Visits & medical services prices at Tufts Medical Center
Boston, MA · every code in this section with a posted price and a Medicare benchmark.
496 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $10,361.40 | $14,802 | 1.1× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$233.80–$467.60 | $334–$668 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$43.40–$86.80 | $62–$124 | varies |
| Actinotherapy Ultraviolet Light (96900) | $99.40 | $142 | 2.2× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) | $31.50 | $45 | 0.1× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) | $31.50 | $45 | 0.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $50.40 | $72 | 1.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $113.40 | $162 | 0.4× |
| Aep neurodiagnostic i&r (92653) | $164.50 | $235 | 0.6× |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$447.30–$894.60 | $639–$1,278 | varies |
| Airway Inhalation Treatment (94640) | $377.30 | $539 | 1.4× |
| Airway resistance by oscillometry (94728) | $581.70 | $831 | 3.8× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $91 | $130 | 2.0× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $88.20 | $126 | 2.5× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $372.40 | $532 | 2.3× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $372.40 | $532 | 2.3× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $476 | $680 | 3.1× |
| Analyze neurostim complex (95972) | $1,116.50 | $1,595 | 9.8× |
| Analyze neurostim no prog (95970) | $292.60 | $418 | 1.8× |
| Analyze Neurostim Simple (95971) | $319.20 | $456 | 2.8× |
| Analyze Pacemaker System (93724) | $460.60 | $658 | 1.3× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) | $343.70 | $491 | 2.2× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $372.40 | $532 | 2.3× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $91.70 | $131 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $88.20 | $126 | 6.1× |
| Application on-body injector (96377) | $135.80 | $194 | 2.4× |
| Arrhythmia Induction (93618) | $2,310.70 | $3,301 | 1.6× |
| Assessment of aphasia per hr (96105) | $306.60 | $438 | 3.2× |
| Assessment of tinnitus (92625) | $560 | $800 | 3.6× |
| Assmt & care planning pt w/cognitive impairment (99483) | $204.40 | $292 | 1.7× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$168.35–$336.70 | $240.50–$481 | varies |
| Auditory Function, 60 Min (92620) | $695.80 | $994 | 4.5× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$233.80–$467.60 | $334–$668 | varies |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $31.50 | $45 | 0.3× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $31.50 | $45 | 0.3× |
| Behavral qualit analys voice (92524) | $319.20 | $456 | 2.9× |
| Biofeedback training any modality (90901) | $162.40 | $232 | 4.0× |
| Bis Xtracell Fluid Analysis (93702) | $154 | $220 | 1.0× |
| Blink reflex test (95933) | $802.90 | $1,147 | 11.4× |
| Breath hydrogen/methane test (91065) | $389.20 | $556 | 1.5× |
| Brief Emotional/Behav Assmt (96127) | $143.50 | $205 | 3.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $668.50 | $955 | 1.5× |
| Bundle of his recording (93600) | $9,894.50 | $14,135 | 1.1× |
| C motor evoked uppr limbs (95928) | $1,730.40 | $2,472 | 1.7× |
| C motor evoked upr&lwr limbs (95939) | $1,730.40 | $2,472 | 1.7× |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$353.85–$707.70 | $505.50–$1,011 | varies |
| Caloric Vstblr Test W/Rec (92537) | $707.70 | $1,011 | 4.6× |
| Canalith repositioning proc (95992) | $127.40 | $182 | 3.1× |
| Car seat/bed test 60 min (94780) | $149.80 | $214 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$449.05–$1,347.15 | $641.50–$1,924.50 | varies |
| Cardiopulmonary exercise testing (94621) | $832.30 | $1,189 | 1.9× |
| Cardiopulmonary resuscitation (92950) | $832.30 | $1,189 | 3.2× |
| Cardioversion (92960) range across 2 matching MRF lines |
$942.90–$1,885.80 | $1,347–$2,694 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $65.80 | $94 | 1.5× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $23.80 | $34 | 0.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $53.90 | $77 | 2.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,566 | $9,380 | 1.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $6,566 | $9,380 | 1.7× |
| Cbt 1st hour (94644) | $343.70 | $491 | 2.2× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $255.50 | $365 | 1.0× |
| Cervical Vemp Testing W/I&R (92517) | $164.50 | $235 | 1.1× |
| Chemo Admin Peritoneal Cavity (96446) | $827.40 | $1,182 | 2.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $212.10 | $303 | 2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $212.10 | $303 | 2.5× |
| Chemo Ia Push (96420) | $1,014.30 | $1,449 | 2.6× |
| Chemo Intralesional Over 7 (96406) | $549.50 | $785 | 2.2× |
| Chemo intralesional up to 7 (96405) | $173.60 | $248 | 2.0× |
| Chemo IV infusion addl hr (96415) | $212.10 | $303 | 2.5× |
| Chemo IV push addl drug (96411) | $298.20 | $426 | 3.5× |
| Chemother Prolong Infuse W/Pump (96416) | $835.10 | $1,193 | 2.1× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $842.80 | $1,204 | 2.1× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $277.90 | $397 | 5.0× |
| Chemotherapy Into Cns (96450) | $892.50 | $1,275 | 2.3× |
| Chemotherapy Intracavitary (96440) | $926.80 | $1,324 | 2.3× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $1,010.80 | $1,444 | 2.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $254.10 | $363 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,066.10 | $1,523 | 2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $662.20 | $946 | 1.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $546 | $780 | 1.4× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$170.10–$200.20 | $243–$286 | varies |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$169.40–$254.10 | $242–$363 | varies |
| Colon Motility 6 Hr Study (91117) | $1,041.60 | $1,488 | 4.0× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $256.90 | $367 | 3.6× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$750.40–$1,125.60 | $1,072–$1,608 | varies |
| Color/duplex Doppler, limited (93976) | $694.40 | $992 | 5.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $165.20 | $236 | 5.2× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$242.90–$485.80 | $347–$694 | varies |
| Computerized dynamic posturography (92548) | $380.10 | $543 | 2.4× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $144.90 | $207 | 2.0× |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$159.60–$239.40 | $228–$342 | varies |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$233.80–$467.60 | $334–$668 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$158.55–$317.10 | $226.50–$453 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $164.50 | $235 | 2.3× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $408.80 | $584 | 2.6× |
| Continuous Pulse Ox (94762) | $350 | $500 | 2.3× |
| Corneal Topography (92025) range across 2 matching MRF lines |
$184.10–$276.15 | $263–$394.50 | varies |
| Coronary Art/Grft Angio S&I (93455) | $6,566 | $9,380 | 1.7× |
| Coronary Artery Angio S&I (93454) | $6,566 | $9,380 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $419.30 | $599 | 1.6× |
| Cpt initial (94667) range across 2 matching MRF lines |
$233.80–$268.10 | $334–$383 | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $776.30 | $1,109 | 3.0× |
| Critical care first hour (99291) | $1,534.40 | $2,192 | 1.5× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $952 | $1,360 | 2.1× |
| Dark Adaptation Eye Exam (92284) | $401.80 | $574 | 0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$737.80–$1,357.65 | $1,054–$1,939.50 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $128.80 | $184 | 0.8× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 2 matching MRF lines |
$387.80–$581.70 | $554–$831 | varies |
| Dialysis One Evaluation (90945) | $890.40 | $1,272 | 1.8× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $423.50 | $605 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $620.90 | $887 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $422.10 | $603 | 3.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $766.50 | $1,095 | 6.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $694.40 | $992 | 2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $441.70 | $631 | 3.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,073.80–$1,610.70 | $1,534–$2,301 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$439.60–$920.85 | $628–$1,315.50 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $221.20 | $316 | 0.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $105.70 | $151 | 0.8× |
| Duplex Scan Hemodialysis Access (93990) | $422.10 | $603 | 3.4× |
| Duplex up extrem art bilat (93930) | $653.10 | $933 | 2.3× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$439.60–$470.40 | $628–$672 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $147.70 | $211 | 1.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$329.70–$494.55 | $471–$706.50 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $294 | $420 | 1.9× |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$1,351–$2,026.50 | $1,930–$2,895 | varies |
| Ear Protector Evaluation (92596) | $135.80 | $194 | 3.0× |
| ECG/monitoring and analysis (93271) | $500.50 | $715 | 4.4× |
| Echo Congenital Complete (93303) | $1,759.80 | $2,514 | 2.7× |
| Echo Heart Xthoracic,Limited (93308) | $786.10 | $1,123 | 2.7× |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$632.10–$1,264.20 | $903–$1,806 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $1,264.20 | $1,806 | 1.9× |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$2,468.90–$3,703.35 | $3,527–$5,290.50 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,957.90 | $2,797 | 3.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,264.20 | $1,806 | 1.9× |
| Eeg 41-60 Minutes (95812) | $940.10 | $1,343 | 3.6× |
| EEG awake and asleep (95819) | $943.60 | $1,348 | 3.6× |
| EEG awake drowsy (95816) | $832.30 | $1,189 | 3.2× |
| EEG cerebral death evaluation (95824) | $1,299.20 | $1,856 | 2.9× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,119.30 | $1,599 | 4.3× |
| EEG extended monitoring 61-119 minutes (95813) | $1,164.10 | $1,663 | 4.5× |
| Eeg Sleep Only (95822) | $818.30 | $1,169 | 3.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $239.15 | $341.64 | 0.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $239.15 | $341.64 | 0.9× |
| EEG w/o vid ea 12-26hr intmt (95709) | $458.84 | $655.49 | 1.0× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $458.84 | $655.49 | 1.0× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $239.15 | $341.64 | 0.9× |
| EEG wo vid ea 12-26hr unmntr (95708) | $458.84 | $655.49 | 1.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $35 | $50 | 0.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $319.90 | $457 | 2.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $35 | $50 | 0.8× |
| Electrical Stimulation Ea 15 Min (97032) | $89.60 | $128 | 6.1× |
| Electro-Oculography (92270) | $311.50 | $445 | 2.0× |
| Electrocardiogram Tracing (93005) | $184.10 | $263 | 2.6× |
| Electrocochleography (92584) range across 3 matching MRF lines |
$249.90–$499.80 | $357–$714 | varies |
| Electroconvulsive Therapy (90870) | $824.60 | $1,178 | 0.8× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $16,797.20 | $23,996 | 1.8× |
| Electrophysiology Evaluation (93642) | $6,189.40 | $8,842 | 4.2× |
| Emergency Dept Visit Level 2 (99282) | $507.50 | $725 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $910 | $1,300 | 2.8× |
| Emergency Dept Visit Level 4 (99284) | $1,260 | $1,800 | 2.5× |
| Emg 3 Extremities (95863) | $632.10 | $903 | 4.1× |
| Emg 4 Extremities (95864) | $680.40 | $972 | 4.4× |
| Endomyocardial Biopsy (93505) | $4,159.40 | $5,942 | 1.1× |
| Ep & ablate supravent arrhyt (93653) | $33,197.50 | $47,425 | 1.1× |
| Ep & ablate ventric tachy (93654) | $33,197.50 | $47,425 | 1.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$4,712.75–$9,425.50 | $6,732.50–$13,465 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $10,361.40 | $14,802 | 1.1× |
| Ep Esophageal Recording Atria+Pacing (93616) | $4,846.10 | $6,923 | 3.3× |
| Er level 1 (99281) | $339.50 | $485 | 3.4× |
| Er level v (99285) | $1,641.50 | $2,345 | 2.3× |
| Ergonovine provocation test (93024) | $2,940.70 | $4,201 | 5.5× |
| Esoph Atrial Electrogram (93615) | $4,840.50 | $6,915 | 3.3× |
| Esophageal Capsule Endoscopy (91111) | $2,939.30 | $4,199 | 2.7× |
| Esophagus acid perfusion test esophagitis (91030) | $1,473.50 | $2,105 | 3.3× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,553.30 | $2,219 | 3.5× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$329.70–$494.55 | $471–$706.50 | varies |
| Evaluate pt use of inhaler (94664) | $357 | $510 | 1.4× |
| Evaluate Speech Production (92522) | $303.10 | $433 | 2.7× |
| Evaluate Swallowing Function (92610) | $426.30 | $609 | 5.0× |
| Evaluation of speech fluency (92521) | $375.90 | $537 | 2.8× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$246.75–$493.50 | $352.50–$705 | varies |
| Exercise test for bronchospasm (94617) | $217.70 | $311 | 1.4× |
| Exhaled Air Analysis O2 (94680) | $526.40 | $752 | 3.4× |
| External ECG rec>48hr<7d recording (93242) | $315.70 | $451 | 7.1× |
| External ECG rec>7d<15d recording (93246) | $315.70 | $451 | 7.1× |
| External Ecg Scanning Analysis Report (93226) | $343.70 | $491 | 4.9× |
| Extracranial Bilat Study (93880) | $750.40 | $1,072 | 2.6× |
| Extracranial Uni/Ltd Study (93882) | $478.10 | $683 | 3.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,991.50 | $2,845 | 3.0× |
| Facial nerve function studies (92516) | $359.80 | $514 | 1.4× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $31.50 | $45 | 0.7× |
| Filtered Speech Test (92571) | $135.80 | $194 | 3.0× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) | $113.40 | $162 | 2.5× |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) | $79.80 | $114 | 1.8× |
| Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) | $205.10 | $293 | 2.9× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $105 | $150 | 0.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $269.50 | $385 | 1.3× |
| Fluorescein angiography (92235) range across 4 matching MRF lines |
$614.60–$921.90 | $878–$1,317 | varies |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $736.40 | $1,052 | 2.8× |
| Full Field Electroretinography W/I&R (92273) range across 2 matching MRF lines |
$238.70–$358.05 | $341–$511.50 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,834.70 | $2,621 | 1.8× |
| Fundus photography (92250) range across 4 matching MRF lines |
$256.90–$385.35 | $367–$550.50 | varies |
| Gastric motility studies (91020) | $1,432.90 | $2,047 | 3.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,218 | $1,740 | 2.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $580.30 | $829 | 2.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,473.50 | $2,105 | 1.4× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$1,324.40–$2,648.80 | $1,892–$3,784 | varies |
| Gi wireless capsule measure (91112) | $1,739.50 | $2,485 | 1.6× |
| Gonioscopy (92020) | $237.30 | $339 | 1.5× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $31.50 | $45 | 0.7× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$129.50–$138.60 | $185–$198 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $31.50 | $45 | 0.7× |
| Health Behavior Assessment/Re-Assessment (96156) | $182.70 | $261 | 1.5× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $65.80 | $94 | 1.5× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $65.80 | $94 | 1.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $365.40 | $522 | 1.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $6,566 | $9,380 | 1.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$962.50–$2,010.40 | $1,375–$2,872 | varies |
| High altitude simulation test (94452) | $503.30 | $719 | 3.2× |
| Holter monitor recording (93225) | $343.70 | $491 | 2.2× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $116.90 | $167 | 2.6× |
| Icd Device Interrogate (93289) | $116.20 | $166 | 2.6× |
| Icd device progr eval dual (93283) | $209.30 | $299 | 4.7× |
| Icd Device Progr Eval Mult (93284) | $156.10 | $223 | 3.5× |
| Icm Device Eval (93290) | $129.50 | $185 | 2.9× |
| Ilr Device Eval Progr (93285) | $124.60 | $178 | 2.8× |
| Ilr Device Interrogate (93291) | $97.30 | $139 | 2.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$16.10–$35 | $23–$50 | varies |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $125.30 | $179 | 1.8× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $786.10 | $1,123 | 17.6× |
| Immunization administration (90471) range across 7 matching MRF lines |
$16.10–$53.90 | $23–$77 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $707.70 | $1,011 | 2.7× |
| Ingestion challenge test initial 120 minutes (95076) | $1,252.30 | $1,789 | 2.8× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $1,899.80 | $2,714 | 4.2× |
| Insert/Place Heart Catheter (93503) | $1,877.40 | $2,682 | 1.0× |
| Interrogate Subq Defib (93261) | $124.60 | $178 | 2.8× |
| Interrogation eval in person wr defibrillator (93292) | $154 | $220 | 3.4× |
| Interrogation vad in person (93750) | $350 | $500 | 3.1× |
| Intra-atrial pacing (93610) | $9,894.50 | $14,135 | 1.1× |
| Intra-atrial recording (93602) | $9,894.50 | $14,135 | 1.1× |
| Intracranial Complete Study (93886) | $824.60 | $1,178 | 2.9× |
| Intracutaneous tests w/allergenic extracts (95024) | $133 | $190 | 1.9× |
| Intraventricular pacing (93612) | $9,894.50 | $14,135 | 1.1× |
| Iontophoresis 15 min (97033) | $200.90 | $287 | 10.6× |
| Irrig Drug Delivery Device (96523) | $205.10 | $293 | 2.9× |
| Ischemic limb exercise test (95875) | $385 | $550 | 2.5× |
| IV infusion hydration each additional hour (96361) | $121.80 | $174 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $543.20 | $776 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $212.10 | $303 | 2.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $135.80 | $194 | 2.4× |
| IV push initial (96374) | $364.70 | $521 | 1.4× |
| L Hrt Art/Grft Angio (93459) | $6,566 | $9,380 | 1.7× |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$161.70–$323.40 | $231–$462 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $464.80 | $664 | 3.0× |
| Loudness balance test (92562) | $324.80 | $464 | 1.3× |
| Low frequency non-thermal us (97610) | $508.90 | $727 | 2.1× |
| Lung Function Test (Mbc/Mvv) (94200) | $262.50 | $375 | 3.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $606.90 | $867 | 2.3× |
| Mechanical chest wall oscillation per session (94669) | $365.40 | $522 | 1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$61.60–$91 | $88–$130 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$61.60–$105 | $88–$150 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $48.30 | $69 | 2.8× |
| Methacholine challenge (94070) | $898.10 | $1,283 | 2.0× |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) | $340.20 | $486 | 17.0× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $70 | $100 | 0.4× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$609–$1,218 | $870–$1,740 | varies |
| Motion Fluoroscopy/Swallow (92611) | $483.70 | $691 | 5.3× |
| Multifocal Electroretinography W/I&R (92274) range across 2 matching MRF lines |
$268.80–$403.20 | $384–$576 | varies |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) | $31.50 | $45 | 0.7× |
| Multiple Sleep Latency Test (95805) | $2,366 | $3,380 | 2.3× |
| Muscle Test 2 Limbs (95861) | $372.40 | $532 | 2.3× |
| Muscle Test Nonparaspinal (95870) | $301 | $430 | 1.9× |
| Muscle Test One Limb (95860) | $280 | $400 | 1.8× |
| Nasopharyngoscopy (92511) | $427.70 | $611 | 1.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $597.80 | $854 | 2.3× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $408.80 | $584 | 1.6× |
| Needle electromyography larynx (95865) | $306.60 | $438 | 1.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $350.70 | $501 | 1.4× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $634.20 | $906 | 2.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $814.10 | $1,163 | 1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $814.10 | $1,163 | 1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $399 | $570 | 1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $630.70 | $901 | 1.3× |
| Nerve Conduction Studies 1-2 Studies (95907) | $457.80 | $654 | 1.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,158.50 | $1,655 | 2.6× |
| Nerve conduction studies 13 or more studies (95913) | $1,208.20 | $1,726 | 2.7× |
| Nerve Conduction Studies 3-4 Studies (95908) | $656.60 | $938 | 2.5× |
| Nerve conduction studies 5-6 studies (95909) | $678.30 | $969 | 2.6× |
| Nerve conduction studies 7-8 studies (95910) | $678.30 | $969 | 1.5× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,158.50 | $1,655 | 2.6× |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$832.30–$917.70 | $1,189–$1,311 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $868 | $1,240 | 5.6× |
| Neuromuscular Reeducation (97112) | $156.80 | $224 | 4.8× |
| Newborn resuscitation (99465) | $2,328.90 | $3,327 | 2.9× |
| Nitric oxide expired gas determination (95012) | $112 | $160 | 2.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $45.50 | $65 | 1.8× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $63 | $90 | 1.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $245 | $350 | 0.5× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $767.20 | $1,096 | 1.7× |
| Ocular Vemp Testing W/I&R (92518) | $154 | $220 | 1.0× |
| Oculoelectromyography (92265) | $426.30 | $609 | 6.0× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$284.20–$426.30 | $406–$609 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $111.30 | $159 | 0.7× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $103.60 | $148 | 0.6× |
| Ophth medical xm&eval intermediate estab pt (92012) | $98 | $140 | 0.6× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $56 | $80 | 0.4× |
| Ophthalmodynamometry (92260) | $127.40 | $182 | 2.8× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $184.10 | $263 | 2.6× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $184.10 | $263 | 2.6× |
| Optokinetic Nystagmus Test (92544) | $286.30 | $409 | 1.9× |
| Oral Function Therapy (92526) | $291.90 | $417 | 3.5× |
| Oral Speech Device Eval (92597) | $392.70 | $561 | 5.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$172.20–$175 | $246–$250 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$135.10–$136.50 | $193–$195 | varies |
| Oscillating Tracking Test (92545) | $336.70 | $481 | 1.3× |
| Ot eval high complexity (97167) | $322 | $460 | 3.2× |
| Ot Eval Low Complex (97165) | $297.50 | $425 | 3.0× |
| Ot Eval Moderate Complexity (97166) | $322 | $460 | 3.2× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$105.70–$108.50 | $151–$155 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$56–$77.70 | $80–$111 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $155.40 | $222 | 3.8× |
| Ot Re-Eval Est Plan Care (97168) | $100.10 | $143 | 1.5× |
| Ot rom hand (95852) | $129.50 | $185 | 6.1× |
| Oxygen Uptake Rest Indirect (94690) | $331.10 | $473 | 4.7× |
| Patch/Application Test Specify Number Tests (95044) | $334.60 | $478 | 0.3× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $577.50 | $825 | 2.4× |
| Penile Vascular Study,Ltd or F/U (93981) | $585.90 | $837 | 4.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $493.50 | $705 | 1.9× |
| Percutaneous tests w/allergenic extracts (95004) | $382.90 | $547 | 0.4× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $46,136.30 | $65,909 | 2.1× |
| Perq transcath closure pda (93582) | $33,763.10 | $48,233 | 1.5× |
| Perq Transcath Cls Aortic (93591) | $44,781.80 | $63,974 | 2.0× |
| Perq Transcath Cls Mitral (93590) | $35,000 | $50,000 | 1.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $10,711.40 | $15,302 | 1.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $13,127.10 | $18,753 | 0.9× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$186.20–$372.40 | $266–$532 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $221.90 | $317 | 3.1× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$169.40–$182.70 | $242–$261 | varies |
| Plethysmography (94726) | $615.30 | $879 | 1.4× |
| Pm device eval in person (93288) | $124.60 | $178 | 2.8× |
| Pm device progr eval dual (93280) | $130.20 | $186 | 2.9× |
| Pm device progr eval multi (93281) | $139.30 | $199 | 3.1× |
| Pm Device Progr Eval Sngl (93279) | $124.60 | $178 | 2.8× |
| Pm/Icd Remote Tech Serv (93296) | $117.60 | $168 | 2.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,081.70 | $5,831 | 4.0× |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$1,034.25–$2,068.50 | $1,477.50–$2,955 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,127.60 | $4,468 | 3.0× |
| Positional nystagmus test (92542) | $259 | $370 | 1.6× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $106.40 | $152 | 1.9× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $125.30 | $179 | 2.2× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $245.70 | $351 | 4.4× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $261.10 | $373 | 3.0× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $168.70 | $241 | 2.0× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $44.80 | $64 | 0.1× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $130.20 | $186 | 2.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $125.30 | $179 | 2.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $103.60 | $148 | 1.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$103.60–$125.30 | $148–$179 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $189 | $270 | 2.2× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $125.30 | $179 | 2.2× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $145.60 | $208 | 2.6× |
| Prq Card Angio/Athrect 1 Art (92924) | $17,164 | $24,520 | 1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $17,059.70 | $24,371 | 1.2× |
| Prq Card Stent/Ath/Angio (92933) | $28,698.60 | $40,998 | 1.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $17,059.70 | $24,371 | 1.2× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $33,763.10 | $48,233 | 1.5× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $29,053.50 | $41,505 | 2.1× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $17,059.70 | $24,371 | 1.2× |
| Psych diag eval w/med srvcs (90792) | $238.70 | $341 | 1.1× |
| Psychiatric diagnostic evaluation (90791) range across 18 matching MRF lines |
$212.80–$312.20 | $304–$446 | varies |
| Psychoanalysis (90845) range across 2 matching MRF lines |
$137.90–$200.20 | $197–$286 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $245 | $350 | 0.9× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $16.80 | $24 | 0.5× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $16.10 | $23 | 0.0× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $357 | $510 | 2.2× |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$241.50–$319.20 | $345–$456 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $76.30 | $109 | 2.0× |
| Pt Eval High Complex (97163) | $378.70 | $541 | 3.9× |
| Pt eval low complex 20 min (97161) | $378.70 | $541 | 3.9× |
| Pt Eval Mod Complex (97162) | $378.70 | $541 | 3.9× |
| Pt gait training 15 min (97116) | $133 | $190 | 4.6× |
| Pt group caregiver training (97552) | $23.80 | $34 | 1.1× |
| Pt mechanical traction (97012) | $73.50 | $105 | 5.1× |
| Pt Re-Eval Est Plan Care (97164) | $262.50 | $375 | 3.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $122.50 | $175 | 2.7× |
| Pulm function test by gas (94727) | $412.30 | $589 | 1.6× |
| Pulmonary service/procedure (94799) | $383.60 | $548 | 2.5× |
| Pulmonary Stress Testing (94618) | $372.40 | $532 | 2.3× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$108.85–$217.70 | $155.50–$311 | varies |
| R Hrt Art/Grft Angio (93457) | $6,566 | $9,380 | 1.7× |
| R hrt coronary artery angio (93456) | $6,566 | $9,380 | 1.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,566 | $9,380 | 1.7× |
| Rapid Desensitization Procedure Each Hour (95180) | $238 | $340 | 0.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $793.10 | $1,133 | 2.0× |
| Refill/Maint Portable Pump (96521) | $647.50 | $925 | 2.5× |
| Refill/Maint Pump/Resvr Syst (96522) | $647.50 | $925 | 2.5× |
| Rem interrog icpms <30 d phys/qhp (93297) | $124.60 | $178 | 2.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $124.60 | $178 | 2.8× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $112 | $160 | 2.5× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $350 | $500 | 2.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $314.30 | $449 | 7.0× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $1,119.30 | $1,599 | 4.3× |
| Replacement of contact lens (92326) | $131.60 | $188 | 1.9× |
| Respiratory flow volume loop (94375) | $615.30 | $879 | 2.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $135.10 | $193 | 1.9× |
| Right Heart Cath (93451) | $6,566 | $9,380 | 1.7× |
| Right ventricular recording (93603) | $4,712.40 | $6,732 | 3.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 6 matching MRF lines |
$399–$704.55 | $570–$1,006.50 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 3 matching MRF lines |
$94.50–$298.20 | $135–$426 | varies |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $130.20 | $186 | 0.8× |
| Select picture audiometry (92583) | $98.70 | $141 | 1.4× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$163.80–$192.50 | $234–$275 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $237.30 | $339 | 3.4× |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$159.60–$228.90 | $228–$327 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $556.50 | $795 | 2.2× |
| Short-latency somatosens ep std upr limbs (95925) | $859.60 | $1,228 | 3.3× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $476 | $680 | 3.1× |
| Sleep study unattended (95806) | $590.80 | $844 | 2.3× |
| Slp caregiver training 1st 30 min (97550) | $100.80 | $144 | 1.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $631.40 | $902 | 2.4× |
| Somatosensory Testing (95938) | $1,299.20 | $1,856 | 1.3× |
| Speech Audiometry Complete (92556) range across 4 matching MRF lines |
$77.35–$154.70 | $110.50–$221 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$54.60–$109.20 | $78–$156 | varies |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$634.20–$894.60 | $906–$1,278 | varies |
| Spin/Brain Pump Refil & Main (95991) | $717.50 | $1,025 | 2.0× |
| Spirometry (94010) | $364 | $520 | 1.4× |
| Spontaneous Nystagmus Test (92541) | $172.20 | $246 | 1.1× |
| Ssep lower limbs (95926) | $744.10 | $1,063 | 2.9× |
| Staggered Spondaic Word Test (92572) | $560 | $800 | 3.6× |
| Standardized Cognitive Performance Testing (96125) | $58.10 | $83 | 0.6× |
| Stenger Test Speech (92577) | $717.50 | $1,025 | 1.6× |
| Stenger Test, Pure Tone (92565) range across 2 matching MRF lines |
$51.80–$103.60 | $74–$148 | varies |
| Stress Tte Only (93350) | $1,781.50 | $2,545 | 2.7× |
| Subcutaneous Infusion Each Additional Hour (96370) | $111.30 | $159 | 2.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $647.50 | $925 | 2.5× |
| Subq Infusion Additional Pump Infusion Site (96371) | $152.60 | $218 | 1.8× |
| Surfactant Admin Thru Tube (94610) | $377.30 | $539 | 1.4× |
| Synthetic Sentence Identification Test (92576) | $135.80 | $194 | 3.0× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $300.30 | $429 | 2.4× |
| Temp transcutaneous pacing (92953) | $1,331.40 | $1,902 | 1.7× |
| Tensilon Test (95857) | $627.20 | $896 | 2.4× |
| Test to assess hearing loss using different tone pitches (92575) | $135.80 | $194 | 3.0× |
| Testing Autonomic Nervous System Function (95923) | $379.40 | $542 | 2.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$113.40–$133.70 | $162–$191 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$113.40–$133.70 | $162–$191 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $123.20 | $176 | 4.1× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $125.30 | $179 | 2.2× |
| Ther/Proph/Diag Inj Ia (96373) | $364.70 | $521 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $189 | $270 | 2.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $647.50 | $925 | 2.5× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$163.80–$192.50 | $234–$275 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,473.50 | $2,105 | 3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $81.90 | $117 | 1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $82.60 | $118 | 1.8× |
| Tone Decay Test (92563) | $135.80 | $194 | 3.0× |
| Transcath Closure of Asd (93580) range across 3 matching MRF lines |
$16,105.95–$32,211.90 | $23,008.50–$46,017 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $725.20 | $1,036 | 5.8× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $105 | $150 | 2.3× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $284.90 | $407 | 1.8× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $292.60 | $418 | 1.8× |
| Tte w/doppler, complete (93306) | $1,795.50 | $2,565 | 2.7× |
| Tte W/O Doppler Complete (93307) | $1,584.10 | $2,263 | 5.5× |
| Tx atrial fib pulm vein isol (93656) | $33,035.80 | $47,194 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $203.70 | $291 | 2.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $56.70 | $81 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $144.20 | $206 | 2.6× |
| Tympanometry (92567) range across 3 matching MRF lines |
$46.90–$93.80 | $67–$134 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$131.95–$263.90 | $188.50–$377 | varies |
| Unlisted cardiovascular service/procedure (93799) | $438.90 | $627 | 2.8× |
| Unlisted noninvasive vascular diagnostic study (93998) | $77 | $110 | 2.2× |
| Unlisted otorhinolaryngological service (92700) range across 8 matching MRF lines |
$35–$92.40 | $50–$132 | varies |
| Unlisted Psychiatric Service/Procedure (90899) | $55.30 | $79 | 1.2× |
| Unlisted Special Dermatological Service/Px (96999) | $308 | $440 | 1.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $343.70 | $491 | 2.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $457.80 | $654 | 1.8× |
| Valvuloplasty aortic valve (92986) | $9,969.40 | $14,242 | 1.5× |
| Valvuloplasty mitral valve (92987) | $12,601.40 | $18,002 | 0.9× |
| Valvuloplasty pulmonary valve (92990) | $12,601.40 | $18,002 | 0.9× |
| Veeg 2-12 Hr Cont Mntr (95713) | $458.84 | $655.49 | 1.0× |
| Veeg 2-12 hr intmt mntr (95712) | $239.15 | $341.64 | 0.5× |
| Veeg 2-12 hr unmonitored (95711) | $239.15 | $341.64 | 0.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $458.84 | $655.49 | 1.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $458.84 | $655.49 | 1.0× |
| Veeg ea 12-26hr cont mntr (95716) | $858.85 | $1,226.93 | 0.8× |
| Vent Mgmt Inpat Init Day (94002) | $1,346.10 | $1,923 | 1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,346.10 | $1,923 | 1.8× |
| Visual Evoked Potential Test (95930) | $418.60 | $598 | 1.6× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$256.20–$384.30 | $366–$549 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) | $164.50 | $235 | 2.3× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $237.30 | $339 | 3.4× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$166.95–$333.90 | $238.50–$477 | varies |
| Vital capacity, total (94150) | $311.50 | $445 | 2.0× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $2,040.50 | $2,915 | 2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$142.10–$167.30 | $203–$239 | varies |
| Whirlpool Therapy (97022) | $133 | $190 | 8.5× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $237.30 | $339 | 5.3× |
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.