Visits & medical services prices at Tennova LaFollette Medical Center
LaFollette, 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.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $10,564.28 | $39,126.97 | 1.5× |
| Actigraphy Testing Recording Analysis I&R (95803) | $237.65 | $880.19 | 4.4× |
| Airway Inhalation Treatment (94640) | $289.92 | $1,073.78 | 1.5× |
| Analyze neurostim complex (95972) | $227.70 | $843.35 | 2.6× |
| Analyze Neurostim Simple (95971) | $272.07 | $1,007.65 | 3.2× |
| Analyze Pacemaker System (93724) | $823.10 | $3,048.50 | 3.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $66.61 | $246.72 | 4.6× |
| Arrhythmia Induction (93618) | $1,537.89 | $5,695.88 | 1.4× |
| Assessment of aphasia per hr (96105) | $170.22 | $630.45 | 1.8× |
| Behavral qualit analys voice (92524) | $170.11 | $630.03 | 1.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $101.89 | $377.38 | 1.2× |
| Bfb training ea addl 15 min (90913) | $25.47 | $94.34 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $454.69 | $1,684.02 | 1.3× |
| Bundle of his recording (93600) | $8,162.88 | $30,232.89 | 1.2× |
| Canalith repositioning proc (95992) | $55.83 | $206.79 | 1.4× |
| Car seat/bed test 60 min (94780) | $50.26 | $186.13 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $763.83 | $2,828.99 | 3.9× |
| Cardiopulmonary resuscitation (92950) | $526.65 | $1,950.56 | 2.7× |
| Cardioversion (92960) | $1,036.94 | $3,840.51 | 1.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $24.30 | $90 | 0.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,900.51 | $25,557.45 | 2.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,452.15 | $27,600.55 | 2.5× |
| Cbt 1st hour (94644) | $214.82 | $795.62 | 1.8× |
| Chemo Admin Peritoneal Cavity (96446) | $305.32 | $1,130.82 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $253.93 | $940.49 | 3.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $141.09 | $522.57 | 2.2× |
| Chemo Ia Push (96420) | $252.82 | $936.37 | 0.8× |
| Chemo IV infusion addl hr (96415) | $114.73 | $424.94 | 1.8× |
| Chemo IV push addl drug (96411) | $197.54 | $731.62 | 3.0× |
| Chemother Prolong Infuse W/Pump (96416) | $344.13 | $1,274.57 | 1.1× |
| Chemotherapy Into Cns (96450) | $715.08 | $2,648.44 | 2.4× |
| Chemotherapy Intracavitary (96440) | $429.37 | $1,590.26 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $141.09 | $522.57 | 2.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $673.02 | $2,492.66 | 2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $412.85 | $1,529.09 | 1.4× |
| Chest Wall Manipulation (94668) | $92.45 | $342.39 | 0.8× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $574.62 | $2,128.24 | 1.7× |
| Color/duplex Doppler, complete (93975) | $439.16 | $1,626.50 | 2.0× |
| Color/duplex Doppler, limited (93976) | $336.22 | $1,245.26 | 3.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $40.05 | $148.34 | 1.2× |
| Continuous Pulse Ox (94762) | $326.83 | $1,210.48 | 2.8× |
| Coronary Art/Grft Angio S&I (93455) | $6,699.39 | $24,812.57 | 2.3× |
| Coronary Artery Angio S&I (93454) | $6,145.14 | $22,759.77 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $468.93 | $1,736.76 | 2.4× |
| Cpt initial (94667) | $268.44 | $994.22 | 2.2× |
| Critical care first hour (99291) | $1,589.17 | $5,885.81 | 2.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$256.88–$347.53 | $951.39–$1,287.13 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $112.36 | $416.13 | 1.0× |
| Dialysis One Evaluation (90945) | $1,135.24 | $4,204.60 | 3.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $139.17 | $515.46 | 1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $533.20 | $1,974.83 | 2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $362.21 | $1,341.52 | 3.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$471.17–$602.84 | $1,745.09–$2,232.75 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$381.12–$487.63 | $1,411.57–$1,806.04 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $806.01 | $2,985.22 | 3.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $537.04 | $1,989.02 | 5.7× |
| Duplex Scan Hemodialysis Access (93990) | $277 | $1,025.94 | 2.9× |
| Duplex up extrem art bilat (93930) | $536.75 | $1,987.98 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $438.59 | $1,624.42 | 4.6× |
| ECG/monitoring and analysis (93271) | $131.81 | $488.17 | 1.5× |
| Echo Heart Xthoracic,Limited (93308) | $588.83 | $2,180.85 | 2.7× |
| Echo transesophag montr cardiac pump functj (93318) | $634.52 | $2,350.08 | 1.3× |
| Echo transesophageal (93312) | $1,370.77 | $5,076.91 | 2.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $911.31 | $3,375.24 | 1.8× |
| Eeg 41-60 Minutes (95812) | $505.50 | $1,872.21 | 2.6× |
| EEG awake and asleep (95819) | $505.50 | $1,872.21 | 2.6× |
| EEG awake drowsy (95816) | $505.50 | $1,872.21 | 2.6× |
| EEG cerebral death evaluation (95824) | $401.99 | $1,488.86 | 1.2× |
| EEG extended monitoring 61-119 minutes (95813) | $505.50 | $1,872.21 | 2.6× |
| Eeg Sleep Only (95822) | $387.78 | $1,436.22 | 2.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $505.50 | $1,872.21 | 2.6× |
| EEG w/o vid 2-12hr cont mntr (95707) | $505.50 | $1,872.21 | 2.6× |
| EEG w/o vid ea 12-26hr intmt (95709) | $588.29 | $2,178.85 | 1.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $588.29 | $2,178.85 | 1.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $505.50 | $1,872.21 | 2.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $588.29 | $2,178.85 | 1.7× |
| Electrical Stimulation Ea 15 Min (97032) | $106.43 | $394.18 | 7.2× |
| Electrocardiogram Tracing (93005) | $180.20 | $667.41 | 3.4× |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$735.10–$785.96 | $2,722.58–$2,910.98 | varies |
| Electrophysiology Evaluation (93642) | $1,896.03 | $7,022.34 | 1.7× |
| Emergency Dept Visit Level 2 (99282) | $237.04 | $877.92 | 1.7× |
| Emergency Dept Visit Level 3 (99283) | $454.92 | $1,684.88 | 1.8× |
| Emergency Dept Visit Level 4 (99284) | $689.94 | $2,555.34 | 1.8× |
| Emg 4 Extremities (95864) | $279.75 | $1,036.11 | 2.4× |
| Endomyocardial Biopsy (93505) | $3,803.99 | $14,088.86 | 1.3× |
| Ep & ablate supravent arrhyt (93653) | $26,999.91 | $99,999.66 | 1.1× |
| Ep & ablate ventric tachy (93654) | $26,999.91 | $99,999.66 | 1.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $8,162.88 | $30,232.89 | 1.2× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $9,942.86 | $36,825.41 | 1.4× |
| Er level 1 (99281) | $175.51 | $650.02 | 2.3× |
| Er level v (99285) | $1,071 | $3,966.68 | 2.0× |
| Ergonovine provocation test (93024) | $430.25 | $1,593.50 | 1.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $88.52 | $327.85 | 0.8× |
| Evaluate pt use of inhaler (94664) | $268.44 | $994.22 | 1.4× |
| Evaluate Speech Production (92522) | $226.80 | $840 | 2.0× |
| Evaluate Swallowing Function (92610) | $120.17 | $445.07 | 1.4× |
| Evaluation of speech fluency (92521) | $196.91 | $729.31 | 1.5× |
| External ECG rec>48hr<7d recording (93242) | $649.16 | $2,404.28 | 19.2× |
| External ECG rec>7d<15d recording (93246) | $649.16 | $2,404.28 | 19.2× |
| External Ecg Scanning Analysis Report (93226) | $649.16 | $2,404.28 | 12.1× |
| Extracranial Bilat Study (93880) | $776.14 | $2,874.61 | 3.6× |
| Extracranial Uni/Ltd Study (93882) | $420.67 | $1,558.05 | 4.4× |
| Flexible endoscopic eval swallow c/v rec (92612) | $187.21 | $693.37 | 0.9× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $594.99 | $2,203.65 | 1.8× |
| Group Therapeutic Procedures (97150) | $47.25 | $174.99 | 2.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,393.35 | $31,086.48 | 2.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,120.74 | $4,150.88 | 1.8× |
| Holter monitor recording (93225) | $533.86 | $1,977.26 | 4.4× |
| Icd Device Interrogate (93289) | $421.86 | $1,562.44 | 12.5× |
| Immunization administration (90471) range across 2 matching MRF lines |
$91.59–$102.84 | $339.21–$380.89 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$2,293.65–$2,775.55 | $8,495.01–$10,279.80 | varies |
| Intra-atrial pacing (93610) | $8,162.88 | $30,232.89 | 1.2× |
| Intra-atrial recording (93602) | $8,162.88 | $30,232.89 | 1.2× |
| Intracranial Complete Study (93886) | $586.39 | $2,171.82 | 2.7× |
| Intraventricular pacing (93612) | $8,162.88 | $30,232.89 | 1.2× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$80.97–$84.22 | $299.89–$311.94 | varies |
| Irrig Drug Delivery Device (96523) | $194.17 | $719.16 | 3.6× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$60.36–$67.79 | $223.57–$251.06 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$303.64–$340.96 | $1,124.61–$1,262.81 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$91.59–$102.84 | $339.21–$380.89 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$56.15–$63.05 | $207.97–$233.53 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$230.50–$258.83 | $853.70–$958.62 | varies |
| L Hrt Art/Grft Angio (93459) | $6,765.68 | $25,058.09 | 2.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $232 | $859.25 | 4.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $668.84 | $2,477.19 | 3.4× |
| Mechanical chest wall oscillation per session (94669) | $224.65 | $832.04 | 1.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $46.92 | $173.79 | 1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $54.70 | $202.61 | 1.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $24.36 | $90.21 | 1.4× |
| Methacholine challenge (94070) | $572.04 | $2,118.65 | 1.7× |
| Motility study esophagus (91010) | $578.94 | $2,144.21 | 1.7× |
| Motion Fluoroscopy/Swallow (92611) | $222.95 | $825.74 | 2.4× |
| Multiple Sleep Latency Test (95805) | $2,473.71 | $9,161.90 | 3.2× |
| Muscle Test 2 Limbs (95861) | $533.33 | $1,975.30 | 4.4× |
| Muscle Test Nonparaspinal (95870) | $59.19 | $219.22 | 0.5× |
| Muscle Test One Limb (95860) | $167.24 | $619.42 | 1.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $484.15 | $1,793.14 | 1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $484.15 | $1,793.14 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$222.55–$301.08 | $824.25–$1,115.11 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$191.94–$259.68 | $710.89–$961.76 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $279.75 | $1,036.11 | 1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $509.24 | $1,886.09 | 1.5× |
| Nerve conduction studies 13 or more studies (95913) | $541.07 | $2,003.98 | 1.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $509.24 | $1,886.09 | 2.6× |
| Nerve conduction studies 5-6 studies (95909) | $509.24 | $1,886.09 | 2.6× |
| Nerve conduction studies 7-8 studies (95910) | $763.87 | $2,829.16 | 2.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $509.24 | $1,886.09 | 1.5× |
| Neuromuscular Reeducation (97112) | $54.16 | $200.58 | 1.7× |
| Newborn resuscitation (99465) | $828.60 | $3,068.90 | 1.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $429.36 | $1,590.22 | 1.3× |
| Oral Function Therapy (92526) | $141.51 | $524.12 | 1.7× |
| Oral Speech Device Eval (92597) | $114.93 | $425.68 | 1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $74.04 | $274.22 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $61.22 | $226.75 | 1.3× |
| Ot eval high complexity (97167) | $137.03 | $507.50 | 1.4× |
| Ot Eval Low Complex (97165) | $137.03 | $507.50 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $137.03 | $507.50 | 1.4× |
| Ot manual therapy 15 min (97140) | $52.24 | $193.47 | 1.9× |
| Ot paraffin bath (97018) | $41.89 | $155.14 | 7.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $43.56 | $161.34 | 1.1× |
| Ot Re-Eval Est Plan Care (97168) | $99.79 | $369.58 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $123.16 | $456.16 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $123.16 | $456.16 | 1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $298.54 | $1,105.71 | 1.5× |
| Peripheral arterial disease rehab per session (93668) | $80.54 | $298.30 | 1.5× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $19,066.97 | $70,618.41 | 1.1× |
| Perq Transcath Cls Aortic (93591) | $26,999.85 | $99,999.43 | 1.6× |
| Perq Transcath Cls Mitral (93590) | $26,999.88 | $99,999.54 | 1.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,123.52 | $30,087.12 | 1.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $16,955.48 | $62,798.09 | 1.6× |
| Phlebotomy therapeutic (99195) | $190.94 | $707.19 | 1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $61.29 | $227 | 1.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $61.29 | $227 | 1.1× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$5.06–$43.56 | $18.75–$161.34 | varies |
| Plethysmography (94726) | $284.45 | $1,053.53 | 0.8× |
| Pm device eval in person (93288) | $313 | $1,159.26 | 9.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,996.05 | $14,800.20 | 5.1× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,465.01 | $5,425.98 | 1.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,465.01 | $5,425.98 | 1.9× |
| Prq Card Angio/Athrect 1 Art (92924) | $16,955.48 | $62,798.09 | 1.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $16,955.48 | $62,798.09 | 1.6× |
| Prq Card Stent/Ath/Angio (92933) | $26,999.94 | $99,999.77 | 1.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $16,955.48 | $62,798.09 | 1.6× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $26,999.87 | $99,999.53 | 1.6× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $48.23 | $178.64 | 1.3× |
| Pt Eval High Complex (97163) | $185.31 | $686.32 | 1.9× |
| Pt eval low complex 20 min (97161) | $185.31 | $686.32 | 1.9× |
| Pt Eval Mod Complex (97162) | $185.31 | $686.32 | 1.9× |
| Pt gait training 15 min (97116) | $44.71 | $165.60 | 1.5× |
| Pt mechanical traction (97012) | $111.52 | $413.04 | 7.8× |
| Pt Re-Eval Est Plan Care (97164) | $68.41 | $253.38 | 1.0× |
| Pulm function test by gas (94727) | $284.03 | $1,051.98 | 1.4× |
| R Hrt Art/Grft Angio (93457) | $9,807.20 | $36,322.95 | 3.3× |
| R hrt coronary artery angio (93456) | $9,188.90 | $34,032.95 | 3.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,362.05 | $23,563.16 | 2.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $305.72 | $1,132.29 | 1.0× |
| Refill/Maint Portable Pump (96521) | $390.36 | $1,445.77 | 2.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $63.69 | $235.90 | 1.9× |
| Remote 30 Day Ecg Tech Supp (93229) | $156.46 | $579.48 | 0.5× |
| Respiratory flow volume loop (94375) | $284.03 | $1,051.98 | 1.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $193.55 | $716.86 | 3.6× |
| Right Heart Cath (93451) | $4,557.66 | $16,880.24 | 1.5× |
| Right ventricular recording (93603) | $3,918.58 | $14,513.27 | 3.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$190.23–$257.35 | $704.55–$953.16 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $165.23 | $611.96 | 1.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $82.61 | $305.98 | 1.7× |
| Self Care Mngment Training (97535) | $56.52 | $209.32 | 1.7× |
| Sensory Integration Ea 15 Min (97533) | $44.53 | $164.92 | 0.7× |
| Sleep study unattended (95806) | $426.59 | $1,579.95 | 2.2× |
| Slp caregiver training 1st 30 min (97550) | $52.41 | $194.12 | 1.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $319.93 | $1,184.93 | 1.6× |
| Somatosensory Testing (95938) | $830.33 | $3,075.31 | 1.1× |
| Speech sound lang comprehen (92523) | $313.16 | $1,159.87 | 1.4× |
| Spin/Brain Pump Refil & Main (95991) | $461.42 | $1,708.96 | 1.7× |
| Spirometry (94010) | $310.31 | $1,149.31 | 1.6× |
| Standardized Cognitive Performance Testing (96125) | $213.58 | $791.02 | 2.1× |
| Stress Tte Only (93350) | $1,529.36 | $5,664.29 | 3.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $85.02 | $314.90 | 1.3× |
| Temp transcutaneous pacing (92953) | $828.60 | $3,068.90 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $49.84 | $184.61 | 2.2× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$10.48–$25.15 | $38.81–$93.15 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $68.62 | $254.16 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $53.33 | $197.51 | 1.8× |
| Ther/Proph/Diag Inj Ia (96373) | $246.38 | $912.50 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$89.50–$94.29 | $331.49–$349.23 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$360.20–$404.46 | $1,334.07–$1,498.01 | varies |
| Therapeutic Activities (97530) | $56.22 | $208.24 | 1.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,167.80 | $4,325.18 | 3.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$58.46–$79.09 | $216.51–$292.92 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$37.02–$50.08 | $137.10–$185.48 | varies |
| Transcath Closure of Asd (93580) | $26,999.94 | $99,999.79 | 1.6× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $593.57 | $2,198.40 | 6.3× |
| Tte w/doppler, complete (93306) | $1,501.45 | $5,560.93 | 3.0× |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$907.42–$985.99 | $3,360.80–$3,651.81 | varies |
| Tx atrial fib pulm vein isol (93656) | $26,999.91 | $99,999.66 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $157.86 | $584.66 | 2.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $47.06 | $174.30 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$215.36–$241.82 | $797.62–$895.64 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$639.37–$882.59 | $2,368.02–$3,268.87 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $457.65 | $1,695.01 | 3.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $567.89 | $2,103.29 | 2.9× |
| Valvuloplasty aortic valve (92986) | $7,993.95 | $29,607.24 | 1.5× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$5,074.59 | $18,794.79 | 0.5× |
| Vasopneumatic device (97016) | $54.49 | $201.82 | 4.5× |
| Vent Mgmt Inpat Init Day (94002) | $828 | $3,066.65 | 1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $840.71 | $3,113.75 | 1.5× |
| Visual Evoked Potential Test (95930) | $517.16 | $1,915.39 | 2.6× |
| Vital capacity, total (94150) | $284.03 | $1,051.98 | 2.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $50.04 | $185.33 | 1.6× |
| Whirlpool Therapy (97022) | $4.33 | $16.03 | 0.3× |
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.