Visits & medical services prices at Thomas Memorial Hospital
South Charleston, WV · every code in this section with a posted price and a Medicare benchmark.
346 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) | $121 | $242 | 1.2× |
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$4,656.50–$5,006 | $9,313–$10,012 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) | $181.50 | $363 | 3.2× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$104–$121 | $208–$242 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $383 | $766 | 1.8× |
| Aep neurodiagnostic i&r (92653) | $350.50 | $701 | 1.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $350.50 | $701 | 1.7× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$229–$1,195.50 | $458–$2,391 | varies |
| Airway resistance by oscillometry (94728) | $1,162 | $2,324 | 9.4× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$173.50–$187 | $347–$374 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 2 matching MRF lines |
$353–$379.50 | $706–$759 | varies |
| Analyze neurostim complex (95972) range across 4 matching MRF lines |
$272–$1,988.75 | $544–$3,977.50 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$218.50–$235 | $437–$470 | varies |
| Analyze Neurostim Simple (95971) | $241 | $482 | 2.6× |
| Analyze Pacemaker System (93724) | $363 | $726 | 1.2× |
| Ans parasymp & symp w/tilt (95924) | $354.50 | $709 | 1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $43.50 | $87 | 3.0× |
| Application on-body injector (96377) range across 3 matching MRF lines |
$124.50–$134 | $249–$268 | varies |
| Arrhythmia Induction (93618) | $1,468 | $2,936 | 1.3× |
| Assessment of aphasia per hr (96105) | $128.50 | $257 | 1.3× |
| Behavral qualit analys voice (92524) range across 5 matching MRF lines |
$203.50–$330 | $407–$660 | varies |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$17.50–$44 | $35–$88 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$549–$590.50 | $1,098–$1,181 | varies |
| Bundle of his recording (93600) | $5,006 | $10,012 | 0.7× |
| C motor evoked uppr limbs (95928) | $1,230.50 | $2,461 | 1.5× |
| C motor evoked upr&lwr limbs (95939) | $1,230.50 | $2,461 | 1.5× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$117.50–$133.10 | $235–$266.20 | varies |
| Car seat/bed test 60 min (94780) | $69.50 | $139 | 1.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$859–$923.50 | $1,718–$1,847 | varies |
| Cardiopulmonary exercise testing (94621) | $429.50 | $859 | 1.2× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$1,073–$1,154.50 | $2,146–$2,309 | varies |
| Cardioversion (92960) range across 6 matching MRF lines |
$1,173.50–$4,169.13 | $2,347–$8,338.25 | varies |
| Cardioversion elective internal (92961) | $1,114 | $2,228 | 1.8× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $43.50 | $87 | 1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $25 | $50 | 1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$5,341–$5,961 | $10,682–$11,922 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$5,341–$5,742 | $10,682–$11,484 | varies |
| Cbt 1st hour (94644) | $187 | $374 | 1.5× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$191–$205.50 | $382–$411 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$125–$134.50 | $250–$269 | varies |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$568–$2,112 | $1,136–$4,224 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$209.50–$225.50 | $419–$451 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$384–$2,960.50 | $768–$5,921 | varies |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$636–$684 | $1,272–$1,368 | varies |
| Chemotherapy Unspecified (96549) range across 2 matching MRF lines |
$80–$86 | $160–$172 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$138–$148.50 | $276–$297 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$1,341.50–$1,442.50 | $2,683–$2,885 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$408.50–$439.50 | $817–$879 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$373–$401 | $746–$802 | varies |
| Chest Wall Manipulation (94668) | $428.50 | $857 | 3.4× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$104–$121 | $208–$242 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,020 | $2,040 | 2.8× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $72.50 | $145 | 1.3× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$804–$880 | $1,608–$1,760 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$641–$689.50 | $1,282–$1,379 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $83 | $166 | 2.6× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$185–$197 | $370–$394 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $170.50 | $341 | 1.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $89 | $178 | 1.6× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$274–$548 | $548–$1,096 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$4,188–$4,502.50 | $8,376–$9,005 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$5,341.50–$5,742.50 | $10,683–$11,485 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$360–$387 | $720–$774 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$224.50–$241.50 | $449–$483 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$949.50–$1,933.50 | $1,899–$3,867 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $377 | $754 | 1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$360.50–$392 | $721–$784 | varies |
| Dialysis One Evaluation (90945) | $582.50 | $1,165 | 1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$576.50–$1,080 | $1,153–$2,160 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$257–$426 | $514–$852 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$706–$759 | $1,412–$1,518 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$387.50–$453.50 | $775–$907 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$742–$798 | $1,484–$1,596 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$395–$425 | $790–$850 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$434–$467 | $868–$934 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $206 | $412 | 2.1× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$291.50–$313.50 | $583–$627 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$768.50–$826.50 | $1,537–$1,653 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$405.50–$436 | $811–$872 | varies |
| ECG/monitoring and analysis (93271) | $739 | $1,478 | 8.1× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$657–$889 | $1,314–$1,778 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$548.50–$617.50 | $1,097–$1,235 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,669 | $3,338 | 3.2× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,899–$2,041.50 | $3,798–$4,083 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$657–$706.50 | $1,314–$1,413 | varies |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$880–$946 | $1,760–$1,892 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$531.50–$571.50 | $1,063–$1,143 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$531.50–$571.50 | $1,063–$1,143 | varies |
| EEG cerebral death evaluation (95824) | $948.50 | $1,897 | 2.6× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,616.50 | $3,233 | 7.8× |
| EEG extended monitoring 61-119 minutes (95813) | $879.50 | $1,759 | 4.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $402.50 | $805 | 1.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $553 | $1,106 | 2.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $977.50 | $1,955 | 2.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,105.50 | $2,211 | 3.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $477.50 | $955 | 2.3× |
| EEG wo vid ea 12-26hr unmntr (95708) range across 3 matching MRF lines |
$902–$1,804 | $1,804–$3,608 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $256 | $512 | 2.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$82–$88.50 | $164–$177 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$20–$33.50 | $40–$67 | varies |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$127.50–$139 | $255–$278 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $5,006 | $10,012 | 0.7× |
| Electrophysiology Evaluation (93642) | $1,468 | $2,936 | 1.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$297.50–$323 | $595–$646 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$532–$577.50 | $1,064–$1,155 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$885–$960.50 | $1,770–$1,921 | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$12,741.50–$18,449 | $25,483–$36,898 | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$13,551–$17,849.50 | $27,102–$35,699 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$4,656.50–$5,444.50 | $9,313–$10,889 | varies |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,468 | $2,936 | 1.3× |
| Er level 1 (99281) range across 4 matching MRF lines |
$159.50–$174.50 | $319–$349 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$1,318–$1,782 | $2,636–$3,564 | varies |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$398–$428.50 | $796–$857 | varies |
| Evaluate Speech Production (92522) | $211.50 | $423 | 1.9× |
| Evaluate Swallowing Function (92610) | $169.50 | $339 | 2.0× |
| Evaluation of speech fluency (92521) | $260.50 | $521 | 2.0× |
| Evoked Auditory Test,Limited (92587) | $571.50 | $1,143 | 2.8× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$249–$268 | $498–$536 | varies |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$57.50–$62 | $115–$124 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$108–$116.50 | $216–$233 | varies |
| External Ecg Scanning Analysis Report (93226) | $390.50 | $781 | 6.9× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$653–$702 | $1,306–$1,404 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$448–$482 | $896–$964 | varies |
| Eye exam w anesth; complete (92018) range across 6 matching MRF lines |
$1,115–$4,541 | $2,230–$9,082 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $980 | $1,960 | 1.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $143 | $286 | 0.7× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $519 | $1,038 | 0.6× |
| Fundus photography (92250) range across 2 matching MRF lines |
$281.50–$303 | $563–$606 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $948.50 | $1,897 | 2.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 3 matching MRF lines |
$449.33–$1,157 | $898.66–$2,314 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$1,949.50–$2,096 | $3,899–$4,192 | varies |
| Gi wireless capsule measure (91112) | $1,054.50 | $2,109 | 1.2× |
| Group Therapeutic Procedures (97150) | $39.50 | $79 | 2.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$5,341–$6,259.50 | $10,682–$12,519 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,116.50–$1,210 | $2,233–$2,420 | varies |
| Holter monitor recording (93225) | $390.50 | $781 | 3.1× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$46–$49.50 | $92–$99 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$42–$43 | $84–$86 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$42–$45.50 | $84–$91 | varies |
| Icm Device Eval (93290) | $45.50 | $91 | 1.3× |
| Ilr Device Eval Progr (93285) range across 3 matching MRF lines |
$42–$43 | $84–$86 | varies |
| Ilr Device Interrogate (93291) | $30 | $60 | 1.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$24.50–$26.50 | $49–$53 | varies |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $68 | $136 | 1.2× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $29.50 | $59 | 0.5× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $19.50 | $39 | 0.5× |
| Immunization administration (90471) range across 6 matching MRF lines |
$123–$181.50 | $246–$363 | varies |
| Insert/Place Heart Catheter (93503) | $2,522 | $5,044 | 1.7× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $148 | $296 | 1.2× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $148 | $296 | 1.2× |
| Interrogate Subq Defib (93261) | $45.50 | $91 | 1.3× |
| Interrogation vad in person (93750) range across 2 matching MRF lines |
$103.50–$111.50 | $207–$223 | varies |
| Interrogation without programming ipnss (93153) | $118.50 | $237 | 1.3× |
| Intra-atrial pacing (93610) | $4,777.50 | $9,555 | 0.6× |
| Intra-atrial recording (93602) | $5,006 | $10,012 | 0.7× |
| Intracranial Complete Study (93886) | $274 | $548 | 1.2× |
| Intraventricular pacing (93612) | $5,006 | $10,012 | 0.7× |
| Iontophoresis 15 min (97033) | $51.50 | $103 | 2.7× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$119.50–$130.50 | $239–$261 | varies |
| IV infusion hydration each additional hour (96361) range across 8 matching MRF lines |
$96.50–$1,253 | $193–$2,506 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$195.50–$443.50 | $391–$887 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$129.50–$259 | $259–$518 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 6 matching MRF lines |
$89.50–$537 | $179–$1,074 | varies |
| IV push initial (96374) range across 7 matching MRF lines |
$407.50–$443 | $815–$886 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$5,341–$5,742 | $10,682–$11,484 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $166.50 | $333 | 1.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $189.50 | $379 | 3.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$345.50–$371.50 | $691–$743 | varies |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,632 | $3,264 | 1.2× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $783 | $1,566 | 2.2× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$311–$311.50 | $622–$623 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$68.50–$320 | $137–$640 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$42–$234 | $84–$468 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$26.50–$147 | $53–$294 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$1,081–$1,162.50 | $2,162–$2,325 | varies |
| Motility study esophagus (91010) range across 4 matching MRF lines |
$537.50–$948.50 | $1,075–$1,897 | varies |
| Motion Fluoroscopy/Swallow (92611) | $201 | $402 | 2.2× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$892–$959 | $1,784–$1,918 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$145–$183.50 | $290–$367 | varies |
| Muscle Test Nonparaspinal (95870) | $145 | $290 | 1.1× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$145–$290 | $290–$580 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$228–$385.50 | $456–$771 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $350.50 | $701 | 1.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $350.50 | $701 | 1.7× |
| Needle electromyography larynx (95865) | $156 | $312 | 1.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $350.50 | $701 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$449.50–$690.50 | $899–$1,381 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$642–$690.50 | $1,284–$1,381 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$387.50–$2,575.67 | $775–$5,151.33 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$713.50–$3,395.50 | $1,427–$6,791 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $249 | $498 | 1.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $948.50 | $1,897 | 2.6× |
| Nerve conduction studies 13 or more studies (95913) | $948.50 | $1,897 | 2.6× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$350.50–$377 | $701–$754 | varies |
| Nerve conduction studies 5-6 studies (95909) | $350.50 | $701 | 1.7× |
| Nerve conduction studies 7-8 studies (95910) | $429.50 | $859 | 1.2× |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$948.50–$1,020 | $1,897–$2,040 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $176 | $352 | 1.4× |
| Neuromuscular Reeducation (97112) range across 5 matching MRF lines |
$86–$344 | $172–$688 | varies |
| Newborn resuscitation (99465) | $1,178.50 | $2,357 | 1.9× |
| Nitric oxide expired gas determination (95012) | $41 | $82 | 1.1× |
| Oral Function Therapy (92526) | $196 | $392 | 2.3× |
| Oral Speech Device Eval (92597) | $167.50 | $335 | 2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $100.50 | $201 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$98.50–$197 | $197–$394 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $74.50 | $149 | 3.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $92.50 | $185 | 4.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $122 | $244 | 5.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $150 | $300 | 7.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $179.50 | $359 | 8.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $44.50 | $89 | 3.2× |
| Ot eval high complexity (97167) | $506.50 | $1,013 | 5.0× |
| Ot Eval Low Complex (97165) | $194 | $388 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $351 | $702 | 3.5× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$60–$120 | $120–$240 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$18.50–$49 | $37–$98 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $85.50 | $171 | 2.1× |
| Ot Re-Eval Est Plan Care (97168) | $52 | $104 | 0.8× |
| Ot rom hand (95852) | $14.50 | $29 | 0.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$214–$230.50 | $428–$461 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$214–$230.50 | $428–$461 | varies |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $246 | $492 | 10.0× |
| Pdt dstr prmlg les phys/qhp (96573) | $229 | $458 | 1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $50 | $100 | 0.2× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $9,515 | $19,030 | 0.5× |
| Perq Transcath Cls Aortic (93591) | $9,903 | $19,806 | 0.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 3 matching MRF lines |
$8,950–$9,621.50 | $17,900–$19,243 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 4 matching MRF lines |
$7,110.50–$32,358.50 | $14,221–$64,717 | varies |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$145–$242 | $290–$484 | varies |
| Photo patch test(s) (95052) | $74.50 | $149 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $102.50 | $205 | 1.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 3 matching MRF lines |
$102.50–$110.50 | $205–$221 | varies |
| Physical Performance Test (97750) | $79.50 | $159 | 2.4× |
| Plethysmography (94726) range across 2 matching MRF lines |
$149.50–$236.50 | $299–$473 | varies |
| Pm device eval in person (93288) | $81.50 | $163 | 2.3× |
| Pm device progr eval dual (93280) | $46 | $92 | 1.3× |
| Pm device progr eval multi (93281) range across 4 matching MRF lines |
$42–$78.50 | $84–$157 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$42–$43 | $84–$86 | varies |
| Pm/Icd Remote Tech Serv (93296) | $46 | $92 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$2,811–$3,022 | $5,622–$6,044 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,604 | $7,208 | 4.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,048 | $6,096 | 3.7× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $7 | $14 | 0.2× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $58 | $116 | 1.3× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $58 | $116 | 1.3× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $86 | $172 | 1.2× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $86 | $172 | 1.2× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $508 | $1,016 | 1.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$46–$49.50 | $92–$99 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22.50 | $45 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $25 | $50 | 0.6× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $86 | $172 | 1.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $7,965 | $15,930 | 0.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$19,889–$21,229.50 | $39,778–$42,459 | varies |
| Prq Card Stent/Ath/Angio (92933) | $9,515 | $19,030 | 0.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$7,110.50–$22,929 | $14,221–$45,858 | varies |
| Psych diag eval w/med srvcs (90792) | $285 | $570 | 1.7× |
| Psytx Crisis Initial 60 Min (90839) | $313.50 | $627 | 1.8× |
| Pt Eval High Complex (97163) | $506.50 | $1,013 | 5.2× |
| Pt eval low complex 20 min (97161) | $194 | $388 | 2.0× |
| Pt Eval Mod Complex (97162) | $351 | $702 | 3.6× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$86–$258 | $172–$516 | varies |
| Pt group caregiver training (97552) | $25 | $50 | 1.1× |
| Pt mechanical traction (97012) | $49 | $98 | 3.4× |
| Pt Re-Eval Est Plan Care (97164) | $120.50 | $241 | 1.8× |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$649–$698 | $1,298–$1,396 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$183.50–$197.50 | $367–$395 | varies |
| Pure Tone Audiometry Air (92552) | $156 | $312 | 1.2× |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$6,987.50–$7,512 | $13,975–$15,024 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$4,188–$4,502.50 | $8,376–$9,005 | varies |
| Rectal sensation tone&compliance study (91124) | $248 | $496 | 1.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$392–$567 | $784–$1,134 | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$262–$392.50 | $524–$785 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 3 matching MRF lines |
$46–$49.50 | $92–$99 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $43 | $86 | 1.2× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $43 | $86 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) range across 4 matching MRF lines |
$775.50–$834 | $1,551–$1,668 | varies |
| Respiratory flow volume loop (94375) | $275 | $550 | 1.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $119.50 | $239 | 2.1× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$5,341.50–$5,742.50 | $10,683–$11,485 | varies |
| Right ventricular recording (93603) | $1,468 | $2,936 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $361 | $722 | 1.9× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $75 | $150 | 2.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $356 | $712 | 2.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $179.50 | $359 | 3.8× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $153.50 | $307 | 1.2× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$74–$222 | $148–$444 | varies |
| Sensory Integration Ea 15 Min (97533) | $73.50 | $147 | 1.2× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $350.50 | $701 | 1.7× |
| Short-latency somatosens ep std upr limbs (95925) | $350.50 | $701 | 1.7× |
| Sleep study attended (95807) range across 3 matching MRF lines |
$770–$828 | $1,540–$1,656 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$424–$456 | $848–$912 | varies |
| Slp caregiver training 1st 30 min (97550) | $49.50 | $99 | 0.9× |
| Slp Stdy Unatnd W/Anal (95801) | $184.50 | $369 | 3.3× |
| Somatosensory Testing (95938) range across 3 matching MRF lines |
$597–$642 | $1,194–$1,284 | varies |
| Speech Audiometry Complete (92556) | $67 | $134 | 1.2× |
| Speech sound lang comprehen (92523) | $451 | $902 | 2.0× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$342.50–$505.50 | $685–$1,011 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$291.50–$313.50 | $583–$627 | varies |
| Ssep lower limbs (95926) | $350.50 | $701 | 1.7× |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$223–$364 | $446–$728 | varies |
| Stress Tte Only (93350) | $980 | $1,960 | 1.9× |
| Subcutaneous Infusion Each Additional Hour (96370) | $64.50 | $129 | 1.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $408 | $816 | 2.0× |
| Surfactant Admin Thru Tube (94610) | $428.50 | $857 | 2.0× |
| Temp transcutaneous pacing (92953) | $791.50 | $1,583 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $45.50 | $91 | 2.0× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$21.50–$43 | $43–$86 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $83 | $166 | 2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $82.50 | $165 | 2.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $266 | $532 | 2.6× |
| Ther/Proph/Diag Inj Ia (96373) | $408 | $816 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 8 matching MRF lines |
$129–$259 | $258–$518 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
$451–$5,302.50 | $902–$10,605 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$85–$255 | $170–$510 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$950.50–$1,022 | $1,901–$2,044 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$65–$70 | $130–$140 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 4 matching MRF lines |
$65–$70.50 | $130–$141 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $262.50 | $525 | 2.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $262.50 | $525 | 2.1× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,391.50–$1,496 | $2,783–$2,992 | varies |
| Tte W/O Doppler Complete (93307) | $1,142 | $2,284 | 5.0× |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$13,551–$18,906.50 | $27,102–$37,813 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$180–$180.50 | $360–$361 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $64 | $128 | 2.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 9 matching MRF lines |
$85.50–$342 | $171–$684 | varies |
| Tympanometry (92567) | $47.50 | $95 | 1.3× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$1,660.50–$1,785.50 | $3,321–$3,571 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $659 | $1,318 | 5.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 5 matching MRF lines |
$313–$337.50 | $626–$675 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$550–$591.50 | $1,100–$1,183 | varies |
| Valvuloplasty aortic valve (92986) | $6,513.50 | $13,027 | 1.2× |
| Vasopneumatic device (97016) | $43.50 | $87 | 3.6× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,285.50 | $2,571 | 3.6× |
| Veeg 2-12 hr intmt mntr (95712) | $1,120.50 | $2,241 | 3.1× |
| Veeg 2-12 hr unmonitored (95711) range across 2 matching MRF lines |
$1,045.50–$1,124 | $2,091–$2,248 | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,255 | $4,510 | 6.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 2 matching MRF lines |
$2,180.50–$2,344.50 | $4,361–$4,689 | varies |
| Veeg ea 12-26hr cont mntr (95716) | $2,331 | $4,662 | 2.8× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$2,286–$2,457.50 | $4,572–$4,915 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$1,883.50–$2,025 | $3,767–$4,050 | varies |
| Visual Evoked Potential Test (95930) | $460 | $920 | 2.2× |
| Vital capacity, total (94150) | $313 | $626 | 2.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$90–$180 | $180–$360 | varies |
| Whirlpool Therapy (97022) | $39.50 | $79 | 2.5× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $93 | $186 | 1.6× |
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.