167 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$89.05–$419.25 | $137–$645 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$61.10–$343.85 | $94–$529 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$138.45–$189.15 | $213–$291 | varies |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$48.10–$163.15 | $74–$251 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $141.70 | $218 | 1.1× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$63.05–$101.40 | $97–$156 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$37.05–$163.15 | $57–$251 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$470.60–$3,688.75 | $724–$5,675 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$406.25–$3,562.65 | $625–$5,481 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $275.60 | $424 | 1.3× |
| Cpt initial (94667) | $160.55 | $247 | 1.3× |
| Critical care first hour (99291) | $438.75 | $675 | 0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$61.75–$213.20 | $95–$328 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$60.45–$852.80 | $93–$1,312 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$37.70–$426.40 | $58–$656 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$53.30–$923 | $82–$1,420 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$35.75–$461.50 | $55–$710 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$62.40–$852.80 | $96–$1,312 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$38.35–$426.40 | $59–$656 | varies |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$104–$581.10 | $160–$894 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$41.60–$254.15 | $64–$391 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$193.05–$590.85 | $297–$909 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$139.75–$581.10 | $215–$894 | varies |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$94.25–$324.35 | $145–$499 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$94.25–$324.35 | $145–$499 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$94.25–$324.35 | $145–$499 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$139.75–$324.35 | $215–$499 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$94.25–$324.35 | $145–$499 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$87.75–$120.25 | $135–$185 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$40.30–$65 | $62–$100 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $30.55 | $47 | 2.1× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$73.45–$131.95 | $113–$203 | varies |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$429.65–$1,294.15 | $661–$1,991 | varies |
| Emergency Dept Visit Level 2 (99282) | $70.20 | $108 | 0.5× |
| Emergency Dept Visit Level 3 (99283) | $115.05 | $177 | 0.4× |
| Emergency Dept Visit Level 4 (99284) | $195 | $300 | 0.5× |
| Er level 1 (99281) | $36.40 | $56 | 0.5× |
| Er level v (99285) | $284.05 | $437 | 0.5× |
| Evaluate pt use of inhaler (94664) | $232.70 | $358 | 1.1× |
| Evaluate Speech Production (92522) | $176.15 | $271 | 1.6× |
| Evaluate Swallowing Function (92610) | $161.85 | $249 | 1.9× |
| Evaluation of speech fluency (92521) | $209.95 | $323 | 1.6× |
| External ECG rec>48hr<7d recording (93242) | $59.15 | $91 | 1.7× |
| External ECG rec>7d<15d recording (93246) | $59.80 | $92 | 1.7× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$61.10–$595.40 | $94–$916 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$39–$322.40 | $60–$496 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $136.50 | $210 | 0.2× |
| Gi tract capsule endoscopy (91110) | $303.55 | $467 | 0.4× |
| Group Therapeutic Procedures (97150) | $31.85 | $49 | 1.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$687.70–$3,483.35 | $1,058–$5,359 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $747.50 | $1,150 | 1.1× |
| High altitude simulation test (94452) | $141.70 | $218 | 1.1× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $141.70 | $218 | 1.1× |
| Holter monitor recording (93225) | $169 | $260 | 1.3× |
| Icd Device Interrogate (93289) | $73.45 | $113 | 2.1× |
| Icd device progr eval dual (93283) | $96.85 | $149 | 2.7× |
| Icd Device Progr Eval Mult (93284) | $104 | $160 | 2.9× |
| Ilr Device Eval Progr (93285) | $42.25 | $65 | 1.2× |
| Ilr Device Interrogate (93291) | $35.10 | $54 | 1.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $76.70 | $118 | 1.1× |
| Immunization administration (90471) range across 2 matching MRF lines |
$38.35–$76.70 | $59–$118 | varies |
| Iontophoresis 15 min (97033) | $32.50 | $50 | 1.7× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$42.25–$76.05 | $65–$117 | varies |
| IV infusion hydration each additional hour (96361) | $50.05 | $77 | 1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $226.20 | $348 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $76.70 | $118 | 1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $50.05 | $77 | 1.1× |
| IV push initial (96374) | $226.20 | $348 | 1.1× |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$558.35–$3,797.30 | $859–$5,842 | varies |
| Mechanical chest wall oscillation per session (94669) | $232.70 | $358 | 1.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $31.85 | $49 | 1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$37.05–$58.50 | $57–$90 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$48.75–$396.50 | $75–$610 | varies |
| Motion Fluoroscopy/Swallow (92611) | $288.60 | $444 | 3.2× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$312.65–$1,181.05 | $481–$1,817 | varies |
| Nasopharyngoscopy (92511) | $57.20 | $88 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$45.50–$534.30 | $70–$822 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$43.55–$213.20 | $67–$328 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$47.45–$432.25 | $73–$665 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$83.20–$236.60 | $128–$364 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$256.75–$551.85 | $395–$849 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$305.50–$551.85 | $470–$849 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$110.50–$324.35 | $170–$499 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$130–$324.35 | $200–$499 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$172.90–$324.35 | $266–$499 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$217.75–$551.85 | $335–$849 | varies |
| Neuromuscular Reeducation (97112) | $55.25 | $85 | 1.7× |
| Newborn resuscitation (99465) | $702.65 | $1,081 | 1.1× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$28.60–$40.95 | $44–$63 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $35.10 | $54 | 1.4× |
| Oral Function Therapy (92526) | $137.15 | $211 | 1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $81.90 | $126 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$68.90–$75.40 | $106–$116 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$29.25–$39 | $45–$60 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$29.25–$58.50 | $45–$90 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$29.25–$74.75 | $45–$115 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
$29.25–$110.50 | $45–$170 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
$29.25–$126.75 | $45–$195 | varies |
| Ot eval high complexity (97167) | $269.75 | $415 | 2.7× |
| Ot Eval Low Complex (97165) | $154.70 | $238 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $200.85 | $309 | 2.0× |
| Ot manual therapy 15 min (97140) | $48.10 | $74 | 1.7× |
| Ot Re-Eval Est Plan Care (97168) | $105.30 | $162 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $155.35 | $239 | 1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$867.75–$6,047.60 | $1,335–$9,304 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$1,077.70–$12,266.15 | $1,658–$18,871 | varies |
| Phlebotomy therapeutic (99195) | $141.70 | $218 | 1.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $63.05 | $97 | 1.1× |
| Physical Performance Test (97750) | $58.50 | $90 | 1.7× |
| Plethysmography (94726) range across 2 matching MRF lines |
$20.15–$396.50 | $31–$610 | varies |
| Pm device eval in person (93288) | $34.45 | $53 | 1.0× |
| Pm device progr eval dual (93280) | $63.05 | $97 | 1.8× |
| Pm device progr eval multi (93281) | $65.65 | $101 | 1.9× |
| Pm Device Progr Eval Sngl (93279) | $52 | $80 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$204.75–$1,653.60 | $315–$2,544 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$204.75–$1,411.15 | $315–$2,171 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,637.35 | $2,519 | 2.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $68.90 | $106 | 1.9× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 2 matching MRF lines |
$76.70–$108.55 | $118–$167 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$15.60–$50.05 | $24–$77 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$18.20–$50.05 | $28–$77 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$1,034.15–$12,266.15 | $1,591–$18,871 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$962.65–$12,266.15 | $1,481–$18,871 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$1,075.75–$19,477.90 | $1,655–$29,966 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$962–$12,266.15 | $1,480–$18,871 | varies |
| Psych diag eval w/med srvcs (90792) range across 4 matching MRF lines |
$189.15–$317.85 | $291–$489 | varies |
| Psychiatric diagnostic evaluation (90791) | $273.65 | $421 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) | $253.50 | $390 | 1.5× |
| Pt Eval High Complex (97163) | $269.10 | $414 | 2.7× |
| Pt eval low complex 20 min (97161) | $155.35 | $239 | 1.6× |
| Pt Eval Mod Complex (97162) | $179.40 | $276 | 1.8× |
| Pt gait training 15 min (97116) | $47.45 | $73 | 1.6× |
| Pt mechanical traction (97012) | $29.25 | $45 | 2.0× |
| Pt Re-Eval Est Plan Care (97164) | $105.95 | $163 | 1.6× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$40.30–$97.50 | $62–$150 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$20.15–$229.45 | $31–$353 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$35.75–$141.70 | $55–$218 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$58.50–$141.70 | $90–$218 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$522.60–$5,916.30 | $804–$9,102 | varies |
| Refill/Maint Portable Pump (96521) | $219.70 | $338 | 1.1× |
| Rem interrog icpms <30 d phys/qhp (93297) | $40.30 | $62 | 1.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $40.95 | $63 | 1.2× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) range across 2 matching MRF lines |
$40.30–$68.90 | $62–$106 | varies |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) range across 2 matching MRF lines |
$31.85–$141.70 | $49–$218 | varies |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $55.90 | $86 | 1.6× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) range across 2 matching MRF lines |
$40.30–$74.75 | $62–$115 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $135.20 | $208 | 3.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) range across 2 matching MRF lines |
$31.85–$141.70 | $49–$218 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $63.70 | $98 | 1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $82.55 | $127 | 1.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $63.05 | $97 | 1.1× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$230.10–$3,445 | $354–$5,300 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$32.50–$213.20 | $50–$328 | varies |
| Select picture audiometry (92583) | $62.40 | $96 | 1.1× |
| Self Care Mngment Training (97535) | $55.25 | $85 | 1.7× |
| Self-meas bp pt educaj/traing & dev calibration (99473) range across 2 matching MRF lines |
$22.75–$31.20 | $35–$48 | varies |
| Sleep study attended (95807) range across 2 matching MRF lines |
$100.75–$551.85 | $155–$849 | varies |
| Sleep study unattended (95806) | $104 | $160 | 0.5× |
| Speech Audiometry Complete (92556) | $63.05 | $97 | 1.1× |
| Speech audiometry threshold (92555) | $63.05 | $97 | 1.1× |
| Speech sound lang comprehen (92523) | $360.75 | $555 | 1.6× |
| Spirometry (94010) range across 4 matching MRF lines |
$13.65–$229.45 | $15–$353 | varies |
| Standardized Cognitive Performance Testing (96125) | $185.90 | $286 | 1.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $53.95 | $83 | 1.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $226.20 | $348 | 1.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $76.70 | $118 | 1.1× |
| Temp transcutaneous pacing (92953) | $702.65 | $1,081 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $50.05 | $77 | 2.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $50.05 | $77 | 2.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $66.95 | $103 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$23.40–$76.70 | $36–$118 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $226.20 | $348 | 1.1× |
| Therapeutic Activities (97530) | $62.40 | $96 | 1.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$150.80–$1,237.60 | $232–$1,904 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$40.30–$48.75 | $62–$75 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$22.75–$40.30 | $35–$62 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$141.70–$335.40 | $218–$516 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$141.70–$455 | $218–$700 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$120.25–$942.50 | $185–$1,450 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$74.75–$484.90 | $115–$746 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $126.75 | $195 | 1.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $63.70 | $98 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $50.05 | $77 | 1.1× |
| Tympanometry (92567) range across 2 matching MRF lines |
$16.25–$40.95 | $25–$63 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$33.80–$229.45 | $52–$353 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$155.35–$163.15 | $239–$251 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$20.15–$141.70 | $31–$218 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$35.75–$618.15 | $55–$951 | varies |
| Vent Mgmt Inpat Init Day (94002) | $687.70 | $1,058 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $687.70 | $1,058 | 1.2× |
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.