Visits & medical services prices at The Carle Foundation Hospital
Urbana, IL · every code in this section with a posted price and a Medicare benchmark.
485 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) | $473 | $473 | 4.3× |
| Ablate Heart Dysrhythm Focus (93650) | $20,171 | $20,171 | 2.4× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $546 | $546 | 4.0× |
| Acoustic Reflex Testing (92568) | $163 | $163 | 4.1× |
| Actigraphy Testing Recording Analysis I&R (95803) | $1,418 | $1,418 | 22.4× |
| Actinotherapy Ultraviolet Light (96900) | $190 | $190 | 4.7× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $152 | $152 | 4.9× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) | $352 | $352 | 1.9× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) | $203 | $203 | 1.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$130–$147 | $130–$147 | varies |
| Advncd Care Plan 30 Min (99497) | $357 | $357 | 3.3× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$511–$681 | $511–$681 | varies |
| Aep neurodiagnostic i&r (92653) range across 3 matching MRF lines |
$511–$1,512 | $511–$1,512 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,512 | $1,512 | 6.5× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$242–$483 | $242–$483 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $184 | $184 | 4.6× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $431 | $431 | 13.9× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $567 | $567 | 4.0× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $578 | $578 | 4.1× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 7 matching MRF lines |
$630–$2,625 | $630–$2,625 | varies |
| Analyze neurostim complex (95972) | $1,187 | $1,187 | 11.7× |
| Analyze neurostim no prog (95970) | $488 | $488 | 3.4× |
| Analyze Neurostim Simple (95971) | $998 | $998 | 9.8× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $488 | $488 | 3.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$152–$163 | $152–$163 | varies |
| Application Modality 1/> Areas Infrared (97026) range across 4 matching MRF lines |
$97–$102 | $97–$102 | varies |
| Application on-body injector (96377) | $341 | $341 | 6.8× |
| Arrhythmia Induction (93618) | $5,712 | $5,712 | 4.4× |
| Art pressure waveform analys (93050) | $168 | $168 | 5.4× |
| Assessment of aphasia per hr (96105) range across 5 matching MRF lines |
$525–$651 | $525–$651 | varies |
| Assessment of tinnitus (92625) | $373 | $373 | 2.7× |
| Assmt & care planning pt w/cognitive impairment (99483) | $210 | $210 | 1.9× |
| Audiometry Air & Bone (92553) range across 3 matching MRF lines |
$336–$546 | $336–$546 | varies |
| Auditory Function, 60 Min (92620) range across 2 matching MRF lines |
$425–$630 | $425–$630 | varies |
| Basic vestibular evaluation (92540) | $630 | $630 | 2.7× |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $147 | $147 | 1.4× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $105 | $105 | 1.0× |
| Behavral qualit analys voice (92524) range across 7 matching MRF lines |
$431–$536 | $431–$536 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $310 | $310 | 3.8× |
| Bfb training ea addl 15 min (90913) | $278 | $278 | 8.5× |
| Biofeedback training any modality (90901) range across 3 matching MRF lines |
$278–$310 | $278–$310 | varies |
| Bis Xtracell Fluid Analysis (93702) | $945 | $945 | 6.9× |
| Breath hydrogen/methane test (91065) | $924 | $924 | 4.0× |
| Brief Emotional/Behav Assmt (96127) | $147 | $147 | 3.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $809 | $809 | 2.0× |
| Bundle of his recording (93600) | $16,609 | $16,609 | 2.0× |
| C motor evoked uppr limbs (95928) | $1,229 | $1,229 | 1.3× |
| C motor evoked upr&lwr limbs (95939) | $5,292 | $5,292 | 5.8× |
| Caloric vestibular test w/rec bi monothermal (92538) | $546 | $546 | 2.4× |
| Caloric Vstblr Test W/Rec (92537) | $630 | $630 | 4.6× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$221–$263 | $221–$263 | varies |
| Car seat/bed test 60 min (94780) | $194 | $194 | 4.8× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,649–$1,922 | $1,649–$1,922 | varies |
| Cardiopulmonary exercise testing (94621) | $851 | $851 | 2.1× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$1,239–$1,449 | $1,239–$1,449 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$1,596–$2,709 | $1,596–$2,709 | varies |
| Cardioversion elective internal (92961) | $2,268 | $2,268 | 3.2× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $189 | $189 | 4.7× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $105 | $105 | 2.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $168 | $168 | 6.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $21,515 | $21,515 | 6.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $19,488 | $19,488 | 5.6× |
| Cbt 1st hour (94644) | $362 | $362 | 2.5× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $336 | $336 | 2.4× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $1,229 | $1,229 | 5.3× |
| Cervical Vemp Testing W/I&R (92517) | $662 | $662 | 4.8× |
| Chemo Admin Peritoneal Cavity (96446) | $725 | $725 | 2.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $509 | $509 | 6.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $509 | $509 | 6.6× |
| Chemo Intralesional Over 7 (96406) range across 2 matching MRF lines |
$536–$840 | $536–$840 | varies |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$457–$536 | $457–$536 | varies |
| Chemo IV infusion addl hr (96415) | $599 | $599 | 7.8× |
| Chemo IV push addl drug (96411) | $509 | $509 | 6.6× |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$809–$1,281 | $809–$1,281 | varies |
| Chemotherapy Into Cns (96450) range across 3 matching MRF lines |
$777–$1,313 | $777–$1,313 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $567 | $567 | 7.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,334 | $1,334 | 3.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $830 | $830 | 2.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $462 | $462 | 1.3× |
| Chest Wall Manipulation (94668) | $305 | $305 | 2.1× |
| Chron Care Mgmt Srvc 20 Min (99490) | $357 | $357 | 3.3× |
| Cmptr ophth dx img ant segmt (92132) | $305 | $305 | 4.8× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $273 | $273 | 4.3× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$1,806–$2,121 | $1,806–$2,121 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$977–$1,166 | $977–$1,166 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 5 matching MRF lines |
$179–$194 | $179–$194 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $462 | $462 | 2.4× |
| Comprehensive Hearing Test (92557) range across 5 matching MRF lines |
$373–$788 | $373–$788 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$205–$257 | $205–$257 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$205–$257 | $205–$257 | varies |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$410–$630 | $410–$630 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $1,250 | $1,250 | 8.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $704 | $704 | 11.1× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$488–$861 | $488–$861 | varies |
| Cornea hysteresis determin impulse stimj uni/bi (92145) | $221 | $221 | 3.5× |
| Corneal Topography (92025) | $168 | $168 | 2.7× |
| Coronary Art/Grft Angio S&I (93455) | $14,627 | $14,627 | 4.2× |
| Coronary Artery Angio S&I (93454) | $14,291 | $14,291 | 4.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$315–$1,659 | $315–$1,659 | varies |
| Cpt initial (94667) range across 6 matching MRF lines |
$179–$488 | $179–$488 | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $1,365 | $1,365 | 5.9× |
| Critical care first hour (99291) | $3,780 | $3,780 | 4.3× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,229 | $1,229 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$441–$714 | $441–$714 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $1,691 | $1,691 | 7.9× |
| Developmental tst admin phys/qhp 1st hour (96112) range across 11 matching MRF lines |
$226–$903 | $226–$903 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 7 matching MRF lines |
$630–$2,016 | $630–$2,016 | varies |
| Dialysis One Evaluation (90945) | $1,964 | $1,964 | 4.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 3 matching MRF lines |
$431–$725 | $431–$725 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$1,974–$2,321 | $1,974–$2,321 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $903 | $903 | 8.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $2,226 | $2,226 | 19.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$1,785–$2,079 | $1,785–$2,079 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$1,701–$1,985 | $1,701–$1,985 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,100 | $2,100 | 8.2× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$1,229–$1,418 | $1,229–$1,418 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $2,615 | $2,615 | 10.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $1,281 | $1,281 | 11.4× |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$914–$1,071 | $914–$1,071 | varies |
| Duplex up extrem art bilat (93930) | $1,628 | $1,628 | 6.4× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$1,313–$1,544 | $1,313–$1,544 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 8 matching MRF lines |
$546–$2,016 | $546–$2,016 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 8 matching MRF lines |
$630–$2,625 | $630–$2,625 | varies |
| Ear Protector Evaluation (92596) | $173 | $173 | 4.3× |
| ECG/monitoring and analysis (93271) | $2,867 | $2,867 | 28.1× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,701–$2,436 | $1,701–$2,436 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$1,208–$1,250 | $1,208–$1,250 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,680 | $1,680 | 2.9× |
| Echo transesophag congen probe plcmt only (93316) | $830 | $830 | 1.4× |
| Echo transesophag montr cardiac pump functj (93318) | $2,079 | $2,079 | 3.6× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$3,696–$3,717 | $3,696–$3,717 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,415 | $2,415 | 4.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$2,877–$3,371 | $2,877–$3,371 | varies |
| Eeg 41-60 Minutes (95812) | $1,859 | $1,859 | 8.0× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$1,544–$1,617 | $1,544–$1,617 | varies |
| EEG awake drowsy (95816) | $1,617 | $1,617 | 7.0× |
| EEG cerebral death evaluation (95824) | $861 | $861 | 2.2× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,365 | $1,365 | 5.9× |
| EEG extended monitoring 61-119 minutes (95813) | $2,310 | $2,310 | 10.0× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$1,386–$1,617 | $1,386–$1,617 | varies |
| EKG signal averaged (93278) | $809 | $809 | 12.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $184 | $184 | 4.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 6 matching MRF lines |
$152–$179 | $152–$179 | varies |
| Electrocardiogram Tracing (93005) | $462 | $462 | 7.3× |
| Electrocochleography (92584) range across 3 matching MRF lines |
$630–$714 | $630–$714 | varies |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$693–$1,659 | $693–$1,659 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $16,609 | $16,609 | 2.0× |
| Electrophysiology Evaluation (93642) | $3,035 | $3,035 | 2.3× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$599–$746 | $599–$746 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$851–$1,292 | $851–$1,292 | varies |
| Emergency Dept Visit Level 4 (99284) | $2,027 | $2,027 | 4.5× |
| Emg 3 Extremities (95863) | $1,386 | $1,386 | 10.1× |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$1,449–$1,691 | $1,449–$1,691 | varies |
| Endomyocardial Biopsy (93505) | $3,749 | $3,749 | 1.1× |
| Ep & ablate supravent arrhyt (93653) | $35,049 | $35,049 | 1.3× |
| Ep & ablate ventric tachy (93654) | $59,861 | $59,861 | 2.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $21,945 | $21,945 | 2.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $19,803 | $19,803 | 2.4× |
| Ep Esophageal Recording Atria+Pacing (93616) | $5,565 | $5,565 | 4.3× |
| Er level 1 (99281) range across 3 matching MRF lines |
$305–$410 | $305–$410 | varies |
| Er level v (99285) | $2,877 | $2,877 | 4.5× |
| Ergonovine provocation test (93024) | $1,470 | $1,470 | 3.1× |
| Esoph Atrial Electrogram (93615) | $4,158 | $4,158 | 3.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,565 | $1,565 | 3.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 7 matching MRF lines |
$205–$546 | $205–$546 | varies |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$231–$462 | $231–$462 | varies |
| Evaluate Speech Production (92522) range across 9 matching MRF lines |
$415–$473 | $415–$473 | varies |
| Evaluate Swallowing Function (92610) range across 10 matching MRF lines |
$420–$536 | $420–$536 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$515–$599 | $515–$599 | varies |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$352–$599 | $352–$599 | varies |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $861 | $861 | 4.0× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $1,239 | $1,239 | 2.8× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $1,040 | $1,040 | 4.8× |
| Exercise test for bronchospasm (94617) | $672 | $672 | 4.7× |
| Exhaled Air Analysis O2 (94680) | $278 | $278 | 2.0× |
| External ECG rec>48hr<7d recording (93242) | $289 | $289 | 7.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $457 | $457 | 3.2× |
| External ECG rec>7d<15d recording (93246) | $457 | $457 | 11.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $914 | $914 | 6.4× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$725–$1,050 | $725–$1,050 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,512–$1,764 | $1,512–$1,764 | varies |
| Extracranial Uni/Ltd Study (93882) | $1,302 | $1,302 | 11.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$977–$1,575 | $977–$1,575 | varies |
| Facial nerve function studies (92516) | $415 | $415 | 1.8× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $68 | $68 | 1.7× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 4 matching MRF lines |
$452–$977 | $452–$977 | varies |
| Fluorescein angiography (92235) | $1,019 | $1,019 | 4.4× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $1,302 | $1,302 | 5.6× |
| Full Field Electroretinography W/I&R (92273) | $767 | $767 | 3.3× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$1,229–$1,943 | $1,229–$1,943 | varies |
| Fundus photography (92250) | $567 | $567 | 4.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,565 | $1,565 | 1.7× |
| Gi tract capsule endoscopy (91110) | $4,620 | $4,620 | 4.8× |
| Gi tract imaging intraluminal colon i&r (91113) | $3,539 | $3,539 | 3.6× |
| Gonioscopy (92020) | $362 | $362 | 2.5× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $41 | $41 | 1.0× |
| Group Therapeutic Procedures (97150) range across 28 matching MRF lines |
$90–$452 | $90–$452 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $68 | $68 | 1.7× |
| Health Behavior Assessment/Re-Assessment (96156) | $179 | $179 | 1.6× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $215 | $215 | 5.4× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $78 | $78 | 1.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $263 | $263 | 1.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $24,570 | $24,570 | 7.1× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$693–$1,050 | $693–$1,050 | varies |
| Hypnotherapy (90880) | $357 | $357 | 3.3× |
| Icd Device Interrogate (93289) | $194 | $194 | 4.9× |
| Icd device progr eval dual (93283) | $194 | $194 | 4.9× |
| Icd Device Progr Eval Mult (93284) | $221 | $221 | 5.5× |
| Icm Device Eval (93290) | $83 | $83 | 2.1× |
| Ilr Device Eval Progr (93285) | $194 | $194 | 4.9× |
| Ilr Device Interrogate (93291) | $189 | $189 | 6.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $168 | $168 | 2.2× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $273 | $273 | 4.3× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $415 | $415 | 10.4× |
| Immunization administration (90471) range across 6 matching MRF lines |
$168–$257 | $168–$257 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $1,145 | $1,145 | 4.9× |
| Ingestion challenge test initial 120 minutes (95076) | $1,092 | $1,092 | 2.7× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $945 | $945 | 2.4× |
| Insert/Place Heart Catheter (93503) | $3,938 | $3,938 | 2.3× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $609 | $609 | 6.0× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $1,880 | $1,880 | 5.7× |
| Interrogate Subq Defib (93261) | $194 | $194 | 4.9× |
| Interrogation vad in person (93750) | $599 | $599 | 5.9× |
| Interrogation without programming ipnss (93153) | $609 | $609 | 6.0× |
| Intra-atrial pacing (93610) | $16,609 | $16,609 | 2.0× |
| Intra-atrial recording (93602) | $16,609 | $16,609 | 2.0× |
| Intracranial Complete Study (93886) | $1,302 | $1,302 | 5.1× |
| Intracutaneous tests w/allergenic extracts (95024) | $341 | $341 | 5.4× |
| Intraventricular pacing (93612) | $16,609 | $16,609 | 2.0× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$184–$189 | $184–$189 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$320–$483 | $320–$483 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$483–$578 | $483–$578 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$840–$1,334 | $840–$1,334 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$389–$452 | $389–$452 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$326–$368 | $326–$368 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$425–$693 | $425–$693 | varies |
| L Hrt Art/Grft Angio (93459) | $22,544 | $22,544 | 6.5× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $12,873 | $12,873 | 3.7× |
| Laryngeal Function Studies (92520) range across 4 matching MRF lines |
$525–$777 | $525–$777 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $683 | $683 | 5.0× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$231–$445 | $231–$445 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$179–$210 | $179–$210 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$179–$210 | $179–$210 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$78–$88 | $78–$88 | varies |
| Methacholine challenge (94070) | $903 | $903 | 2.3× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $200 | $200 | 1.4× |
| Motility study esophagus (91010) | $620 | $620 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) range across 5 matching MRF lines |
$515–$714 | $515–$714 | varies |
| Multifocal Electroretinography W/I&R (92274) | $415 | $415 | 3.0× |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) | $55 | $55 | 1.4× |
| Multiple Family Group Psychotherapy (90849) | $215 | $215 | 1.1× |
| Multiple Sleep Latency Test (95805) | $3,539 | $3,539 | 3.8× |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$1,029–$1,197 | $1,029–$1,197 | varies |
| Muscle Test Hemidiaphragm (95866) | $394 | $394 | 2.9× |
| Muscle Test Nonparaspinal (95870) range across 3 matching MRF lines |
$341–$394 | $341–$394 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$819–$945 | $819–$945 | varies |
| Narcosynthesis (90865) | $457 | $457 | 2.4× |
| Nasopharyngoscopy (92511) | $830 | $830 | 3.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $788 | $788 | 3.4× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$457–$641 | $457–$641 | varies |
| Needle electromyography larynx (95865) | $578 | $578 | 4.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $452 | $452 | 2.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$735–$1,187 | $735–$1,187 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,355 | $1,355 | 3.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $809 | $809 | 3.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,418 | $1,418 | 3.3× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$567–$725 | $567–$725 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$1,145–$1,817 | $1,145–$1,817 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$1,208–$1,911 | $1,208–$1,911 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$693–$1,092 | $693–$1,092 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$819–$1,292 | $819–$1,292 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$1,040–$1,145 | $1,040–$1,145 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$998–$1,596 | $998–$1,596 | varies |
| Neurobehavioral Status Exam (96116) | $966 | $966 | 4.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$425–$641 | $425–$641 | varies |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$179–$189 | $179–$189 | varies |
| Nitric oxide expired gas determination (95012) | $226 | $226 | 5.6× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $1,281 | $1,281 | 3.2× |
| Ocular Vemp Testing W/I&R (92518) | $662 | $662 | 4.8× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $488 | $488 | 3.4× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $620 | $620 | 4.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $488 | $488 | 3.4× |
| Ophth medical xm&eval intermediate estab pt (92012) | $362 | $362 | 2.5× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $315 | $315 | 2.2× |
| Ophthalmodynamometry (92260) | $215 | $215 | 5.4× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $315 | $315 | 5.0× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $315 | $315 | 5.0× |
| Optokinetic Nystagmus Test (92544) | $515 | $515 | 3.7× |
| Oral Function Therapy (92526) range across 7 matching MRF lines |
$446–$1,250 | $446–$1,250 | varies |
| Oral Speech Device Eval (92597) range across 5 matching MRF lines |
$478–$956 | $478–$956 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $273 | $273 | 5.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 6 matching MRF lines |
$210–$257 | $210–$257 | varies |
| Oscillating Tracking Test (92545) | $681 | $681 | 2.9× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $294 | $294 | 12.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $294 | $294 | 12.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $284 | $284 | 12.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $294 | $294 | 12.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $341 | $341 | 14.7× |
| Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines |
$131–$147 | $131–$147 | varies |
| Ot eval high complexity (97167) range across 8 matching MRF lines |
$473–$641 | $473–$641 | varies |
| Ot Eval Low Complex (97165) range across 6 matching MRF lines |
$200–$630 | $200–$630 | varies |
| Ot Eval Moderate Complexity (97166) range across 8 matching MRF lines |
$383–$630 | $383–$630 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$194–$215 | $194–$215 | varies |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$84–$86 | $84–$86 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 6 matching MRF lines |
$200–$215 | $200–$215 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$326–$331 | $326–$331 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $320 | $320 | 2.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $278 | $278 | 2.0× |
| Patch/Application Test Specify Number Tests (95044) | $62 | $62 | 0.1× |
| Pdt dstr prmlg les phys/qhp (96573) | $1,691 | $1,691 | 7.9× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $1,449 | $1,449 | 6.7× |
| Penile Vascular Study,Ltd or F/U (93981) | $1,554 | $1,554 | 13.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $352 | $352 | 1.5× |
| Percutaneous tests w/allergenic extracts (95004) | $200 | $200 | 0.2× |
| Peripheral arterial disease rehab per session (93668) | $257 | $257 | 4.1× |
| Perq transcath closure pda (93582) | $50,463 | $50,463 | 2.6× |
| Perq Transcath Cls Aortic (93591) | $74,855 | $74,855 | 3.8× |
| Perq Transcath Cls Mitral (93590) | $74,855 | $74,855 | 3.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $23,237 | $23,237 | 3.8× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $49,571 | $49,571 | 4.0× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$305–$357 | $305–$357 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $231 | $231 | 3.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $194 | $194 | 3.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $194 | $194 | 3.1× |
| Physical Performance Test (97750) range across 9 matching MRF lines |
$163–$310 | $163–$310 | varies |
| Plethysmography (94726) | $882 | $882 | 2.2× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$152–$194 | $152–$194 | varies |
| Pm device progr eval dual (93280) | $194 | $194 | 4.9× |
| Pm device progr eval multi (93281) | $194 | $194 | 4.9× |
| Pm Device Progr Eval Sngl (93279) | $194 | $194 | 4.9× |
| Pm/Icd Remote Tech Serv (93296) | $320 | $320 | 8.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,954 | $5,954 | 6.5× |
| Polysom <6 yrs 4/> paramtrs (95782) | $9,062 | $9,062 | 9.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $7,697 | $7,697 | 8.4× |
| Positional nystagmus test (92542) | $578 | $578 | 4.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $205 | $205 | 4.1× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $152 | $152 | 3.0× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $263 | $263 | 5.2× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $263 | $263 | 3.4× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $173 | $173 | 2.2× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $441 | $441 | 0.9× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $221 | $221 | 5.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $194 | $194 | 4.9× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $357 | $357 | 3.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $85 | $85 | 1.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $131 | $131 | 2.6× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $173 | $173 | 2.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $16,664 | $16,664 | 1.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $17,955 | $17,955 | 1.5× |
| Prq Card Stent/Ath/Angio (92933) | $35,774 | $35,774 | 1.8× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $49,571 | $49,571 | 4.0× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $20,045 | $20,045 | 1.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $16,821 | $16,821 | 1.4× |
| Psych diag eval w/med srvcs (90792) | $672 | $672 | 3.5× |
| Psychiatric diagnostic evaluation (90791) | $599 | $599 | 3.1× |
| Psychological tst eval svc phys/qhp first hour (96130) | $630 | $630 | 2.7× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $103 | $103 | 3.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $368 | $368 | 0.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $662 | $662 | 4.6× |
| Psytx Crisis Initial 60 Min (90839) | $599 | $599 | 3.1× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$189–$205 | $189–$205 | varies |
| Pt Eval High Complex (97163) range across 8 matching MRF lines |
$525–$641 | $525–$641 | varies |
| Pt eval low complex 20 min (97161) range across 8 matching MRF lines |
$194–$441 | $194–$441 | varies |
| Pt Eval Mod Complex (97162) range across 8 matching MRF lines |
$404–$630 | $404–$630 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$158–$184 | $158–$184 | varies |
| Pt group caregiver training (97552) | $142 | $142 | 6.4× |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$173–$179 | $173–$179 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$331–$431 | $331–$431 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $105 | $105 | 2.6× |
| Pulmonary service/procedure (94799) range across 9 matching MRF lines |
$194–$1,365 | $194–$1,365 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$578–$599 | $578–$599 | varies |
| Pure Tone Audiometry Air (92552) range across 3 matching MRF lines |
$215–$357 | $215–$357 | varies |
| R Hrt Art/Grft Angio (93457) | $16,884 | $16,884 | 4.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $12,873 | $12,873 | 3.7× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $12,873 | $12,873 | 3.7× |
| R hrt coronary artery angio (93456) | $14,291 | $14,291 | 4.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $12,873 | $12,873 | 3.7× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $12,873 | $12,873 | 3.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $16,443 | $16,443 | 4.7× |
| Rapid Desensitization Procedure Each Hour (95180) | $809 | $809 | 1.7× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $473 | $473 | 1.3× |
| Refill/Maint Portable Pump (96521) range across 3 matching MRF lines |
$809–$1,281 | $809–$1,281 | varies |
| Refill/Maint Pump/Resvr Syst (96522) range across 3 matching MRF lines |
$693–$1,092 | $693–$1,092 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) | $191 | $191 | 4.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $173 | $173 | 4.3× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $189 | $189 | 4.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $404 | $404 | 2.8× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $273 | $273 | 6.8× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $142 | $142 | 3.6× |
| Rem ther mntr dev sply resp (98976) | $142 | $142 | 3.6× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$620–$714 | $620–$714 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $410 | $410 | 2.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $121 | $121 | 2.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $184 | $184 | 3.4× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $446 | $446 | 1.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $420 | $420 | 6.6× |
| Right Heart Cath (93451) | $14,070 | $14,070 | 4.0× |
| Right ventricular recording (93603) | $5,922 | $5,922 | 4.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 10 matching MRF lines |
$341–$1,218 | $341–$1,218 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 3 matching MRF lines |
$462–$725 | $462–$725 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$242–$315 | $242–$315 | varies |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $221 | $221 | 1.6× |
| Sbsq Psyc Collab Care Mgmt (99493) | $446 | $446 | 4.1× |
| Select picture audiometry (92583) | $131 | $131 | 2.1× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$184–$210 | $184–$210 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $84 | $84 | 2.7× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $236 | $236 | 3.7× |
| Sensory Integration Ea 15 Min (97533) range across 5 matching MRF lines |
$184–$273 | $184–$273 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $1,082 | $1,082 | 4.7× |
| Short-latency somatosens ep std upr limbs (95925) | $1,250 | $1,250 | 5.4× |
| Sleep study attended (95807) | $4,032 | $4,032 | 10.1× |
| Slp caregiver training 1st 30 min (97550) | $389 | $389 | 7.4× |
| Somatosensory Testing (95938) | $3,066 | $3,066 | 3.3× |
| Speech Audiometry Complete (92556) | $231 | $231 | 3.7× |
| Speech audiometry threshold (92555) | $168 | $168 | 2.7× |
| Speech sound lang comprehen (92523) range across 19 matching MRF lines |
$320–$2,919 | $320–$2,919 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$347–$546 | $347–$546 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$394–$567 | $394–$567 | varies |
| Spontaneous Nystagmus Test (92541) | $404 | $404 | 2.8× |
| Ssep lower limbs (95926) | $1,250 | $1,250 | 5.4× |
| Standardized Cognitive Performance Testing (96125) range across 3 matching MRF lines |
$651–$672 | $651–$672 | varies |
| Stenger Test, Pure Tone (92565) | $163 | $163 | 2.6× |
| Stress Tte Only (93350) | $3,266 | $3,266 | 5.6× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$179–$200 | $179–$200 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$620–$714 | $620–$714 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $200 | $200 | 2.6× |
| Surfactant Admin Thru Tube (94610) | $945 | $945 | 4.0× |
| Temp transcutaneous pacing (92953) | $1,432 | $1,432 | 2.0× |
| Tensilon Test (95857) | $420 | $420 | 1.8× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $609 | $609 | 6.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 4 matching MRF lines |
$173–$179 | $173–$179 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 4 matching MRF lines |
$173–$179 | $173–$179 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 3 matching MRF lines |
$194–$205 | $194–$205 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$347–$373 | $347–$373 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 2 matching MRF lines |
$546–$651 | $546–$651 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $415 | $415 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$315–$341 | $315–$341 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$683–$1,082 | $683–$1,082 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $446 | $446 | 1.9× |
| Therapeutic Activities (97530) range across 13 matching MRF lines |
$205–$231 | $205–$231 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$2,499–$2,825 | $2,499–$2,825 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$163–$179 | $163–$179 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$81–$89 | $81–$89 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $525 | $525 | 3.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $525 | $525 | 3.7× |
| Transcath Closure of Asd (93580) | $22,491 | $22,491 | 1.1× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $1,218 | $1,218 | 10.9× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $320 | $320 | 8.0× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$4,820–$4,851 | $4,820–$4,851 | varies |
| Tte W/O Doppler Complete (93307) | $2,037 | $2,037 | 8.0× |
| Tx atrial fib pulm vein isol (93656) | $43,208 | $43,208 | 1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 47 matching MRF lines |
$110–$1,334 | $110–$1,334 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 56 matching MRF lines |
$131–$1,932 | $131–$1,932 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$368–$425 | $368–$425 | varies |
| Tympanometry (92567) range across 4 matching MRF lines |
$163–$231 | $163–$231 | varies |
| Tympanometry and reflex threshold measurements (92550) | $546 | $546 | 2.4× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$299–$12,989 | $299–$12,989 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $546 | $546 | 4.0× |
| Unlisted noninvasive vascular diagnostic study (93998) | $215 | $215 | 6.9× |
| Unlisted ophthalmological service/procedure (92499) range across 2 matching MRF lines |
$65–$102 | $65–$102 | varies |
| Unlisted otorhinolaryngological service (92700) range across 11 matching MRF lines |
$53–$1,607 | $53–$1,607 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$672–$1,292 | $672–$1,292 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$1,449–$1,701 | $1,449–$1,701 | varies |
| Valvuloplasty aortic valve (92986) | $24,812 | $24,812 | 4.1× |
| Valvuloplasty mitral valve (92987) | $21,515 | $21,515 | 1.7× |
| Valvuloplasty pulmonary valve (92990) | $16,926 | $16,926 | 1.4× |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$131–$163 | $131–$163 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,688 | $2,688 | 6.7× |
| Veeg 2-12 hr intmt mntr (95712) | $2,237 | $2,237 | 5.6× |
| Veeg 2-12 hr unmonitored (95711) | $1,806 | $1,806 | 7.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $4,274 | $4,274 | 10.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $3,444 | $3,444 | 8.6× |
| Veeg ea 12-26hr cont mntr (95716) | $6,384 | $6,384 | 6.9× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$966–$4,589 | $966–$4,589 | varies |
| Visual Evoked Potential Test (95930) | $1,271 | $1,271 | 5.5× |
| Visual Field Exam Extended (92083) | $483 | $483 | 3.4× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $257 | $257 | 4.1× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $210 | $210 | 3.3× |
| Visual reinforcement audiometry (vra) (92579) range across 3 matching MRF lines |
$394–$630 | $394–$630 | varies |
| Vital capacity, total (94150) | $609 | $609 | 4.4× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $5,712 | $5,712 | 6.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $184 | $184 | 5.9× |
| Whirlpool Therapy (97022) range across 7 matching MRF lines |
$152–$163 | $152–$163 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $130 | $130 | 2.1× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $236 | $236 | 5.9× |
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.