Visits & medical services prices at Trinity Health Grand Rapids Hospital

Grand Rapids, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $170.95 $263 1.7×
Ablate Heart Dysrhythm Focus (93650) $5,690.75 $8,755 0.7×
Actigraphy Testing Recording Analysis I&R (95803) $38.35 $59 0.7×
Admn Sarscov2 Vacc 1 Dose (90480) $629.85 — 15.6×
Advncd Care Plan 30 Min (99497) $54.60 $84 0.5×
Aep neurodiagnostic i&r (92653) $323.05 $497 1.5×
Aep threshold estimation mlt frequencies i&r (92652) $355.55 $547 1.7×
Airway Inhalation Treatment (94640) $23,999.33 — 110.0×
Analyze neurostim complex (95972) $211.25 $325 2.2×
Analyze neurostim no prog (95970) $102.70 $158 0.8×
Analyze Neurostim Simple (95971) $204.75 $315 2.2×
Appl modality 1+ areas lllt po pain reduction (97037) $38.35 $59 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $81.25 $125 5.7×
Application on-body injector (96377) $26,200.72 — 561.5×
Assessment of aphasia per hr (96105) $217.10 $334 2.2×
Assmt & care planning pt w/cognitive impairment (99483) $64.35 $99 0.6×
Behavral qualit analys voice (92524) $236.60 $364 2.2×
Blink reflex test (95933) $136.50 $210 2.3×
Brief Emotional/Behav Assmt (96127) $105.30 — 2.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $843.05 — 2.3×
Bundle of his recording (93600) $5,038.15 $7,751 0.6×
C motor evoked uppr limbs (95928) $768.30 $1,182 0.9×
C motor evoked upr&lwr limbs (95939) $42,479.17 — 49.6×
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$39–$85.80 $60–$132 varies
Cardiac Stress Tst,Tracing Only (93017) $568.75 $875 2.6×
Cardiopulmonary exercise testing (94621) $523.25 $805 1.4×
Cardiopulmonary resuscitation (92950) $518.05 $797 2.4×
Cardioversion (92960)
range across 2 matching MRF lines
$3,102.25–$5,131.68 — varies
Care mgmt services behavioral hlth cond 20 mins (99484) $44.20 $68 1.2×
Caregiver hlth risk assmt score doc stnd instrm (96161) $149.50 — 4.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 2 matching MRF lines
$12,899.48–$13,013.83 — varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,417.01 — 3.5×
Cbt 1st hour (94644) $122.85 $189 0.9×
Cervical & Ocular Vemp Testing W/I&R (92519) $227.50 $350 1.1×
Cervical Vemp Testing W/I&R (92517) $119.60 $184 0.9×
Chemo Admin Peritoneal Cavity (96446) $536.25 $825 1.6×
Chemo Anti-Neopl Sq/Im (96401) $211.25 $325 2.9×
Chemo Hormon Antineopl Sq/Im (96402) $118.30 $182 1.6×
Chemo Ia Push (96420) $249.60 $384 0.8×
Chemo IV infusion addl hr (96415) $130 $200 1.8×
Chemo IV push addl drug (96411) $180.70 $278 2.5×
Chemother Prolong Infuse W/Pump (96416) $521.30 $802 1.6×
Chemotherapy Into Cns (96450) $531.70 $818 1.6×
Chemotherapy Unspecified (96549) $399.10 $614 8.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $211.25 $325 2.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $458.90 $706 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $300.95 $463 0.9×
Chest Wall Manipulation (94668) $74.10 $114 0.6×
Color/duplex Doppler, complete (93975) $670.80 $1,032 2.8×
Color/duplex Doppler, limited (93976) $463.45 — 4.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $53.95 $83 1.7×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $114.40 $176 0.6×
Computerized Ophthalmic Imaging Optic Nerve (92133) $46.80 $72 0.8×
Computerized Ophthalmic Imaging Retina (92134) $57.85 $89 1.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $374.40 $576 2.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $279.50 $430 4.8×
Continuous Pulse Ox (94762) $248.30 $382 1.9×
Coronary Art/Grft Angio S&I (93455) $5,309.20 $8,168 1.6×
Coronary Artery Angio S&I (93454) $5,309.20 $8,168 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $304.85 $469 1.4×
Cpt initial (94667) $89.70 $138 0.7×
Critical care first hour (99291)
range across 4 matching MRF lines
$1,922.05–$7,189 $2,957–$11,060 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $768.30 $1,182 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $980.20 — 4.9×
Dialysis One Evaluation (90945)
range across 4 matching MRF lines
$585–$643.50 $900–$990 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $401.70 $618 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $326.95 $503 3.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $560.95 $863 2.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $367.25 $565 3.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $713.70 $1,098 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $442 $680 4.2×
Duplex Scan Hemodialysis Access (93990) $322.40 $496 3.1×
Duplex up extrem art bilat (93930) $526.50 $810 2.2×
Duplex up extrem art unilat/ltd (93931) $331.50 $510 3.2×
ECG/monitoring and analysis (93271) $354.90 $546 3.7×
Echo Congenital Complete (93303) $1,134.25 $1,745 2.1×
Echo Heart Xthoracic,Limited (93308) $480.35 $739 2.0×
Echo r-t 2d w/probe placement only (93313) $551.85 $849 1.0×
Echo transesophageal (93312) $1,156.35 $1,779 2.1×
Echo Transesophageal - Congenital Tee Complete (93315) $1,170 $1,800 2.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,134.25 $1,745 2.1×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $35.75 $55 1.0×
Eeg 41-60 Minutes (95812) $580.45 $893 2.7×
EEG awake and asleep (95819) $687.05 $1,057 3.2×
EEG awake drowsy (95816) $640.25 $985 3.0×
EEG cont rec w/video by tech min 8 channels (95700) $469.30 $722 2.2×
EEG extended monitoring 61-119 minutes (95813) $665.60 $1,024 3.1×
Eeg Sleep Only (95822) $602.55 $927 2.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $464.10 $714 2.2×
EEG w/o vid 2-12hr cont mntr (95707) $479.05 $737 2.2×
EEG w/o vid ea 12-26hr intmt (95709) $959.40 $1,476 2.6×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $982.15 $1,511 2.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $468.65 $721 2.2×
EEG wo vid ea 12-26hr unmntr (95708) $807.30 $1,242 2.2×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $110.50 $170 1.2×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $105.95 $163 1.1×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $34.45 $53 0.9×
Electrical Stimulation Ea 15 Min (97032) $89.70 $138 6.1×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$165.10–$166.40 — varies
Electroconvulsive Therapy (90870) $578.50 $890 0.7×
Emergency Dept Visit Level 2 (99282) $349.70 — 2.3×
Emergency Dept Visit Level 3 (99283) $705.90 — 2.6×
Emergency Dept Visit Level 4 (99284) $1,512.55 — 3.6×
Endomyocardial Biopsy (93505) $2,639 $4,060 0.8×
Ep & ablate supravent arrhyt (93653) $19,802.90 $30,466 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,496.75 $9,995 0.8×
Er level 1 (99281) $159.90 — 1.9×
Er level v (99285)
range across 3 matching MRF lines
$2,468.70–$3,816.47 — varies
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $969.15 $1,491 2.6×
Evaluate pt use of inhaler (94664) $61.75 $95 0.3×
Evaluate Speech Production (92522) $236.60 $364 2.1×
Evaluate Swallowing Function (92610) $254.80 $392 3.0×
Evaluation of speech fluency (92521) $255.45 $393 1.9×
External ECG rec>48hr<7d recording (93242) $165.75 — 4.5×
External ECG rec>7d<15d recording (93246) $82.55 — 2.2×
External Ecg Scanning Analysis Report (93226) $365.95 $563 6.2×
Extracranial Bilat Study (93880) $469.95 $723 2.0×
Extracranial Uni/Ltd Study (93882) $305.50 $470 2.9×
Eye exam w anesth; complete (92018) $7,725.25 — 3.3×
F-up/limited tthrc echo congenital car anomaly (93304) $816.40 $1,256 1.5×
Flexible endoscopic eval swallow c/v rec (92612) $412.10 $634 2.1×
Fundus photography (92250) $65 $100 0.5×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $880.10 $1,354 2.4×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $341.90 $526 1.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,103.70 $1,698 1.3×
Gi tract capsule endoscopy (91110) $792.35 $1,219 0.9×
Group Therapeutic Procedures (97150) $51.35 $79 2.8×
Health Behavior Assessment/Re-Assessment (96156) $78 $120 0.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $9,575.15 $14,731 3.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 4 matching MRF lines
$566.80–$662.35 $872–$1,019 varies
Holter monitor recording (93225) $196.95 $303 1.5×
Icd Device Interrogate (93289) $211.25 $325 5.7×
Icd device progr eval dual (93283) $253.50 $390 6.8×
Icd Device Progr Eval Mult (93284) $260 $400 7.0×
Icm Device Eval (93290) $27.30 $42 0.7×
Ilr Device Eval Progr (93285) $27.30 $42 0.7×
Ilr Device Interrogate (93291) $85.15 $131 3.0×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$14.95–$48.75 $23–$75 varies
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $49.40 $76 0.8×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $28.60 $44 0.8×
Immunization administration (90471)
range across 2 matching MRF lines
$52–$135.85 — varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $408.85 $629 1.1×
Insert/Place Heart Catheter (93503) $1,621.75 $2,495 1.0×
Interrogate Subq Defib (93261) $27.30 $42 0.7×
Intra-atrial pacing (93610) $5,114.85 $7,869 0.7×
Intracranial Complete Study (93886) $497.90 $766 2.1×
Intraventricular pacing (93612) $5,055.70 $7,778 0.7×
Iontophoresis 15 min (97033) $87.75 $135 4.6×
Irrig Drug Delivery Device (96523) $105.95 $163 1.8×
IV infusion hydration each additional hour (96361) $3,810.30 — 81.7×
IV infusion hydration initial 31 min-1 hour (96360) $2,695.61 — 12.7×
IV infusion ther proph addl sequential to 1 hr (96367) $198.25 $305 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $5,570.53 — 119.4×
IV push initial (96374) $966.16 — 4.6×
L Hrt Art/Grft Angio (93459) $8,684.65 $13,361 2.7×
Laryngeal Function Studies (92520) $221 $340 1.7×
Liver Elastography W/O Imag W/I&R (91200) $221 $340 1.7×
Lung Function Test (Mbc/Mvv) (94200) $80.60 $124 1.4×
Lwr Xtr Vasc Stdy Bilat (93924) $388.70 $598 1.8×
Mechanical chest wall oscillation per session (94669) $248.95 $383 1.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $31.85 $49 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $49.40 $76 1.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $45.50 $70 2.7×
Methacholine challenge (94070) $434.85 $669 1.2×
Motility study esophagus (91010) $1,082.25 $1,665 2.9×
Motion Fluoroscopy/Swallow (92611) $314.60 $484 3.4×
Multiple Sleep Latency Test (95805) $1,838.20 $2,828 2.1×
Muscle Test 2 Limbs (95861) $62,651.10 — 472.6×
Muscle Test Nonparaspinal (95870) $64,638.79 — 487.6×
Muscle Test One Limb (95860) $188.50 $290 1.4×
Nasopharyngoscopy (92511) $234.65 $361 1.2×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $553.80 $852 2.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $369.20 $568 1.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $209.95 $323 1.0×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $258.05 $397 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,413.75 — 3.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $523.25 $805 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $1,096.55 — 5.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $2,072.20 — 5.1×
Nerve Conduction Studies 1-2 Studies (95907) $185.25 $285 0.9×
Nerve Conduction Studies 11-12 Studies (95912) $471.25 $725 1.3×
Nerve conduction studies 13 or more studies (95913) $544.05 $837 1.5×
Nerve Conduction Studies 3-4 Studies (95908) $268.45 $413 1.2×
Nerve conduction studies 5-6 studies (95909) $302.25 $465 1.4×
Nerve conduction studies 7-8 studies (95910) $377 $580 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $449.80 $692 1.2×
Neurobehavioral Status Exam (96116) $209.95 $323 1.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $200.20 $308 1.6×
Neuromuscular Reeducation (97112) $83.85 $129 2.6×
Newborn resuscitation (99465) $638.30 $982 1.0×
Nitric oxide expired gas determination (95012) $154.70 $238 4.2×
Nrpsyc tst eval phys/qhp 1st (96132) $128.05 $197 0.3×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $256.75 $395 0.7×
Ocular Vemp Testing W/I&R (92518) $119.60 $184 0.9×
Oral Function Therapy (92526) $190.45 $293 2.3×
Oral Speech Device Eval (92597) $237.25 $365 3.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $100.75 $155 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $104 $160 2.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $33.15 $51 1.5×
Osteopathic manipulative tx 3-4 body regions (98926) $35.75 $55 1.7×
Osteopathic manipulative tx 5-6 body regions (98927) $102.70 — 4.8×
Osteopathic manipulative tx 7-8 body regions (98928) $22.75 $35 1.1×
Osteopathic manipulative tx 9-10 body regions (98929) $20.80 $32 1.0×
Ot eval high complexity (97167) $219.70 $338 2.2×
Ot Eval Low Complex (97165) $204.10 $314 2.0×
Ot Eval Moderate Complexity (97166) $211.90 $326 2.1×
Ot manual therapy 15 min (97140) $101.40 $156 3.7×
Ot Prosthetic Training, Each 15 Min (97761) $85.80 $132 2.1×
Ot Re-Eval Est Plan Care (97168) $130 $200 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $208.65 $321 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $2,453.10 — 19.1×
Oxygen Uptake Rest Indirect (94690) $118.95 $183 2.0×
Penile Vascular Study,Ltd or F/U (93981) $154.70 $238 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $312 $480 1.4×
Peripheral arterial disease rehab per session (93668) $52 $80 0.9×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
unusually low: confirm this is the full procedure
$9,130.55 $14,047 0.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,338.80 $9,752 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $12,102.35 $18,619 1.1×
Phlebotomy therapeutic (99195) $234 $360 1.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $156.65 $241 2.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $128.70 $198 2.2×
Physical Performance Test (97750) $87.75 $135 2.6×
Plethysmography (94726) $287.95 $443 0.8×
Pm device eval in person (93288) $99.45 $153 2.7×
Pm device progr eval dual (93280) $240.50 $370 6.5×
Pm device progr eval multi (93281) $247 $380 6.6×
Pm Device Progr Eval Sngl (93279) $208 $320 5.6×
Pm/Icd Remote Tech Serv (93296) $77.35 $119 2.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,962.05 $4,557 3.5×
Polysom <6 yrs 4/> paramtrs (95782) $2,962.05 $4,557 3.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,973.75 $4,575 3.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $26 $40 0.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $240.50 $370 6.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $52 $80 1.1×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $52 $80 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $12,680.85 $19,509 1.1×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$9,130.55 $14,047 0.5×
Prq Revasc Byp Graft 1 Vsl (92937) $9,224.80 $14,192 0.8×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $19,175 $29,500 1.0×
Prq trl rvs ch occ ant&rtrgr (92945) $12,102.35 $18,619 1.1×
Psych diag eval w/med srvcs (90792) $189.80 $292 1.1×
Psychiatric diagnostic evaluation (90791) $176.15 $271 1.0×
Psychological tst eval svc phys/qhp first hour (96130) $140.40 $216 0.7×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $21.45 $33 0.0×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $21.45 $33 0.2×
Pt Eval High Complex (97163) $219.70 $338 2.2×
Pt eval low complex 20 min (97161) $204.10 $314 2.1×
Pt Eval Mod Complex (97162) $211.90 $326 2.2×
Pt gait training 15 min (97116) $79.95 $123 2.8×
Pt mechanical traction (97012)
range across 3 matching MRF lines
$51.35–$109.20 $79–$168 varies
Pt Re-Eval Est Plan Care (97164) $130 $200 1.9×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $22.75 $35 0.6×
Pulm function test by gas (94727) $196.95 $303 0.9×
Pulmonary service/procedure (94799) $198.25 $305 1.5×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$165.10–$248.30 — varies
Pure Tone Audiometry Air (92552) $102.05 $157 0.8×
R Hrt Art/Grft Angio (93457) $8,116.55 $12,487 2.5×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $4,797 $7,380 1.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $4,797 $7,380 1.5×
R hrt coronary artery angio (93456) $7,848.10 $12,074 2.4×
R&L Hrt Cath W/Ventriclgrphy (93453) $5,309.20 $8,168 1.6×
Refill/Maint Portable Pump (96521) $364 $560 1.7×
Refill/Maint Pump/Resvr Syst (96522) $302.25 $465 1.4×
Rem interrog icpms <30 d phys/qhp (93297) $29.90 $46 0.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $42.90 $66 1.2×
Remote 30 Day Ecg Rev/Report (93270) $188.50 $290 5.1×
Remote 30 Day Ecg Tech Supp (93229) $128.05 — 0.3×
Respiratory flow volume loop (94375) $237.25 $365 1.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $76.70 $118 1.3×
Right Heart Cath (93451) $4,924.40 $7,576 1.5×
Right ventricular recording (93603) $1,664 $2,560 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $186.55 $287 0.9×
Sbsq Psyc Collab Care Mgmt (99493) $115.05 $177 1.1×
Self Care Mngment Training (97535) $87.10 $134 2.7×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $77.35 $119 1.3×
Sensory Integration Ea 15 Min (97533) $56.55 $87 0.9×
Short-latency somatosens ep std upr limbs (95925) $450.45 $693 2.1×
Sleep study attended (95807) $839.80 $1,292 2.3×
Sleep study unattended (95806) $382.85 $589 1.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $387.40 $596 1.8×
Somatosensory Testing (95938) $64,208.41 — 75.0×
Speech sound lang comprehen (92523) $435.50 $670 1.9×
Spirometry (94010) $214.50 $330 1.0×
Ssep lower limbs (95926) $450.45 $693 2.1×
Standardized Cognitive Performance Testing (96125) $257.40 $396 2.5×
Stress Tte Only (93350) $888.55 $1,367 1.6×
Surfactant Admin Thru Tube (94610) $169.65 $261 0.8×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $579.80 $892 5.6×
Temp transcutaneous pacing (92953) $476.45 $733 0.7×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $81.90 $126 0.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $55.25 $85 2.5×
Ther Ivntj Ea Addl 15 Min (97130) $50.05 $77 2.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $44.85 $69 1.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $271.70 $418 2.6×
Ther/Proph/Diag Inj Ia (96373) $219.70 $338 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $139.10 — 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $3,689.07 — 17.4×
Therapeutic Activities (97530) $80.60 $124 2.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $591.50 $910 1.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $41.60 $64 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $171.60 — 4.6×
Trans Care Mgmt 14 Day Disch (99495) $109.20 — 0.8×
Trans Care Mgmt 7 Day Disch (99496) $238.55 — 1.8×
Transcath Closure of Asd (93580) $19,175 $29,500 1.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $292.50 $450 2.8×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $77.35 $119 2.1×
Tte w/doppler, complete (93306) $1,206.40 $1,856 2.2×
Tte W/O Doppler Complete (93307) $573.95 $883 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $207.35 $319 2.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $53.95 $83 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $14,004.09 — 300.1×
Tympanometry (92567) $59.80 $92 1.6×
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines
$152.75–$3,699.15 $235–$5,691 varies
Upr/L Xtremity Art 2 Levels (93922) $322.40 $496 2.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $404.95 $623 1.9×
Veeg 2-12 Hr Cont Mntr (95713) $806.65 $1,241 2.2×
Veeg 2-12 hr intmt mntr (95712) $495.95 $763 1.3×
Veeg 2-12 hr unmonitored (95711) $469.30 $722 2.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,017.25 $1,565 2.7×
Veeg Ea 12-26 Hr Unmntr (95714) $959.40 $1,476 2.6×
Veeg ea 12-26hr cont mntr (95716) $1,556.75 $2,395 1.8×
Vent Mgmt Inpat Init Day (94002) $729.95 $1,123 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $662.35 $1,019 1.1×
Visual Evoked Potential Test (95930) $455.65 $701 2.1×
Visual Field Exam Extended (92083) $137.80 $212 1.0×
Visual field xm uni/bi w/interp intermed exam (92082) $42.25 $65 0.7×
Visual field xm uni/bi w/interpretj limited exam (92081) $79.95 $123 1.4×
Vital capacity, total (94150) $169 $260 1.3×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,186.90 $1,826 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $75.40 $116 2.4×
Whirlpool Therapy (97022) $58.50 $90 3.7×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $145.60 $224 2.5×

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.