Visits & medical services prices at The Hospitals of Providence Memorial Campus

El Paso, TX · every code in this section with a posted price and a Medicare benchmark.

227 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $41,092.50 $54,790 5.2×
Aep threshold estimation mlt frequencies i&r (92652) $1,573.50 $2,098 7.3×
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$297–$1,095 $396–$1,460 varies
Airway resistance by oscillometry (94728) $519 $692 4.0×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $183 $244 4.9×
Analyze neurostim complex (95972) $894 $1,192 9.4×
Analyze Neurostim Simple (95971) $1,062.75 $1,417 11.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 9 matching MRF lines
$167.25–$200.25 $223–$267 varies
Basic vestibular evaluation (92540) $1,195.50 $1,594 5.5×
Behavral qualit analys voice (92524)
range across 7 matching MRF lines
$563.25–$1,332 $751–$1,776 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$1,443–$1,891.50 $1,924–$2,522 varies
Bundle of his recording (93600) $7,172.25 $9,563 0.9×
C motor evoked upr&lwr limbs (95939)
range across 2 matching MRF lines
$2,649.75–$5,121.75 $3,533–$6,829 varies
Caloric Vstblr Test W/Rec (92537) $996 $1,328 7.7×
Cardiac Stress Tst,Tracing Only (93017) $2,260.50 $3,014 10.4×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$1,987.50–$2,355 $2,650–$3,140 varies
Cardioversion (92960)
range across 3 matching MRF lines
$2,625.75–$3,843 $3,501–$5,124 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $30,801 $41,068 9.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $26,495.25 $35,327 8.1×
Cbt 1st hour (94644) $503.25 $671 3.8×
Chemo Anti-Neopl Sq/Im (96401)
range across 3 matching MRF lines
$342–$635.25 $456–$847 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$424.50–$687.75 $566–$917 varies
Chemo IV infusion addl hr (96415)
range across 3 matching MRF lines
$443.25–$543 $591–$724 varies
Chemo IV push addl drug (96411)
range across 3 matching MRF lines
$132.75–$144.75 $177–$193 varies
Chemother Prolong Infuse W/Pump (96416) $1,643.25 $2,191 5.0×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $351 $468 7.5×
Chemotherapy Into Cns (96450)
range across 4 matching MRF lines
$1,218–$2,029.50 $1,624–$2,706 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 3 matching MRF lines
$411.75–$543.75 $549–$725 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines
$552.75–$1,152 $737–$1,536 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,116 $1,488 3.4×
Chest Wall Manipulation (94668) $240 $320 1.8×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $4,920.75 $6,561 13.1×
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines
$962.25–$1,200.75 $1,283–$1,601 varies
Color/duplex Doppler, limited (93976)
range across 4 matching MRF lines
$561.75–$1,227.75 $749–$1,637 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $648 $864 4.8×
Continuous Pulse Ox (94762) $672 $896 5.2×
Coronary Art/Grft Angio S&I (93455) $17,305.50 $23,074 5.3×
Coronary Artery Angio S&I (93454) $8,838.75 $11,785 2.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 5 matching MRF lines
$2,092.50–$2,250 $2,790–$3,000 varies
Cpt initial (94667) $289.50 $386 2.2×
Critical care first hour (99291)
range across 2 matching MRF lines
$4,113–$5,167.50 $5,484–$6,890 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $5,121.75 $6,829 13.7×
Debridement Open Wound 20 Sq Cm< (97597) $1,165.50 $1,554 5.8×
Dialysis One Evaluation (90945)
range across 4 matching MRF lines
$1,538.25–$2,459.25 $2,051–$3,279 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 3 matching MRF lines
$702–$836.25 $936–$1,115 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $736.50 $982 7.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980)
range across 3 matching MRF lines
$688.50–$906.75 $918–$1,209 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 4 matching MRF lines
$2,501.25–$3,361.50 $3,335–$4,482 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$2,051.25–$2,331.75 $2,735–$3,109 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$1,158.75–$1,878.75 $1,545–$2,505 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 6 matching MRF lines
$759–$1,411.50 $1,012–$1,882 varies
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines
$1,633.50–$1,662 $2,178–$2,216 varies
Duplex up extrem art bilat (93930)
range across 4 matching MRF lines
$1,833–$3,006 $2,444–$4,008 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$1,935.75–$2,276.25 $2,581–$3,035 varies
Ear and throat examination (92502) $1,692 $2,256 3.1×
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$1,701–$4,218 $2,268–$5,624 varies
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$1,127.25–$1,480.50 $1,503–$1,974 varies
Echo r-t 2d w/probe placement only (93313)
range across 2 matching MRF lines
$2,760.75–$3,826.50 $3,681–$5,102 varies
Echo transesophag congen probe plcmt only (93316) $2,760.75 $3,681 5.0×
Echo transesophag montr cardiac pump functj (93318) $3,358.50 $4,478 6.1×
Echo transesophageal (93312)
range across 3 matching MRF lines
$3,854.25–$4,494.75 $5,139–$5,993 varies
Echo Transesophageal - Congenital Tee Complete (93315) $2,942.25 $3,923 5.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,682.50 $4,910 6.7×
Eeg 41-60 Minutes (95812) $2,410.50 $3,214 11.1×
EEG awake and asleep (95819) $3,137.25 $4,183 14.5×
EEG awake drowsy (95816) $3,218.25 $4,291 14.8×
EEG cerebral death evaluation (95824) $3,190.50 $4,254 8.5×
Eeg Sleep Only (95822) $2,810.25 $3,747 13.0×
EEG w/o vid ea 12-26hr intmt (95709) $4,356 $5,808 11.6×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$192–$209.25 $256–$279 varies
Electrocardiogram Tracing (93005) $795.75 $1,061 13.4×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$2,013.75–$2,115 $2,685–$2,820 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$3,097.50–$3,285 $4,130–$4,380 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$4,183.50–$4,487.25 $5,578–$5,983 varies
Emg 3 Extremities (95863) $1,989.75 $2,653 15.4×
Emg 4 Extremities (95864) $2,388 $3,184 18.5×
Endomyocardial Biopsy (93505) $6,851.25 $9,135 2.2×
Ep & ablate supravent arrhyt (93653) $83,557.50 $111,410 3.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $43,406.25 $57,875 5.5×
Er level 1 (99281)
range across 5 matching MRF lines
$37.50–$1,238.25 $50–$1,651 varies
Er level v (99285)
range across 2 matching MRF lines
$4,930.50–$5,688 $6,574–$7,584 varies
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$444–$696.75 $592–$929 varies
Evaluate Speech Production (92522)
range across 3 matching MRF lines
$563.25–$657 $751–$876 varies
Evaluate Swallowing Function (92610)
range across 9 matching MRF lines
$1,026–$1,965.75 $1,368–$2,621 varies
Evaluation of speech fluency (92521)
range across 4 matching MRF lines
$627–$978.75 $836–$1,305 varies
External Ecg Scanning Analysis Report (93226) $1,762.50 $2,350 29.7×
Extracranial Bilat Study (93880)
range across 5 matching MRF lines
$1,869–$2,448.75 $2,492–$3,265 varies
Extracranial Uni/Ltd Study (93882)
range across 4 matching MRF lines
$1,616.25–$1,890.75 $2,155–$2,521 varies
Eye exam w anesth; complete (92018) $3,381.75 $4,509 1.4×
Eye exam w anesth; limited (92019) $2,503.50 $3,338 1.0×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines
$2,122.50–$2,517 $2,830–$3,356 varies
Flexible endoscopic eval swallow c/v rec (92612)
range across 3 matching MRF lines
$1,059.75–$1,654.50 $1,413–$2,206 varies
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,560 $2,080 1.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $4,146 $5,528 11.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,830.25 $5,107 4.4×
Gi tract capsule endoscopy (91110) $5,238 $6,984 5.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $34,759.50 $46,346 10.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,929.75 $2,573 2.8×
Holter monitor recording (93225) $1,456.50 $1,942 10.9×
Immunization administration (90471)
range across 6 matching MRF lines
$81.75–$342 $109–$456 varies
Ingestion challenge test initial 120 minutes (95076) $2,601.75 $3,469 6.9×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $2,601.75 $3,469 6.9×
Insert/Place Heart Catheter (93503) $2,868.75 $3,825 1.8×
Intracranial Complete Study (93886)
range across 4 matching MRF lines
$1,046.25–$1,108.50 $1,395–$1,478 varies
Iontophoresis 15 min (97033) $486.75 $649 25.6×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$205.50–$301.50 $274–$402 varies
IV infusion hydration each additional hour (96361)
range across 5 matching MRF lines
$470.25–$566.25 $627–$755 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 7 matching MRF lines
$587.25–$883.50 $783–$1,178 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 6 matching MRF lines
$432.75–$570.75 $577–$761 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 5 matching MRF lines
$384.75–$474 $513–$632 varies
IV push initial (96374) $1,116 $1,488 5.2×
L Hrt Art/Grft Angio (93459) $31,461.75 $41,949 9.7×
Lwr Xtr Vasc Stdy Bilat (93924) $1,482.75 $1,977 6.8×
Mechanical chest wall oscillation per session (94669) $1,006.50 $1,342 4.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$86.25–$216 $115–$288 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines
$92.25–$314.25 $123–$419 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $70.50 $94 4.1×
Methacholine challenge (94070)
range across 2 matching MRF lines
$3,071.25–$3,720.75 $4,095–$4,961 varies
Motility study esophagus (91010) $3,049.50 $4,066 8.1×
Motion Fluoroscopy/Swallow (92611)
range across 5 matching MRF lines
$1,059–$2,154.75 $1,412–$2,873 varies
Multiple Sleep Latency Test (95805) $8,509.50 $11,346 9.9×
Muscle Test 2 Limbs (95861) $1,791.75 $2,389 13.4×
Muscle Test Nonparaspinal (95870) $486.75 $649 3.6×
Muscle Test One Limb (95860) $1,390.50 $1,854 10.4×
Nasopharyngoscopy (92511) $851.25 $1,135 4.2×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $1,080.75 $1,441 5.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $936.75 $1,249 4.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,792.50 $2,390 4.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$1,351.50–$1,364.25 $1,802–$1,819 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$1,301.25–$1,351.50 $1,735–$1,802 varies
Nerve Conduction Studies 1-2 Studies (95907) $1,378.50 $1,838 6.4×
Nerve conduction studies 5-6 studies (95909) $2,298.75 $3,065 10.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 2 matching MRF lines
$630–$736.50 $840–$982 varies
Neuromuscular Reeducation (97112)
range across 17 matching MRF lines
$147.75–$179.25 $197–$239 varies
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $587.25 $783 4.4×
Optokinetic Nystagmus Test (92544) $245.25 $327 1.9×
Oral Function Therapy (92526)
range across 9 matching MRF lines
$350.25–$738 $467–$984 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $381.75 $509 7.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$231–$280.50 $308–$374 varies
Oscillating Tracking Test (92545) $245.25 $327 1.1×
Ot Contrast Bath Ea 15 Min (97034) $330 $440 23.5×
Ot eval high complexity (97167)
range across 3 matching MRF lines
$390–$397.50 $520–$530 varies
Ot Eval Low Complex (97165)
range across 3 matching MRF lines
$390–$482.25 $520–$643 varies
Ot Eval Moderate Complexity (97166) $390 $520 3.9×
Ot manual therapy 15 min (97140)
range across 14 matching MRF lines
$150.75–$179.25 $201–$239 varies
Ot paraffin bath (97018)
range across 4 matching MRF lines
$261.75–$274.50 $349–$366 varies
Ot Prosthetic Training, Each 15 Min (97761) $186.75 $249 4.6×
Ot Re-Eval Est Plan Care (97168) $190.50 $254 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $566.25 $755 4.4×
Patch/Application Test Specify Number Tests (95044) $5,216.25 $6,955 6.0×
Penile Vascular Study,Ltd or F/U (93981) $688.50 $918 6.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $382.50 $510 1.7×
Percutaneous tests w/allergenic extracts (95004) $5,216.25 $6,955 6.0×
Perq transcath closure pda (93582) $40,125 $53,500 2.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $30,069 $40,092 5.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $50,830.50 $67,774 4.4×
Phlebotomy therapeutic (99195)
range across 3 matching MRF lines
$526.50–$681.75 $702–$909 varies
Physical Performance Test (97750) $165.75 $221 4.9×
Plethysmography (94726)
range across 2 matching MRF lines
$1,267.50–$1,357.50 $1,690–$1,810 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $8,538 $11,384 9.9×
Polysom <6 yrs 4/> paramtrs (95782) $7,214.25 $9,619 8.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $8,538 $11,384 9.9×
Positional nystagmus test (92542) $245.25 $327 1.8×
Prq Card Angio/Athrect 1 Art (92924) $62,008.50 $82,678 5.3×
Prq Card Stent W/Angio 1 Vsl (92928) $45,670.50 $60,894 3.9×
Prq Card Stent/Ath/Angio (92933) $26,450.25 $35,267 1.4×
Prq Revasc Byp Graft 1 Vsl (92937) $50,830.50 $67,774 4.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $21,726.75 $28,969 1.9×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$408–$419.25 $544–$559 varies
Pt eval low complex 20 min (97161)
range across 3 matching MRF lines
$354–$408 $472–$544 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$398.25–$408 $531–$544 varies
Pt gait training 15 min (97116)
range across 12 matching MRF lines
$171.75–$252 $229–$336 varies
Pt mechanical traction (97012) $318.75 $425 22.2×
Pt Re-Eval Est Plan Care (97164) $238.50 $318 3.5×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$1,146–$2,092.50 $1,528–$2,790 varies
Pulmonary Stress Testing (94618) $483.75 $645 3.6×
R Hrt Art/Grft Angio (93457) $33,687.75 $44,917 10.3×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $15,333 $20,444 4.7×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $15,333 $20,444 4.7×
R hrt coronary artery angio (93456) $24,219.75 $32,293 7.4×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $15,333 $20,444 4.7×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $15,333 $20,444 4.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $28,288.50 $37,718 8.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $277.50 $370 4.7×
Right Heart Cath (93451) $16,930.50 $22,574 5.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $525 $700 2.6×
Self Care Mngment Training (97535)
range across 17 matching MRF lines
$130.50–$236.25 $174–$315 varies
Sensory Integration Ea 15 Min (97533) $237.75 $317 3.9×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,911 $2,548 8.8×
Short-latency somatosens ep std upr limbs (95925) $2,195.25 $2,927 10.1×
Sinusoidal Vertical Axis Rotational Testing (92546) $781.50 $1,042 6.0×
Somatosensory Testing (95938)
range across 2 matching MRF lines
$3,108–$3,159.75 $4,144–$4,213 varies
Speech sound lang comprehen (92523)
range across 7 matching MRF lines
$880.50–$1,654.50 $1,174–$2,206 varies
Spirometry (94010)
range across 2 matching MRF lines
$600.75–$777.75 $801–$1,037 varies
Spontaneous Nystagmus Test (92541) $245.25 $327 1.8×
Ssep lower limbs (95926) $1,800.75 $2,401 8.3×
Stress Tte Only (93350)
range across 2 matching MRF lines
$1,200–$2,517 $1,600–$3,356 varies
Surfactant Admin Thru Tube (94610) $291 $388 1.3×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$1,251.75–$1,405.50 $1,669–$1,874 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $146.25 $195 6.5×
Ther Ivntj Ea Addl 15 Min (97130) $146.25 $195 7.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 12 matching MRF lines
$188.25–$211.50 $251–$282 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 12 matching MRF lines
$165.75–$189.75 $221–$253 varies
Ther/Proph/Diag Inj Ia (96373) $221.25 $295 1.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 10 matching MRF lines
$107.25–$356.25 $143–$475 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines
$588–$747 $784–$996 varies
Therapeutic Activities (97530)
range across 16 matching MRF lines
$265.50–$337.50 $354–$450 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 2 matching MRF lines
$4,203.75–$4,584 $5,605–$6,112 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $108 $144 2.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $83.25 $111 2.2×
Transcath Closure of Asd (93580) $29,000.25 $38,667 1.6×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$4,653–$5,383.50 $6,204–$7,178 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$1,116–$2,644.50 $1,488–$3,526 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 7 matching MRF lines
$972.75–$2,081.25 $1,297–$2,775 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $782.25 $1,043 32.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 6 matching MRF lines
$117.75–$252.75 $157–$337 varies
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$117.35–$24,144.75 $156.46–$32,193 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$1,092.75–$1,251 $1,457–$1,668 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$4,069.50–$4,744.50 $5,426–$6,326 varies
Valvuloplasty aortic valve (92986) $25,621.50 $34,162 4.5×
Valvuloplasty pulmonary valve (92990) $23,609.25 $31,479 2.0×
Veeg 2-12 Hr Cont Mntr (95713) $2,580 $3,440 6.9×
Veeg Ea 12-26 Hr Unmntr (95714) $6,451.50 $8,602 17.2×
Vent Mgmt Inpat Init Day (94002)
range across 3 matching MRF lines
$3,948.75–$5,994 $5,265–$7,992 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 3 matching MRF lines
$5,836.50–$6,433.50 $7,782–$8,578 varies
Visual Evoked Potential Test (95930) $2,308.50 $3,078 10.6×
Wheelchair Mgmt Ea 15 Min (97542)
range across 4 matching MRF lines
$103.50–$117 $138–$156 varies

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.