Visits & medical services prices at ThedaCare Medical Center - Wild Rose Inc
Wild Rose, WI · every code in this section with a posted price and a Medicare benchmark.
364 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) range across 2 matching MRF lines |
$203.67–$329.95 | $363.70–$589.20 | varies |
| Ablate Heart Dysrhythm Focus (93650) range across 3 matching MRF lines |
$2,693.66–$7,400.29 | $4,810.10–$13,214.80 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$126.95–$165.03 | $226.70–$294.70 | varies |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$124.26–$169.18 | $221.90–$302.10 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$114.02–$142.63 | $203.60–$254.70 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$114.69–$220.19 | $204.80–$393.20 | varies |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$165.54–$181.78 | $295.60–$324.60 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 3 matching MRF lines |
$109.98–$219.91 | $196.40–$392.70 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$137.76–$179.09 | $246–$319.80 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$137.76–$179.09 | $246–$319.80 | varies |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$35.78–$150.25 | $63.90–$268.30 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $82.66 | $147.60 | 0.6× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $19.10 | $34.10 | 0.1× |
| Analyze neurostim complex (95972) range across 6 matching MRF lines |
$146.44–$263.70 | $261.50–$470.90 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$67.48–$131.49 | $120.50–$234.80 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$142.58–$176.23 | $254.60–$314.70 | varies |
| Analyze Pacemaker System (93724) | $888.83 | $1,587.20 | 3.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 7 matching MRF lines |
$56.11–$78.90 | $100.20–$140.90 | varies |
| Application on-body injector (96377) range across 3 matching MRF lines |
$68.82–$86.24 | $122.90–$154 | varies |
| Arrhythmia Induction (93618) | $1,013.26 | $1,809.40 | 0.9× |
| Assessment of aphasia per hr (96105) | $188.72 | $337 | 1.9× |
| Behavral qualit analys voice (92524) range across 3 matching MRF lines |
$230.22–$308.73 | $411.10–$551.30 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$97.94–$107.74 | $174.90–$192.40 | varies |
| Bfb training ea addl 15 min (90913) range across 3 matching MRF lines |
$60.76–$95.37 | $108.50–$170.30 | varies |
| Bis Xtracell Fluid Analysis (93702) range across 3 matching MRF lines |
$62.38–$476.84 | $111.40–$851.50 | varies |
| Brief Emotional/Behav Assmt (96127) | $16.63 | $29.70 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$143.08–$523.15 | $255.50–$934.20 | varies |
| Bundle of his recording (93600) range across 6 matching MRF lines |
$545.55–$18,251.24 | $974.20–$32,591.50 | varies |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$429.86–$558.88 | $767.60–$998 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$687.68–$893.98 | $1,228–$1,596.40 | varies |
| Canalith repositioning proc (95992) range across 5 matching MRF lines |
$81.14–$162.34 | $144.90–$289.90 | varies |
| Car seat/bed test 60 min (94780) range across 4 matching MRF lines |
$66.81–$191.69 | $119.30–$342.30 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$511.28–$720.44 | $913–$1,286.50 | varies |
| Cardiopulmonary exercise testing (94621) range across 3 matching MRF lines |
$504.34–$746.65 | $900.60–$1,333.30 | varies |
| Cardiopulmonary resuscitation (92950) range across 11 matching MRF lines |
$445.03–$1,611.01 | $794.70–$2,876.80 | varies |
| Cardioversion (92960) range across 6 matching MRF lines |
$528.58–$1,177.51 | $943.90–$2,102.70 | varies |
| Cardioversion elective internal (92961) | $1,126.33 | $2,011.30 | 1.8× |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$64.62–$94.14 | $115.40–$168.10 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$1,720.71–$8,143.63 | $3,072.70–$14,542.20 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$1,354.98–$7,629.94 | $2,419.60–$13,624.90 | varies |
| Cbt 1st hour (94644) | $170.58 | $304.60 | 1.3× |
| Chemo Admin Peritoneal Cavity (96446) range across 4 matching MRF lines |
$84.73–$723.13 | $151.30–$1,291.30 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 4 matching MRF lines |
$198.24–$278.43 | $354–$497.20 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$130.09–$143.92 | $232.30–$257 | varies |
| Chemo Ia Push (96420) range across 3 matching MRF lines |
$392.67–$440.72 | $701.20–$787 | varies |
| Chemo Intralesional Over 7 (96406) range across 4 matching MRF lines |
$170.80–$1,225.84 | $305–$2,189 | varies |
| Chemo intralesional up to 7 (96405) range across 4 matching MRF lines |
$111.22–$375.20 | $198.60–$670 | varies |
| Chemo IV infusion addl hr (96415) range across 4 matching MRF lines |
$108.08–$182.78 | $193–$326.40 | varies |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$146.61–$211.06 | $261.80–$376.90 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 4 matching MRF lines |
$490.34–$829.58 | $875.60–$1,481.40 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) range across 4 matching MRF lines |
$583.52–$602.45 | $1,042–$1,075.80 | varies |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) range across 4 matching MRF lines |
$235.20–$279.44 | $420–$499 | varies |
| Chemotherapy Into Cns (96450) range across 5 matching MRF lines |
$291.65–$863.07 | $520.80–$1,541.20 | varies |
| Chemotherapy Intracavitary (96440) range across 5 matching MRF lines |
$511.45–$2,915.02 | $913.30–$5,205.40 | varies |
| Chemotherapy Unspecified (96549) range across 2 matching MRF lines |
$89.49–$89.60 | $159.80–$160 | varies |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $645.51 | $1,152.70 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 5 matching MRF lines |
$118.72–$246.06 | $212–$439.40 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 4 matching MRF lines |
$499.80–$582.40 | $892.50–$1,040 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 4 matching MRF lines |
$234.64–$385.39 | $419–$688.20 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 4 matching MRF lines |
$160.16–$501.20 | $286–$895 | varies |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$50.01–$56.78 | $89.30–$101.40 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$110.43–$137.03 | $197.20–$244.70 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $266.78 | $476.40 | 4.7× |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$635.43–$868.90 | $1,134.70–$1,551.60 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$392.11–$604.30 | $700.20–$1,079.10 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$67.82–$74.59 | $121.10–$133.20 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$198.97–$291.31 | $355.30–$520.20 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 4 matching MRF lines |
$294.95–$537.43 | $526.70–$959.70 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 4 matching MRF lines |
$101.14–$223.50 | $180.60–$399.10 | varies |
| Continuous Pulse Ox (94762) range across 4 matching MRF lines |
$191.13–$248.47 | $341.30–$443.70 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$1,280.83–$8,090.82 | $2,287.20–$14,447.90 | varies |
| Coronary Artery Angio S&I (93454) range across 4 matching MRF lines |
$1,098.78–$8,551.31 | $1,962.10–$15,270.20 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 9 matching MRF lines |
$269.70–$415.41 | $481.60–$741.80 | varies |
| Cpt initial (94667) range across 13 matching MRF lines |
$50.01–$99.18 | $89.30–$177.10 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$677.77–$1,911.11 | $1,210.30–$3,412.70 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$866.88–$970.93 | $1,548–$1,733.80 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 8 matching MRF lines |
$135.74–$389.03 | $242.40–$694.70 | varies |
| Dialysis One Evaluation (90945) | $594.38 | $1,061.40 | 1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$368.98–$531.22 | $658.90–$948.60 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 5 matching MRF lines |
$200.42–$350.95 | $357.90–$626.70 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$792.23–$887.32 | $1,414.70–$1,584.50 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$756.78–$1,046.47 | $1,351.40–$1,868.70 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$392.11–$615.66 | $700.20–$1,099.40 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 6 matching MRF lines |
$578.59–$1,009.40 | $1,033.20–$1,802.50 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 7 matching MRF lines |
$365.90–$602.84 | $653.40–$1,076.50 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$398.55–$446.38 | $711.70–$797.10 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$188.78–$222.88 | $337.10–$398 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$212.91–$238.45 | $380.20–$425.80 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$588.50–$739.09 | $1,050.90–$1,319.80 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$349.78–$469.06 | $624.60–$837.60 | varies |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$714.62–$822.47 | $1,276.10–$1,468.70 | varies |
| ECG/monitoring and analysis (93271) range across 4 matching MRF lines |
$482.55–$747.88 | $861.70–$1,335.50 | varies |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$791.39–$1,048.15 | $1,413.20–$1,871.70 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$365.01–$694.18 | $651.80–$1,239.60 | varies |
| Echo r-t 2d w/probe placement only (93313) | $74.93 | $133.80 | 0.1× |
| Echo transesophag congen probe plcmt only (93316) | $125.38 | $223.90 | 0.2× |
| Echo transesophag montr cardiac pump functj (93318) | $2,036.83 | $3,637.20 | 3.8× |
| Echo transesophageal (93312) range across 5 matching MRF lines |
$529.59–$1,639.18 | $945.70–$2,927.10 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 4 matching MRF lines |
$627.14–$921.14 | $1,119.90–$1,644.90 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 5 matching MRF lines |
$410.70–$1,263.98 | $733.40–$2,257.10 | varies |
| Eeg 41-60 Minutes (95812) range across 5 matching MRF lines |
$209.38–$796.94 | $373.90–$1,423.10 | varies |
| EEG awake and asleep (95819) range across 5 matching MRF lines |
$209.38–$777.34 | $373.90–$1,388.10 | varies |
| EEG awake drowsy (95816) range across 5 matching MRF lines |
$209.38–$618.24 | $373.90–$1,104 | varies |
| EEG cerebral death evaluation (95824) range across 4 matching MRF lines |
$143.58–$1,269.30 | $256.40–$2,266.60 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$459.59–$514.75 | $820.70–$919.20 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 5 matching MRF lines |
$316.34–$1,221.25 | $564.90–$2,180.80 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$210.62–$649.49 | $376.10–$1,159.80 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) range across 4 matching MRF lines |
$459.59–$514.75 | $820.70–$919.20 | varies |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) range across 4 matching MRF lines |
$866.15–$970.09 | $1,546.70–$1,732.30 | varies |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) range across 2 matching MRF lines |
$517.50–$579.60 | $924.10–$1,035 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$824.88–$923.89 | $1,473–$1,649.80 | varies |
| EKG signal averaged (93278) | $142.86 | $255.10 | 2.5× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $119.39 | $213.20 | 1.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 7 matching MRF lines |
$37.07–$76.89 | $66.20–$137.30 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$22.85–$157.47 | $40.80–$281.20 | varies |
| Electroconvulsive Therapy (90870) range across 4 matching MRF lines |
$229.60–$984.14 | $410–$1,757.40 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$1,149.79 | $2,053.20 | 0.2× |
| Electrophysiology Evaluation (93642) range across 3 matching MRF lines |
$1,172.14–$1,591.69 | $2,093.10–$2,842.30 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$135.35–$364 | $241.70–$650 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$231.90–$672 | $414.10–$1,200 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$392.45–$963.20 | $700.80–$1,720 | varies |
| Emg 3 Extremities (95863) range across 3 matching MRF lines |
$259.17–$779.80 | $462.80–$1,392.50 | varies |
| Endomyocardial Biopsy (93505) range across 3 matching MRF lines |
$2,112.77–$6,387.08 | $3,772.80–$11,405.50 | varies |
| Ep & ablate supravent arrhyt (93653) range across 3 matching MRF lines |
$4,723.38–$17,020.64 | $8,434.60–$30,394 | varies |
| Ep & ablate ventric tachy (93654) range across 3 matching MRF lines |
$5,692.23–$23,382.52 | $10,164.70–$41,754.50 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 3 matching MRF lines |
$2,885.40–$4,101.61 | $5,152.50–$7,324.30 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 3 matching MRF lines |
$1,795.14–$12,565 | $3,205.60–$22,437.50 | varies |
| Ep Esophageal Recording Atria+Pacing (93616) | $290.53 | $518.80 | 0.2× |
| Er level 1 (99281) range across 3 matching MRF lines |
$49.28–$154 | $88–$275 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$1,446.48–$1,447.60 | $2,583–$2,585 | varies |
| Esoph Atrial Electrogram (93615) | $183.68 | $328 | 0.2× |
| Esophageal Capsule Endoscopy (91111) | $3,202.98 | $5,719.60 | 3.6× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 3 matching MRF lines |
$1,132.04–$1,968.51 | $2,021.50–$3,515.20 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 2 matching MRF lines |
$852.60–$1,008 | $1,522.50–$1,800 | varies |
| Evaluate pt use of inhaler (94664) range across 6 matching MRF lines |
$62.72–$89.82 | $112–$160.40 | varies |
| Evaluate Speech Production (92522) range across 3 matching MRF lines |
$225.68–$308.73 | $403–$551.30 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$118.72–$127.12 | $212–$227 | varies |
| Evaluation of speech fluency (92521) | $225.68 | $403 | 1.7× |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$178.36–$713.55 | $318.50–$1,274.20 | varies |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$627.54–$874.33 | $1,120.60–$1,561.30 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$330.62–$373.41 | $590.40–$666.80 | varies |
| Eye exam w anesth; complete (92018) range across 2 matching MRF lines |
$1,705.42–$1,756.61 | $3,045.40–$3,136.80 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$178.25–$885.53 | $318.30–$1,581.30 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $104.27 | $186.20 | 0.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 3 matching MRF lines |
$1,564.92–$2,407.83 | $2,794.50–$4,299.70 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$759.19–$856.97 | $1,355.70–$1,530.30 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 3 matching MRF lines |
$498.40–$523.15 | $890–$934.20 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 5 matching MRF lines |
$852.60–$1,726.70 | $1,522.50–$3,083.40 | varies |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$1,475.49–$2,790.54 | $2,634.80–$4,983.10 | varies |
| Group Therapeutic Procedures (97150) range across 7 matching MRF lines |
$69.61–$127.68 | $124.30–$228 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 3 matching MRF lines |
$1,901.09–$8,728.61 | $3,394.80–$15,586.80 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 5 matching MRF lines |
$744.35–$1,672.94 | $1,329.20–$2,987.40 | varies |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$90.27–$285.04 | $161.20–$509 | varies |
| Hypnotherapy (90880) range across 2 matching MRF lines |
$330.85–$393.18 | $590.80–$702.10 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $48.22 | $86.10 | 1.3× |
| Icd Device Interrogate (93289) | $272.38 | $486.40 | 7.5× |
| Icd device progr eval dual (93283) | $370.94 | $662.40 | 10.2× |
| Icd Device Progr Eval Mult (93284) | $400.29 | $714.80 | 11.0× |
| Icm Device Eval (93290) | $200.93 | $358.80 | 5.5× |
| Ilr Device Eval Progr (93285) | $227.70 | $406.60 | 6.3× |
| Ilr Device Interrogate (93291) | $186.42 | $332.90 | 6.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$45.47–$45.86 | $81.20–$81.90 | varies |
| Immunization administration (90471) range across 6 matching MRF lines |
$55.61–$61.60 | $99.30–$110 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$285.43–$470.23 | $509.70–$839.70 | varies |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$203.84–$248.42 | $364–$443.60 | varies |
| Insert/Place Heart Catheter (93503) range across 5 matching MRF lines |
$431.48–$2,518.49 | $770.50–$4,497.30 | varies |
| Interrogate Subq Defib (93261) | $352.02 | $628.60 | 9.7× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$753.87 | $1,346.20 | 0.1× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$533.90 | $953.40 | 0.1× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$319.42–$398.38 | $570.40–$711.40 | varies |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$743.90 | $1,328.40 | 0.1× |
| Iontophoresis 15 min (97033) range across 8 matching MRF lines |
$77.11–$101.53 | $137.70–$181.30 | varies |
| Irrig Drug Delivery Device (96523) range across 6 matching MRF lines |
$97.61–$139.44 | $174.30–$249 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$47.10–$98.50 | $84.10–$175.90 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$121.18–$367.30 | $216.40–$655.90 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$107.58–$132.94 | $192.10–$237.40 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$76.38–$102.09 | $136.40–$182.30 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$129.42–$184.02 | $231.10–$328.60 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$1,536.98–$7,924.06 | $2,744.60–$14,150.10 | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) range across 3 matching MRF lines |
$1,320.76–$6,500.54 | $2,358.50–$11,608.10 | varies |
| Liver Elastography W/O Imag W/I&R (91200) range across 3 matching MRF lines |
$73.92–$267.51 | $132–$477.70 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $53.48 | $95.50 | 0.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$496.38–$648.03 | $886.40–$1,157.20 | varies |
| Mechanical chest wall oscillation per session (94669) | $94.58 | $168.90 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$44.74–$120.46 | $79.90–$215.10 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 7 matching MRF lines |
$38.92–$138.43 | $69.50–$247.20 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 4 matching MRF lines |
$23.97–$63.06 | $42.80–$112.60 | varies |
| Methacholine challenge (94070) range across 4 matching MRF lines |
$228.26–$628.99 | $407.60–$1,123.20 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$852.60–$1,008 | $1,522.50–$1,800 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$125.83–$208.32 | $224.70–$372 | varies |
| Multiple Family Group Psychotherapy (90849) range across 4 matching MRF lines |
$198.41–$257.94 | $354.30–$460.60 | varies |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$1,551.70–$2,209.98 | $2,770.90–$3,946.40 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$290.92–$600.32 | $519.50–$1,072 | varies |
| Muscle Test Nonparaspinal (95870) range across 3 matching MRF lines |
$90.55–$310.18 | $161.70–$553.90 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$179.14–$419.55 | $319.90–$749.20 | varies |
| Nasopharyngoscopy (92511) range across 7 matching MRF lines |
$140.28–$441.78 | $250.50–$788.90 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$259.17–$336.90 | $462.80–$601.60 | varies |
| Needle electromyography larynx (95865) range across 2 matching MRF lines |
$465.53–$521.42 | $831.30–$931.10 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 4 matching MRF lines |
$237.50–$365.40 | $424.10–$652.50 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $360.70 | $644.10 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 6 matching MRF lines |
$80.75–$1,412.99 | $144.20–$2,523.20 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 7 matching MRF lines |
$91.39–$1,416.02 | $163.20–$2,528.60 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 6 matching MRF lines |
$97.22–$245.95 | $173.60–$439.20 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 6 matching MRF lines |
$105.28–$327.77 | $188–$585.30 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$240.02–$335.05 | $428.60–$598.30 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$926.41–$1,952.22 | $1,654.30–$3,486.10 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$1,070.38–$2,278.08 | $1,911.40–$4,068 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$417.76–$670.26 | $746–$1,196.90 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$501.20–$976.81 | $895–$1,744.30 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$656.10–$1,301.94 | $1,171.60–$2,324.90 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$792.29–$1,627.86 | $1,414.80–$2,906.90 | varies |
| Neurobehavioral Status Exam (96116) range across 4 matching MRF lines |
$167.16–$193.48 | $298.50–$345.50 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$243.32–$392.62 | $434.50–$701.10 | varies |
| Neuromuscular Reeducation (97112) range across 8 matching MRF lines |
$63.28–$133.11 | $113–$237.70 | varies |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$914.42–$1,099.34 | $1,632.90–$1,963.10 | varies |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$67.37–$71.40 | $120.30–$127.50 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$221.42–$270.54 | $395.40–$483.10 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 3 matching MRF lines |
$467.94–$692.50 | $835.60–$1,236.60 | varies |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$96.66–$159.04 | $172.60–$284 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 5 matching MRF lines |
$60.93–$80.98 | $108.80–$144.60 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 7 matching MRF lines |
$57.06–$189.90 | $101.90–$339.10 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 4 matching MRF lines |
$85.68–$115.58 | $153–$206.40 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$129.64–$167.05 | $231.50–$298.30 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$171.19–$217.28 | $305.70–$388 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$216.44–$266.22 | $386.50–$475.40 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$259.62–$313.15 | $463.60–$559.20 | varies |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$170.58–$231.95 | $304.60–$414.20 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$140.06–$199.70 | $250.10–$356.60 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$157.58–$214.76 | $281.40–$383.50 | varies |
| Ot manual therapy 15 min (97140) range across 9 matching MRF lines |
$70.67–$106.74 | $126.20–$190.60 | varies |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$47.38–$58.30 | $84.60–$104.10 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$85.79–$94.36 | $153.20–$168.50 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$119.95–$132.16 | $214.20–$236 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $196 | $350 | 1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$159.21–$206.98 | $284.30–$369.60 | varies |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$138.04–$146.33 | $246.50–$261.30 | varies |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $221.31 | $395.20 | 1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $99.85 | $178.30 | 0.5× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$119–$126.17 | $212.50–$225.30 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 4 matching MRF lines |
$2,402.85–$6,265.22 | $4,290.80–$11,187.90 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 3 matching MRF lines |
$3,004.46–$22,836.35 | $5,365.10–$40,779.20 | varies |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$109.76–$356.38 | $196–$636.40 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$99.23–$129.02 | $177.20–$230.40 | varies |
| Physical Performance Test (97750) range across 6 matching MRF lines |
$72.02–$132.72 | $128.60–$237 | varies |
| Plethysmography (94726) range across 3 matching MRF lines |
$470.40–$493.92 | $840–$882 | varies |
| Pm device eval in person (93288) | $211.74 | $378.10 | 5.8× |
| Pm device progr eval dual (93280) | $299.10 | $534.10 | 8.3× |
| Pm device progr eval multi (93281) | $317.91 | $567.70 | 8.8× |
| Pm Device Progr Eval Sngl (93279) | $254.74 | $454.90 | 7.0× |
| Pm/Icd Remote Tech Serv (93296) | $83.94 | $149.90 | 2.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$2,360.85–$3,312.01 | $4,215.80–$5,914.30 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $382.31 | $682.70 | 10.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $302.96 | $541 | 8.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $37.91 | $67.70 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $44.41 | $79.30 | 1.0× |
| Prq Card Angio/Athrect 1 Art (92924) range across 3 matching MRF lines |
$2,866.70–$22,836.35 | $5,119.10–$40,779.20 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 3 matching MRF lines |
$2,675.51–$6,898.30 | $4,777.70–$12,318.40 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$2,998.80–$12,357.52 | $5,355–$22,067 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$2,672.10–$8,173.03 | $4,771.60–$14,594.70 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) unusually low: confirm this is the full procedure |
$6,008.13 | $10,728.80 | 0.3× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$358.51–$408.35 | $640.20–$729.20 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$260.68–$366.58 | $465.50–$654.60 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$226.91–$250.49 | $405.20–$447.30 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) | $4.42 | $7.90 | 0.2× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $231.56 | $413.50 | 0.5× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$49.06–$92.85 | $87.60–$165.80 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$263.42–$295.46 | $470.40–$527.60 | varies |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$187.88–$243.54 | $335.50–$434.90 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$139.16–$192.14 | $248.50–$343.10 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$187.88–$210.67 | $335.50–$376.20 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$55.27–$115.98 | $98.70–$207.10 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$65.07–$81.03 | $116.20–$144.70 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$118.89–$137.93 | $212.30–$246.30 | varies |
| Pt ultraviolet (97028) range across 3 matching MRF lines |
$14.34–$22.51 | $25.60–$40.20 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$190.79–$202.22 | $340.70–$361.10 | varies |
| Pulmonary service/procedure (94799) range across 10 matching MRF lines |
$453.04–$480.20 | $809–$857.50 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$125.22–$497.11 | $223.60–$887.70 | varies |
| Pure Tone Audiometry Air (92552) | $131.26 | $234.40 | 1.0× |
| R Hrt Art/Grft Angio (93457) range across 3 matching MRF lines |
$1,608.21–$7,769.83 | $2,871.80–$13,874.70 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $9,286.42 | $16,582.90 | 2.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $5,803.95 | $10,364.20 | 1.8× |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$1,431.75–$6,878.93 | $2,556.70–$12,283.80 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $9,286.42 | $16,582.90 | 2.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 3 matching MRF lines |
$1,607.65–$5,803.95 | $2,870.80–$10,364.20 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 3 matching MRF lines |
$1,454.15–$6,647.65 | $2,596.70–$11,870.80 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $330.57 | $590.30 | 1.0× |
| Refill/Maint Portable Pump (96521) range across 4 matching MRF lines |
$442.40–$482.55 | $790–$861.70 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $445.09 | $794.80 | 2.2× |
| Rem interrog icpms <30 d phys/qhp (93297) | $94.81 | $169.30 | 2.6× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $96.04 | $171.50 | 2.6× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $41.10 | $73.40 | 0.3× |
| Remote 30 Day Ecg Rev/Report (93270) range across 4 matching MRF lines |
$40.43–$326.20 | $72.20–$582.50 | varies |
| Remote 30 Day Ecg Tech Supp (93229) range across 2 matching MRF lines |
$1,208.26–$1,280.78 | $2,157.60–$2,287.10 | varies |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $1,474.59 | $2,633.20 | 7.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$133.62–$141.62 | $238.60–$252.90 | varies |
| Right Heart Cath (93451) range across 3 matching MRF lines |
$606.76–$4,792.98 | $1,083.50–$8,558.90 | varies |
| Right ventricular recording (93603) range across 3 matching MRF lines |
$533.90–$2,276.12 | $953.40–$4,064.50 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 6 matching MRF lines |
$132.05–$168.11 | $235.80–$300.20 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $311.25 | $555.80 | 2.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 3 matching MRF lines |
$81.03–$93.58 | $144.70–$167.10 | varies |
| Same day nb discharge (99463) | $237.61 | $424.30 | 1.8× |
| Sbsq Psyc Collab Care Mgmt (99493) range across 2 matching MRF lines |
$222.82–$312.93 | $397.90–$558.80 | varies |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$55.78–$80.25 | $99.60–$143.30 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$42.78–$47.04 | $76.40–$84 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$480.70–$538.38 | $858.40–$961.40 | varies |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$342.50–$787.98 | $611.60–$1,407.10 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $615.89 | $1,099.80 | 2.9× |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$904.57–$1,013.10 | $1,615.30–$1,809.10 | varies |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$271.66–$364.90 | $485.10–$651.60 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$145.04–$407.96 | $259–$728.50 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$99.12–$260.18 | $177–$464.60 | varies |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$480.70–$538.38 | $858.40–$961.40 | varies |
| Standardized Cognitive Performance Testing (96125) range across 3 matching MRF lines |
$169.23–$218.90 | $302.20–$390.90 | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$926.58–$926.86 | $1,654.60–$1,655.10 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 4 matching MRF lines |
$57.68–$77.50 | $103–$138.40 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 3 matching MRF lines |
$122.42–$518.90 | $218.60–$926.60 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $209.33 | $373.80 | 3.0× |
| Surfactant Admin Thru Tube (94610) | $104.38 | $186.40 | 0.5× |
| Temp transcutaneous pacing (92953) range across 4 matching MRF lines |
$309.34–$402.14 | $552.40–$718.10 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$53.14–$55.66 | $94.90–$99.40 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$53.14–$53.82 | $94.90–$96.10 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 5 matching MRF lines |
$68.88–$75.77 | $123–$135.30 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 2 matching MRF lines |
$61.71–$84 | $110.20–$150 | varies |
| Ther/Proph/Diag Inj Ia (96373) range across 4 matching MRF lines |
$67.59–$281.51 | $120.70–$502.70 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$52.58–$110.99 | $93.90–$198.20 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$236.04–$390.10 | $421.50–$696.60 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $857.02 | $1,530.40 | 4.1× |
| Therapeutic Activities (97530) range across 11 matching MRF lines |
$75.43–$145.54 | $134.70–$259.90 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$455.11–$1,059.91 | $812.70–$1,892.70 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$48.89–$54.49 | $87.30–$97.30 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$23.58–$29.18 | $42.10–$52.10 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$306.88–$449.40 | $548–$802.50 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$418.10–$608.66 | $746.60–$1,086.90 | varies |
| Transcath Closure of Asd (93580) range across 3 matching MRF lines |
$4,441.86–$22,686.94 | $7,931.90–$40,512.40 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$131.60–$171.08 | $235–$305.50 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $175.45 | $313.30 | 4.8× |
| Tte w/doppler, complete (93306) range across 7 matching MRF lines |
$635.21–$1,681.01 | $1,134.30–$3,001.80 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$464.63–$1,316.67 | $829.70–$2,351.20 | varies |
| Tx atrial fib pulm vein isol (93656) range across 3 matching MRF lines |
$5,355.78–$23,306.25 | $9,563.90–$41,618.30 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$133–$151.20 | $237.50–$270 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $152.38 | $272.10 | 6.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$57.12–$134.12 | $102–$239.50 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$40.38–$61.54 | $72.10–$109.90 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$279.44–$1,165.36 | $499–$2,081 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 2 matching MRF lines |
$256.54–$271.94 | $458.10–$485.60 | varies |
| Unlisted Psychiatric Service/Procedure (90899) | $143.25 | $255.80 | 3.9× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$254.58–$327.77 | $454.60–$585.30 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$396.70–$444.30 | $708.40–$793.40 | varies |
| Valvuloplasty aortic valve (92986) range across 3 matching MRF lines |
$5,072.09–$6,065.81 | $9,057.30–$10,831.80 | varies |
| Valvuloplasty mitral valve (92987) range across 3 matching MRF lines |
$6,271.38–$22,836.35 | $11,198.90–$40,779.20 | varies |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$5,005.39 | $8,938.20 | 0.4× |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$55.27–$60.82 | $98.70–$108.60 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$866.15–$970.09 | $1,546.70–$1,732.30 | varies |
| Veeg 2-12 hr intmt mntr (95712) | $523.15 | $934.20 | 1.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$830.37–$929.99 | $1,482.80–$1,660.70 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 3 matching MRF lines |
$828.63–$1,274.95 | $1,479.70–$2,276.70 | varies |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$1,621.14–$1,815.69 | $2,894.90–$3,242.30 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 6 matching MRF lines |
$335.33–$1,227.52 | $598.80–$2,192 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 6 matching MRF lines |
$235.26–$1,087.80 | $420.10–$1,942.50 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$349.16–$453.94 | $623.50–$810.60 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $164.92 | $294.50 | 2.9× |
| Vital capacity, total (94150) range across 4 matching MRF lines |
$91–$114.13 | $162.50–$203.80 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$67.14–$77.50 | $119.90–$138.40 | varies |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$61.54–$67.70 | $109.90–$120.90 | 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.