Visits & medical services prices at Tennova Jefferson Memorial Hospital
Jefferson City, TN · every code in this section with a posted price and a Medicare benchmark.
250 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) | $8,658.80 | $39,126.97 | 1.2× |
| Actigraphy Testing Recording Analysis I&R (95803) | $194.79 | $880.19 | 3.6× |
| Airway Inhalation Treatment (94640) | $237.63 | $1,073.78 | 1.2× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$186.63–$30,811.24 | $843.35–$139,228.38 | varies |
| Analyze Neurostim Simple (95971) | $222.99 | $1,007.65 | 2.6× |
| Analyze Pacemaker System (93724) | $674.63 | $3,048.50 | 2.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $54.60 | $246.72 | 3.8× |
| Arrhythmia Induction (93618) | $1,260.50 | $5,695.88 | 1.1× |
| Assessment of aphasia per hr (96105) | $139.52 | $630.45 | 1.4× |
| Behavral qualit analys voice (92524) | $139.43 | $630.03 | 1.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $83.51 | $377.38 | 1.0× |
| Bfb training ea addl 15 min (90913) | $20.88 | $94.34 | 0.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $372.67 | $1,684.02 | 1.1× |
| Bundle of his recording (93600) | $6,690.54 | $30,232.89 | 0.9× |
| Canalith repositioning proc (95992) | $45.76 | $206.79 | 1.1× |
| Car seat/bed test 60 min (94780) | $41.19 | $186.13 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $626.06 | $2,828.99 | 3.2× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$431.66–$8,471.45 | $1,950.56–$38,280.40 | varies |
| Cardioversion (92960) | $849.90 | $3,840.51 | 1.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $19.92 | $90 | 0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $5,655.86 | $25,557.45 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $6,108 | $27,600.55 | 2.1× |
| Cbt 1st hour (94644) | $176.07 | $795.62 | 1.5× |
| Chemo Admin Peritoneal Cavity (96446) | $250.25 | $1,130.82 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $208.13 | $940.49 | 3.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $115.64 | $522.57 | 1.8× |
| Chemo Ia Push (96420) | $207.22 | $936.37 | 0.7× |
| Chemo IV infusion addl hr (96415) | $94.04 | $424.94 | 1.4× |
| Chemo IV push addl drug (96411) | $161.91 | $731.62 | 2.5× |
| Chemother Prolong Infuse W/Pump (96416) | $282.06 | $1,274.57 | 0.9× |
| Chemotherapy Into Cns (96450) | $586.10 | $2,648.44 | 2.0× |
| Chemotherapy Intracavitary (96440) | $351.92 | $1,590.26 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $115.64 | $522.57 | 1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $551.63 | $2,492.66 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $338.39 | $1,529.09 | 1.1× |
| Chest Wall Manipulation (94668) | $75.77 | $342.39 | 0.6× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $470.98 | $2,128.24 | 1.4× |
| Color/duplex Doppler, complete (93975) | $359.94 | $1,626.50 | 1.7× |
| Color/duplex Doppler, limited (93976) | $275.58 | $1,245.26 | 2.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $32.83 | $148.34 | 1.0× |
| Continuous Pulse Ox (94762) | $267.88 | $1,210.48 | 2.3× |
| Coronary Art/Grft Angio S&I (93455) | $5,491.02 | $24,812.57 | 1.9× |
| Coronary Artery Angio S&I (93454) | $5,036.74 | $22,759.77 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $384.35 | $1,736.76 | 1.9× |
| Cpt initial (94667) | $220.02 | $994.22 | 1.8× |
| Critical care first hour (99291) | $1,302.53 | $5,885.81 | 1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$210.54–$284.84 | $951.39–$1,287.13 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $92.09 | $416.13 | 0.8× |
| Dialysis One Evaluation (90945) | $930.48 | $4,204.60 | 2.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $114.07 | $515.46 | 1.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $437.03 | $1,974.83 | 2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $296.88 | $1,341.52 | 3.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$386.19–$494.11 | $1,745.09–$2,232.75 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$312.38–$399.68 | $1,411.57–$1,806.04 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $660.63 | $2,985.22 | 3.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $440.17 | $1,989.02 | 4.6× |
| Duplex Scan Hemodialysis Access (93990) | $227.04 | $1,025.94 | 2.4× |
| Duplex up extrem art bilat (93930) | $439.94 | $1,987.98 | 2.0× |
| Duplex up extrem art unilat/ltd (93931) | $359.48 | $1,624.42 | 3.8× |
| ECG/monitoring and analysis (93271) | $108.03 | $488.17 | 1.3× |
| Echo Heart Xthoracic,Limited (93308) | $482.62 | $2,180.85 | 2.2× |
| Echo transesophag montr cardiac pump functj (93318) | $520.07 | $2,350.08 | 1.0× |
| Echo transesophageal (93312) | $1,123.52 | $5,076.91 | 2.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $746.94 | $3,375.24 | 1.5× |
| Eeg 41-60 Minutes (95812) | $414.32 | $1,872.21 | 2.1× |
| EEG awake and asleep (95819) | $414.32 | $1,872.21 | 2.1× |
| EEG awake drowsy (95816) | $414.32 | $1,872.21 | 2.1× |
| EEG cerebral death evaluation (95824) | $329.48 | $1,488.86 | 1.0× |
| EEG extended monitoring 61-119 minutes (95813) | $414.32 | $1,872.21 | 2.1× |
| Eeg Sleep Only (95822) | $317.84 | $1,436.22 | 1.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $414.32 | $1,872.21 | 2.1× |
| EEG w/o vid 2-12hr cont mntr (95707) | $414.32 | $1,872.21 | 2.1× |
| EEG w/o vid ea 12-26hr intmt (95709) | $482.18 | $2,178.85 | 1.4× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $482.18 | $2,178.85 | 1.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $414.32 | $1,872.21 | 2.1× |
| EEG wo vid ea 12-26hr unmntr (95708) | $482.18 | $2,178.85 | 1.4× |
| Electrical Stimulation Ea 15 Min (97032) | $87.23 | $394.18 | 5.9× |
| Electrocardiogram Tracing (93005) | $147.70 | $667.41 | 2.8× |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$602.51–$644.20 | $2,722.58–$2,910.98 | varies |
| Electrophysiology Evaluation (93642) | $1,554.04 | $7,022.34 | 1.4× |
| Emergency Dept Visit Level 2 (99282) | $194.28 | $877.92 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $372.86 | $1,684.88 | 1.5× |
| Emergency Dept Visit Level 4 (99284) | $565.50 | $2,555.34 | 1.5× |
| Emg 4 Extremities (95864) | $229.29 | $1,036.11 | 2.0× |
| Endomyocardial Biopsy (93505) | $3,117.86 | $14,088.86 | 1.1× |
| Ep & ablate supravent arrhyt (93653) | $22,129.92 | $99,999.66 | 0.9× |
| Ep & ablate ventric tachy (93654) | $22,129.92 | $99,999.66 | 0.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $6,690.54 | $30,232.89 | 0.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $8,149.46 | $36,825.41 | 1.2× |
| Er level 1 (99281) | $143.85 | $650.02 | 1.9× |
| Er level v (99285) | $877.83 | $3,966.68 | 1.6× |
| Ergonovine provocation test (93024) | $352.64 | $1,593.50 | 0.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $72.55 | $327.85 | 0.6× |
| Evaluate pt use of inhaler (94664) | $220.02 | $994.22 | 1.1× |
| Evaluate Speech Production (92522) | $185.89 | $840 | 1.7× |
| Evaluate Swallowing Function (92610) | $98.49 | $445.07 | 1.2× |
| Evaluation of speech fluency (92521) | $161.40 | $729.31 | 1.2× |
| External ECG rec>48hr<7d recording (93242) | $532.07 | $2,404.28 | 15.7× |
| External ECG rec>7d<15d recording (93246) | $532.07 | $2,404.28 | 15.7× |
| External Ecg Scanning Analysis Report (93226) | $532.07 | $2,404.28 | 9.9× |
| Extracranial Bilat Study (93880) | $636.15 | $2,874.61 | 2.9× |
| Extracranial Uni/Ltd Study (93882) | $344.80 | $1,558.05 | 3.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $153.44 | $693.37 | 0.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $487.67 | $2,203.65 | 1.4× |
| Group Therapeutic Procedures (97150) | $38.73 | $174.99 | 2.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $6,879.44 | $31,086.48 | 2.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $918.59 | $4,150.88 | 1.5× |
| Holter monitor recording (93225) | $437.57 | $1,977.26 | 3.6× |
| Icd Device Interrogate (93289) | $345.77 | $1,562.44 | 10.2× |
| Immunization administration (90471) range across 2 matching MRF lines |
$75.07–$84.29 | $339.21–$380.89 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$1,879.95–$2,274.92 | $8,495.01–$10,279.80 | varies |
| Intra-atrial pacing (93610) | $6,690.54 | $30,232.89 | 0.9× |
| Intra-atrial recording (93602) | $6,690.54 | $30,232.89 | 0.9× |
| Intracranial Complete Study (93886) | $480.62 | $2,171.82 | 2.2× |
| Intraventricular pacing (93612) | $6,690.54 | $30,232.89 | 0.9× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$66.37–$69.03 | $299.89–$311.94 | varies |
| Irrig Drug Delivery Device (96523) | $159.15 | $719.16 | 3.0× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$49.48–$55.56 | $223.57–$251.06 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$248.88–$279.46 | $1,124.61–$1,262.81 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$75.07–$84.29 | $339.21–$380.89 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$46.02–$51.68 | $207.97–$233.53 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$188.92–$212.14 | $853.70–$958.62 | varies |
| L Hrt Art/Grft Angio (93459) | $5,545.36 | $25,058.09 | 1.9× |
| Lung Function Test (Mbc/Mvv) (94200) | $190.15 | $859.25 | 3.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $548.20 | $2,477.19 | 2.8× |
| Mechanical chest wall oscillation per session (94669) | $184.13 | $832.04 | 0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $38.46 | $173.79 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44.84 | $202.61 | 1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $19.96 | $90.21 | 1.2× |
| Methacholine challenge (94070) | $468.86 | $2,118.65 | 1.4× |
| Motility study esophagus (91010) | $474.51 | $2,144.21 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) | $182.74 | $825.74 | 2.0× |
| Multiple Sleep Latency Test (95805) | $2,027.53 | $9,161.90 | 2.6× |
| Muscle Test 2 Limbs (95861) | $437.13 | $1,975.30 | 3.6× |
| Muscle Test Nonparaspinal (95870) | $48.51 | $219.22 | 0.4× |
| Muscle Test One Limb (95860) | $137.08 | $619.42 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $396.82 | $1,793.14 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $396.82 | $1,793.14 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$182.41–$246.77 | $824.25–$1,115.11 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$157.32–$212.84 | $710.89–$961.76 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $229.29 | $1,036.11 | 1.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $417.39 | $1,886.09 | 1.2× |
| Nerve conduction studies 13 or more studies (95913) | $443.48 | $2,003.98 | 1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $417.39 | $1,886.09 | 2.1× |
| Nerve conduction studies 5-6 studies (95909) | $417.39 | $1,886.09 | 2.1× |
| Nerve conduction studies 7-8 studies (95910) | $626.09 | $2,829.16 | 1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $417.39 | $1,886.09 | 1.2× |
| Neuromuscular Reeducation (97112) | $44.39 | $200.58 | 1.4× |
| Newborn resuscitation (99465) | $679.15 | $3,068.90 | 1.1× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $351.92 | $1,590.22 | 1.0× |
| Oral Function Therapy (92526) | $115.99 | $524.12 | 1.4× |
| Oral Speech Device Eval (92597) | $94.20 | $425.68 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $60.68 | $274.22 | 1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $50.18 | $226.75 | 1.1× |
| Ot eval high complexity (97167) | $112.31 | $507.50 | 1.1× |
| Ot Eval Low Complex (97165) | $112.31 | $507.50 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $112.31 | $507.50 | 1.1× |
| Ot manual therapy 15 min (97140) | $42.81 | $193.47 | 1.5× |
| Ot paraffin bath (97018) | $34.33 | $155.14 | 5.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $35.70 | $161.34 | 0.9× |
| Ot Re-Eval Est Plan Care (97168) | $81.79 | $369.58 | 1.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $100.95 | $456.16 | 0.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $100.95 | $456.16 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $244.69 | $1,105.71 | 1.2× |
| Peripheral arterial disease rehab per session (93668) | $66.01 | $298.30 | 1.2× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $15,627.85 | $70,618.41 | 0.9× |
| Perq Transcath Cls Aortic (93591) | $22,129.87 | $99,999.43 | 1.3× |
| Perq Transcath Cls Mitral (93590) | $22,129.90 | $99,999.54 | 1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,658.28 | $30,087.12 | 1.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $13,897.22 | $62,798.09 | 1.3× |
| Phlebotomy therapeutic (99195) | $156.50 | $707.19 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $50.24 | $227 | 0.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $50.24 | $227 | 0.9× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$4.15–$35.70 | $18.75–$161.34 | varies |
| Plethysmography (94726) | $233.15 | $1,053.53 | 0.7× |
| Pm device eval in person (93288) | $256.54 | $1,159.26 | 7.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,275.28 | $14,800.20 | 4.2× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,200.77 | $5,425.98 | 1.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,200.77 | $5,425.98 | 1.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $13,897.22 | $62,798.09 | 1.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $13,897.22 | $62,798.09 | 1.3× |
| Prq Card Stent/Ath/Angio (92933) | $22,129.95 | $99,999.77 | 1.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $13,897.22 | $62,798.09 | 1.3× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $22,129.90 | $99,999.53 | 1.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $39.53 | $178.64 | 1.0× |
| Pt Eval High Complex (97163) | $151.88 | $686.32 | 1.6× |
| Pt eval low complex 20 min (97161) | $151.88 | $686.32 | 1.6× |
| Pt Eval Mod Complex (97162) | $151.88 | $686.32 | 1.6× |
| Pt gait training 15 min (97116) | $36.65 | $165.60 | 1.3× |
| Pt mechanical traction (97012) | $91.41 | $413.04 | 6.4× |
| Pt Re-Eval Est Plan Care (97164) | $56.07 | $253.38 | 0.8× |
| Pulm function test by gas (94727) | $232.80 | $1,051.98 | 1.2× |
| R Hrt Art/Grft Angio (93457) | $8,038.27 | $36,322.95 | 2.7× |
| R hrt coronary artery angio (93456) | $7,531.49 | $34,032.95 | 2.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,214.53 | $23,563.16 | 1.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $250.58 | $1,132.29 | 0.8× |
| Refill/Maint Portable Pump (96521) | $319.95 | $1,445.77 | 1.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $52.20 | $235.90 | 1.5× |
| Remote 30 Day Ecg Tech Supp (93229) | $128.24 | $579.48 | 0.4× |
| Respiratory flow volume loop (94375) | $232.80 | $1,051.98 | 1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $158.64 | $716.86 | 3.0× |
| Right Heart Cath (93451) | $3,735.60 | $16,880.24 | 1.3× |
| Right ventricular recording (93603) | $3,211.79 | $14,513.27 | 2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$155.92–$210.93 | $704.55–$953.16 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $135.43 | $611.96 | 1.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $67.71 | $305.98 | 1.4× |
| Self Care Mngment Training (97535) | $46.32 | $209.32 | 1.4× |
| Sensory Integration Ea 15 Min (97533) | $36.50 | $164.92 | 0.6× |
| Sleep study unattended (95806) | $349.64 | $1,579.95 | 1.8× |
| Slp caregiver training 1st 30 min (97550) | $42.96 | $194.12 | 0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $262.23 | $1,184.93 | 1.3× |
| Somatosensory Testing (95938) | $680.57 | $3,075.31 | 0.9× |
| Speech sound lang comprehen (92523) | $256.68 | $1,159.87 | 1.1× |
| Spin/Brain Pump Refil & Main (95991) | $378.19 | $1,708.96 | 1.4× |
| Spirometry (94010) | $254.34 | $1,149.31 | 1.3× |
| Standardized Cognitive Performance Testing (96125) | $175.05 | $791.02 | 1.7× |
| Stress Tte Only (93350) | $1,253.51 | $5,664.29 | 2.5× |
| Subq Infusion Additional Pump Infusion Site (96371) | $69.69 | $314.90 | 1.1× |
| Temp transcutaneous pacing (92953) | $679.15 | $3,068.90 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $40.85 | $184.61 | 1.8× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$8.59–$20.61 | $38.81–$93.15 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $56.25 | $254.16 | 1.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $43.71 | $197.51 | 1.5× |
| Ther/Proph/Diag Inj Ia (96373) | $201.94 | $912.50 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$73.36–$77.28 | $331.49–$349.23 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$295.23–$331.51 | $1,334.07–$1,498.01 | varies |
| Therapeutic Activities (97530) | $46.08 | $208.24 | 1.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $957.16 | $4,325.18 | 2.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$47.91–$64.82 | $216.51–$292.92 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$30.34–$41.05 | $137.10–$185.48 | varies |
| Transcath Closure of Asd (93580) | $22,129.95 | $99,999.79 | 1.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $486.51 | $2,198.40 | 5.1× |
| Tte w/doppler, complete (93306) | $1,230.63 | $5,560.93 | 2.5× |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$743.75–$808.15 | $3,360.80–$3,651.81 | varies |
| Tx atrial fib pulm vein isol (93656) | $22,129.92 | $99,999.66 | 0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $129.39 | $584.66 | 1.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $38.57 | $174.30 | 1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$176.51–$198.21 | $797.62–$895.64 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$524.04–$723.40 | $2,368.02–$3,268.87 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $375.11 | $1,695.01 | 3.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $465.46 | $2,103.29 | 2.4× |
| Valvuloplasty aortic valve (92986) | $6,552.08 | $29,607.24 | 1.3× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$4,159.29 | $18,794.79 | 0.4× |
| Vasopneumatic device (97016) | $44.66 | $201.82 | 3.7× |
| Vent Mgmt Inpat Init Day (94002) | $678.65 | $3,066.65 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $689.07 | $3,113.75 | 1.2× |
| Visual Evoked Potential Test (95930) | $423.88 | $1,915.39 | 2.2× |
| Vital capacity, total (94150) | $232.80 | $1,051.98 | 2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $41.01 | $185.33 | 1.3× |
| Whirlpool Therapy (97022) | $3.55 | $16.03 | 0.2× |
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.