Visits & medical services prices at Tennova North Knoxville Medical Center

Powell, 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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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,862.26 $39,126.97 1.3×
Actigraphy Testing Recording Analysis I&R (95803) $199.36 $880.19 3.7×
Airway Inhalation Treatment (94640) $243.21 $1,073.78 1.2×
Analyze neurostim complex (95972) $191.02 $843.35 2.2×
Analyze Neurostim Simple (95971) $228.23 $1,007.65 2.6×
Analyze Pacemaker System (93724) $690.49 $3,048.50 2.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $55.88 $246.72 3.9×
Arrhythmia Induction (93618) $1,290.12 $5,695.88 1.2×
Assessment of aphasia per hr (96105) $142.80 $630.45 1.5×
Behavral qualit analys voice (92524) $142.70 $630.03 1.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $85.48 $377.38 1.0×
Bfb training ea addl 15 min (90913) $21.37 $94.34 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $381.43 $1,684.02 1.1×
Bundle of his recording (93600) $6,847.75 $30,232.89 1.0×
Canalith repositioning proc (95992) $46.84 $206.79 1.1×
Car seat/bed test 60 min (94780) $42.16 $186.13 1.2×
Cardiac Stress Tst,Tracing Only (93017) $640.77 $2,828.99 3.3×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$441.80–$5,912.09 $1,950.56–$26,101.93 varies
Cardioversion (92960)
range across 2 matching MRF lines
$869.88–$1,900.62 $3,840.51–$8,391.25 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $20.39 $90 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $5,788.76 $25,557.45 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,251.52 $27,600.55 2.1×
Cbt 1st hour (94644) $180.21 $795.62 1.5×
Chemo Admin Peritoneal Cavity (96446) $256.13 $1,130.82 0.9×
Chemo Anti-Neopl Sq/Im (96401) $213.02 $940.49 3.3×
Chemo Hormon Antineopl Sq/Im (96402) $118.36 $522.57 1.8×
Chemo Ia Push (96420) $212.09 $936.37 0.7×
Chemo IV infusion addl hr (96415) $96.25 $424.94 1.5×
Chemo IV push addl drug (96411) $165.71 $731.62 2.5×
Chemother Prolong Infuse W/Pump (96416) $288.69 $1,274.57 1.0×
Chemotherapy Into Cns (96450) $599.87 $2,648.44 2.0×
Chemotherapy Intracavitary (96440) $360.19 $1,590.26 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $118.36 $522.57 1.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $564.59 $2,492.66 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $346.34 $1,529.09 1.2×
Chest Wall Manipulation (94668) $77.55 $342.39 0.6×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $482.05 $2,128.24 1.4×
Color/duplex Doppler, complete (93975) $368.40 $1,626.50 1.7×
Color/duplex Doppler, limited (93976) $282.05 $1,245.26 3.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $33.60 $148.34 1.0×
Continuous Pulse Ox (94762) $274.17 $1,210.48 2.3×
Coronary Art/Grft Angio S&I (93455) $5,620.05 $24,812.57 1.9×
Coronary Artery Angio S&I (93454) $5,155.09 $22,759.77 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $393.38 $1,736.76 2.0×
Cpt initial (94667) $225.19 $994.22 1.9×
Critical care first hour (99291) $1,333.14 $5,885.81 1.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$215.49–$291.53 $951.39–$1,287.13 varies
Developmental tst admin phys/qhp 1st hour (96112) $94.25 $416.13 0.8×
Dialysis One Evaluation (90945) $952.34 $4,204.60 2.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $116.75 $515.46 1.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $447.30 $1,974.83 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $303.85 $1,341.52 3.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$395.26–$505.72 $1,745.09–$2,232.75 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$319.72–$409.07 $1,411.57–$1,806.04 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $676.15 $2,985.22 3.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $450.51 $1,989.02 4.7×
Duplex Scan Hemodialysis Access (93990) $232.38 $1,025.94 2.4×
Duplex up extrem art bilat (93930) $450.28 $1,987.98 2.1×
Duplex up extrem art unilat/ltd (93931) $367.93 $1,624.42 3.9×
ECG/monitoring and analysis (93271) $110.57 $488.17 1.3×
Echo Heart Xthoracic,Limited (93308) $493.96 $2,180.85 2.3×
Echo transesophag montr cardiac pump functj (93318) $532.29 $2,350.08 1.1×
Echo transesophageal (93312)
range across 3 matching MRF lines
$1,035.51–$1,149.92 $4,571.80–$5,076.91 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $764.49 $3,375.24 1.5×
Eeg 41-60 Minutes (95812) $424.06 $1,872.21 2.2×
EEG awake and asleep (95819) $424.06 $1,872.21 2.2×
EEG awake drowsy (95816) $424.06 $1,872.21 2.2×
EEG cerebral death evaluation (95824) $337.23 $1,488.86 1.0×
EEG extended monitoring 61-119 minutes (95813) $424.06 $1,872.21 2.2×
Eeg Sleep Only (95822) $325.30 $1,436.22 1.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $424.06 $1,872.21 2.2×
EEG w/o vid 2-12hr cont mntr (95707) $424.06 $1,872.21 2.2×
EEG w/o vid ea 12-26hr intmt (95709) $493.51 $2,178.85 1.5×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $493.51 $2,178.85 1.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $424.06 $1,872.21 2.2×
EEG wo vid ea 12-26hr unmntr (95708) $493.51 $2,178.85 1.5×
Electrical Stimulation Ea 15 Min (97032) $89.28 $394.18 6.1×
Electrocardiogram Tracing (93005) $151.17 $667.41 2.8×
Electroconvulsive Therapy (90870)
range across 2 matching MRF lines
$616.66–$659.34 $2,722.58–$2,910.98 varies
Electrophysiology Evaluation (93642) $1,590.56 $7,022.34 1.4×
Emergency Dept Visit Level 2 (99282) $198.85 $877.92 1.4×
Emergency Dept Visit Level 3 (99283) $381.63 $1,684.88 1.5×
Emergency Dept Visit Level 4 (99284) $578.78 $2,555.34 1.5×
Emg 4 Extremities (95864) $234.68 $1,036.11 2.0×
Endomyocardial Biopsy (93505) $3,191.13 $14,088.86 1.1×
Ep & ablate supravent arrhyt (93653) $22,649.92 $99,999.66 1.0×
Ep & ablate ventric tachy (93654) $22,649.92 $99,999.66 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,847.75 $30,232.89 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,340.96 $36,825.41 1.2×
Er level 1 (99281) $147.23 $650.02 1.9×
Er level v (99285) $898.45 $3,966.68 1.7×
Ergonovine provocation test (93024) $360.93 $1,593.50 0.9×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $74.26 $327.85 0.6×
Evaluate pt use of inhaler (94664) $225.19 $994.22 1.1×
Evaluate Speech Production (92522) $190.26 $840 1.7×
Evaluate Swallowing Function (92610) $100.81 $445.07 1.2×
Evaluation of speech fluency (92521) $165.19 $729.31 1.2×
External ECG rec>48hr<7d recording (93242) $544.57 $2,404.28 16.1×
External ECG rec>7d<15d recording (93246) $544.57 $2,404.28 16.1×
External Ecg Scanning Analysis Report (93226) $544.57 $2,404.28 10.2×
Extracranial Bilat Study (93880) $651.10 $2,874.61 3.0×
Extracranial Uni/Ltd Study (93882) $352.90 $1,558.05 3.7×
Flexible endoscopic eval swallow c/v rec (92612) $157.05 $693.37 0.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $499.13 $2,203.65 1.5×
Group Therapeutic Procedures (97150) $39.64 $174.99 2.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,041.09 $31,086.48 2.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $940.17 $4,150.88 1.5×
Holter monitor recording (93225) $447.85 $1,977.26 3.7×
Icd Device Interrogate (93289) $353.89 $1,562.44 10.5×
Immunization administration (90471)
range across 2 matching MRF lines
$76.83–$86.27 $339.21–$380.89 varies
Insert/Place Heart Catheter (93503)
range across 2 matching MRF lines
$1,924.12–$2,328.37 $8,495.01–$10,279.80 varies
Intra-atrial pacing (93610) $6,847.75 $30,232.89 1.0×
Intra-atrial recording (93602) $6,847.75 $30,232.89 1.0×
Intracranial Complete Study (93886) $491.92 $2,171.82 2.3×
Intraventricular pacing (93612) $6,847.75 $30,232.89 1.0×
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$67.93–$70.65 $299.89–$311.94 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$162.89–$359.51 $719.16–$1,587.26 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$50.64–$56.87 $223.57–$251.06 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$254.72–$286.03 $1,124.61–$1,262.81 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$76.83–$86.27 $339.21–$380.89 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$47.11–$52.89 $207.97–$233.53 varies
IV push initial (96374)
range across 3 matching MRF lines
$193.36–$217.13 $853.70–$958.62 varies
L Hrt Art/Grft Angio (93459) $5,675.66 $25,058.09 1.9×
Lung Function Test (Mbc/Mvv) (94200) $194.62 $859.25 3.6×
Lwr Xtr Vasc Stdy Bilat (93924) $561.08 $2,477.19 2.9×
Mechanical chest wall oscillation per session (94669) $188.46 $832.04 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $39.36 $173.79 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $45.89 $202.61 1.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $20.43 $90.21 1.2×
Methacholine challenge (94070) $479.87 $2,118.65 1.4×
Motility study esophagus (91010)
range across 2 matching MRF lines
$485.66–$1,991.75 $2,144.21–$8,793.60 varies
Motion Fluoroscopy/Swallow (92611) $187.03 $825.74 2.0×
Multiple Sleep Latency Test (95805) $2,075.17 $9,161.90 2.7×
Muscle Test 2 Limbs (95861) $447.41 $1,975.30 3.7×
Muscle Test Nonparaspinal (95870) $49.65 $219.22 0.4×
Muscle Test One Limb (95860) $140.30 $619.42 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $406.15 $1,793.14 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $406.15 $1,793.14 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines
$186.69–$252.57 $824.25–$1,115.11 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 5 matching MRF lines
$161.02–$217.84 $710.89–$961.76 varies
Nerve Conduction Studies 1-2 Studies (95907) $234.68 $1,036.11 1.2×
Nerve Conduction Studies 11-12 Studies (95912) $427.20 $1,886.09 1.3×
Nerve conduction studies 13 or more studies (95913) $453.90 $2,003.98 1.3×
Nerve Conduction Studies 3-4 Studies (95908) $427.20 $1,886.09 2.2×
Nerve conduction studies 5-6 studies (95909) $427.20 $1,886.09 2.2×
Nerve conduction studies 7-8 studies (95910) $640.80 $2,829.16 1.9×
Nerve Conduction Studies 9-10 Studies (95911) $427.20 $1,886.09 1.3×
Neuromuscular Reeducation (97112) $45.43 $200.58 1.4×
Newborn resuscitation (99465) $695.11 $3,068.90 1.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $360.18 $1,590.22 1.1×
Oral Function Therapy (92526) $118.71 $524.12 1.4×
Oral Speech Device Eval (92597) $96.42 $425.68 1.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $62.11 $274.22 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $51.36 $226.75 1.1×
Ot eval high complexity (97167) $114.95 $507.50 1.1×
Ot Eval Low Complex (97165) $114.95 $507.50 1.1×
Ot Eval Moderate Complexity (97166) $114.95 $507.50 1.1×
Ot manual therapy 15 min (97140) $43.82 $193.47 1.6×
Ot paraffin bath (97018) $35.14 $155.14 5.8×
Ot Prosthetic Training, Each 15 Min (97761) $36.54 $161.34 0.9×
Ot Re-Eval Est Plan Care (97168) $83.71 $369.58 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $103.32 $456.16 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $103.32 $456.16 0.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $250.44 $1,105.71 1.3×
Peripheral arterial disease rehab per session (93668) $67.57 $298.30 1.3×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $15,995.07 $70,618.41 1.0×
Perq Transcath Cls Aortic (93591) $22,649.87 $99,999.43 1.4×
Perq Transcath Cls Mitral (93590) $22,649.90 $99,999.54 1.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,814.73 $30,087.12 1.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,223.77 $62,798.09 1.4×
Phlebotomy therapeutic (99195) $160.18 $707.19 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $51.42 $227 1.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $51.42 $227 1.0×
Physical Performance Test (97750)
range across 4 matching MRF lines
$4.25–$36.54 $18.75–$161.34 varies
Plethysmography (94726) $238.62 $1,053.53 0.7×
Pm device eval in person (93288) $262.57 $1,159.26 7.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,352.25 $14,800.20 4.3×
Polysom <6 yrs 4/> paramtrs (95782) $1,228.98 $5,425.98 1.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,228.98 $5,425.98 1.6×
Prq Card Angio/Athrect 1 Art (92924) $14,223.77 $62,798.09 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $14,223.77 $62,798.09 1.4×
Prq Card Stent/Ath/Angio (92933) $22,649.95 $99,999.77 1.4×
Prq Revasc Byp Graft 1 Vsl (92937) $14,223.77 $62,798.09 1.4×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $22,649.89 $99,999.53 1.4×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $40.46 $178.64 1.1×
Pt Eval High Complex (97163) $155.45 $686.32 1.6×
Pt eval low complex 20 min (97161) $155.45 $686.32 1.6×
Pt Eval Mod Complex (97162) $155.45 $686.32 1.6×
Pt gait training 15 min (97116) $37.51 $165.60 1.3×
Pt mechanical traction (97012) $93.55 $413.04 6.5×
Pt Re-Eval Est Plan Care (97164) $57.39 $253.38 0.9×
Pulm function test by gas (94727) $238.27 $1,051.98 1.2×
R Hrt Art/Grft Angio (93457) $8,227.15 $36,322.95 2.8×
R hrt coronary artery angio (93456) $7,708.46 $34,032.95 2.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $5,337.06 $23,563.16 1.8×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $256.46 $1,132.29 0.9×
Refill/Maint Portable Pump (96521) $327.47 $1,445.77 1.7×
Remote 30 Day Ecg Rev/Report (93270) $53.43 $235.90 1.6×
Remote 30 Day Ecg Tech Supp (93229) $131.25 $579.48 0.4×
Respiratory flow volume loop (94375) $238.27 $1,051.98 1.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $162.37 $716.86 3.0×
Right Heart Cath (93451) $3,823.37 $16,880.24 1.3×
Right ventricular recording (93603) $3,287.26 $14,513.27 3.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines
$159.58–$215.89 $704.55–$953.16 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $138.61 $611.96 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $69.30 $305.98 1.5×
Self Care Mngment Training (97535) $47.41 $209.32 1.5×
Sensory Integration Ea 15 Min (97533) $37.35 $164.92 0.6×
Sleep study unattended (95806) $357.86 $1,579.95 1.8×
Slp caregiver training 1st 30 min (97550) $43.97 $194.12 0.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $268.39 $1,184.93 1.4×
Somatosensory Testing (95938) $696.56 $3,075.31 0.9×
Speech sound lang comprehen (92523) $262.71 $1,159.87 1.2×
Spin/Brain Pump Refil & Main (95991) $387.08 $1,708.96 1.4×
Spirometry (94010) $260.32 $1,149.31 1.3×
Standardized Cognitive Performance Testing (96125) $179.17 $791.02 1.7×
Stress Tte Only (93350) $1,282.96 $5,664.29 2.6×
Subq Infusion Additional Pump Infusion Site (96371) $71.32 $314.90 1.1×
Temp transcutaneous pacing (92953) $695.11 $3,068.90 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $41.81 $184.61 1.9×
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$8.79–$21.10 $38.81–$93.15 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $57.57 $254.16 1.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $44.74 $197.51 1.5×
Ther/Proph/Diag Inj Ia (96373) $206.68 $912.50 1.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$75.08–$79.10 $331.49–$349.23 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$302.17–$339.30 $1,334.07–$1,498.01 varies
Therapeutic Activities (97530) $47.17 $208.24 1.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 2 matching MRF lines
$979.65–$992.09 $4,325.18–$4,380.07 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$49.04–$66.35 $216.51–$292.92 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$31.05–$42.01 $137.10–$185.48 varies
Transcath Closure of Asd (93580) $22,649.95 $99,999.79 1.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $497.94 $2,198.40 5.2×
Tte w/doppler, complete (93306) $1,259.55 $5,560.93 2.5×
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$761.22–$827.14 $3,360.80–$3,651.81 varies
Tx atrial fib pulm vein isol (93656) $22,649.92 $99,999.66 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $132.43 $584.66 1.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $39.48 $174.30 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$180.66–$202.86 $797.62–$895.64 varies
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$536.36–$740.40 $2,368.02–$3,268.87 varies
Upr/L Xtremity Art 2 Levels (93922) $383.92 $1,695.01 3.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $476.40 $2,103.29 2.4×
Valvuloplasty aortic valve (92986) $6,706.04 $29,607.24 1.3×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure
$4,257.02 $18,794.79 0.4×
Vasopneumatic device (97016) $45.71 $201.82 3.8×
Vent Mgmt Inpat Init Day (94002) $694.60 $3,066.65 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $705.26 $3,113.75 1.3×
Visual Evoked Potential Test (95930) $433.84 $1,915.39 2.2×
Vital capacity, total (94150) $238.27 $1,051.98 2.0×
Wheelchair Mgmt Ea 15 Min (97542) $41.98 $185.33 1.4×
Whirlpool Therapy (97022) $3.63 $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.