Visits & medical services prices at UCHealth Memorial Hospital Central

Colorado Springs, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $13,243.50 $29,430 1.6×
Acoustic Reflex Testing (92568) $97.65 $217 2.5×
Actinotherapy Ultraviolet Light (96900) $95.85 $213 2.4×
Acupunct W/Stimul 15 Min (97813) $60.75 $135 2.0×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $76.95 $171 2.5×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $124.65 $277 0.7×
Adaptive behavior tx by protocol tech ea 15 min (97153) $108 $240 1.0×
Admn Sarscov2 Vacc 1 Dose (90480) $44.10 $98 1.0×
Advncd Care Plan 30 Min (99497) $197.10 $438 1.8×
Aep neurodiagnostic i&r (92653) $696.15 $1,547 3.1×
Airway Inhalation Treatment (94640) $431.10 $958 1.9×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $387.90 $862 2.8×
Analyze neurostim complex (95972) $470.25 $1,045 4.7×
Analyze neurostim no prog (95970) $263.25 $585 1.9×
Analyze Neurostim Simple (95971) $287.55 $639 2.9×
Analyze Pacemaker System (93724) $460.35 $1,023 1.4×
Appl modality 1+ areas lllt po pain reduction (97037) $51.75 $115 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $100.35 $223 7.0×
Application Modality 1/> Areas Infrared (97026) $72 $160 10.8×
Application on-body injector (96377) $67.95 $151 1.4×
Arrhythmia Induction (93618) $4,689.90 $10,422 3.7×
Assessment of aphasia per hr (96105) $615.15 $1,367 6.3×
Audiometry Air & Bone (92553) $233.55 $519 1.7×
Auditory Function, 60 Min (92620) $369.45 $821 2.7×
Behavior id assessment by phys/qhp ea 15 min (97151) $108 $240 1.0×
Behavior id support assmt by 1 tech ea 15 min (97152) $108 $240 1.0×
Behavral qualit analys voice (92524) $410.40 $912 3.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $134.10 $298 1.6×
Bfb training ea addl 15 min (90913) $121.05 $269 3.7×
Biofeedback training any modality (90901) $472.05 $1,049 11.5×
Bis Xtracell Fluid Analysis (93702) $279.90 $622 2.1×
Blink reflex test (95933) $145.35 $323 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $516.60 $1,148 1.3×
C motor evoked uppr limbs (95928) $920.70 $2,046 1.0×
C motor evoked upr&lwr limbs (95939) $1,694.25 $3,765 1.9×
Canalith repositioning proc (95992) $130.95 $291 3.2×
Car seat/bed test 60 min (94780) $249.30 $554 6.3×
Cardiac Stress Tst,Tracing Only (93017) $1,289.70 $2,866 5.7×
Cardiopulmonary exercise testing (94621) $1,140.75 $2,535 2.9×
Cardiopulmonary resuscitation (92950) $1,132.20 $2,516 5.0×
Cardioversion (92960) $1,758.15 $3,907 2.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $41.85 $93 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $40.50 $90 1.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $13,021.20 $28,936 3.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,174.40 $24,832 3.3×
Cbt 1st hour (94644) $220.05 $489 1.6×
Chemo Anti-Neopl Sq/Im (96401) $260.10 $578 3.4×
Chemo Hormon Antineopl Sq/Im (96402) $336.60 $748 4.4×
Chemo Ia Push (96420) $484.20 $1,076 1.4×
Chemo intralesional up to 7 (96405) $357.30 $794 4.7×
Chemo IV infusion addl hr (96415) $357.75 $795 4.7×
Chemo IV push addl drug (96411) $206.55 $459 2.7×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $548.55 $1,219 1.6×
Chemotherapy Into Cns (96450) $1,342.35 $2,983 3.9×
Chemotherapy Intracavitary (96440) $679.50 $1,510 2.0×
Chemotherapy Unspecified (96549) $466.11 $1,035.79 9.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $254.25 $565 3.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $603.90 $1,342 1.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $376.20 $836 1.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $327.15 $727 0.9×
Chest Wall Manipulation (94668) $231.30 $514 1.6×
Color/duplex Doppler, complete (93975) $791.10 $1,758 3.1×
Color/duplex Doppler, limited (93976) $420.30 $934 3.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $122.40 $272 3.8×
Comprehensive Hearing Test (92557) $153 $340 1.1×
Conditioning Play Audiometry (92582) $268.65 $597 2.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $734.40 $1,632 5.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $127.80 $284 2.1×
Continuous Pulse Ox (94762) $467.10 $1,038 3.4×
Coronary Art/Grft Angio S&I (93455) $8,982.45 $19,961 2.6×
Coronary Artery Angio S&I (93454) $7,929.45 $17,621 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $816.75 $1,815 3.5×
Cpt initial (94667) $272.25 $605 1.9×
Critical care first hour (99291) $5,312.25 $11,805 6.1×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $958.50 $2,130 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $306.90 $682 1.5×
Developmental tst admin phys/qhp 1st hour (96112) $445.05 $989 3.3×
Dialysis One Evaluation (90945) $2,380.95 $5,291 5.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $578.25 $1,285 1.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $541.80 $1,204 2.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $430.65 $957 3.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $764.10 $1,698 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $619.65 $1,377 5.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $963 $2,140 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $673.20 $1,496 6.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $427.50 $950 1.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $191.70 $426 1.7×
Duplex Scan Hemodialysis Access (93990) $489.60 $1,088 4.4×
Duplex up extrem art bilat (93930) $610.65 $1,357 2.4×
Duplex up extrem art unilat/ltd (93931) $428.85 $953 3.9×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $232.20 $516 1.7×
Ear and throat examination (92502) $724.95 $1,611 1.3×
Echo Congenital Complete (93303) $1,381.50 $3,070 2.4×
Echo Heart Xthoracic,Limited (93308) $1,202.40 $2,672 4.8×
Echo transesophageal (93312) $2,168.55 $4,819 3.8×
Echo Transesophageal - Congenital Tee Complete (93315) $1,859.85 $4,133 3.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,120.40 $4,712 3.7×
Eeg 41-60 Minutes (95812) $1,385.10 $3,078 6.1×
EEG awake and asleep (95819) $1,002.60 $2,228 4.4×
EEG awake drowsy (95816) $985.50 $2,190 4.3×
EEG cerebral death evaluation (95824) $781.65 $1,737 2.0×
EEG cont rec w/video by tech min 8 channels (95700) $1,750.50 $3,890 7.7×
EEG extended monitoring 61-119 minutes (95813) $1,704.60 $3,788 7.5×
Eeg Sleep Only (95822) $1,582.65 $3,517 6.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,750.50 $3,890 7.7×
EEG w/o vid 2-12hr cont mntr (95707) $1,925.55 $4,279 8.5×
EEG w/o vid ea 12-26hr intmt (95709) $2,796.75 $6,215 7.1×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $2,929.95 $6,511 7.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,838.25 $4,085 8.1×
EEG wo vid ea 12-26hr unmntr (95708) $2,663.55 $5,919 6.8×
EKG signal averaged (93278) $412.20 $916 6.6×
Electrical Stimulation Ea 15 Min (97032) $118.35 $263 8.1×
Electrocardiogram Tracing (93005) $337.50 $750 5.4×
Electrophysiology Evaluation (93642) $6,814.80 $15,144 5.3×
Emergency Dept Visit Level 2 (99282) $576.45 $1,281 3.6×
Emergency Dept Visit Level 3 (99283) $1,024.65 $2,277 3.6×
Emergency Dept Visit Level 4 (99284) $1,892.25 $4,205 4.3×
Emg 4 Extremities (95864) $641.70 $1,426 4.7×
Endomyocardial Biopsy (93505) $4,123.35 $9,163 1.2×
Ep & ablate supravent arrhyt (93653) $30,307.95 $67,351 1.1×
Ep & ablate ventric tachy (93654) $36,528.30 $81,174 1.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,461.55 $14,359 0.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,136.45 $18,081 1.0×
Er level 1 (99281) $279.45 $621 3.1×
Er level v (99285) $3,630.15 $8,067 5.8×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,010.25 $2,245 2.6×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $2,263.05 $5,029 5.7×
Evaluate pt use of inhaler (94664) $200.70 $446 0.9×
Evaluate Speech Production (92522) $418.05 $929 3.7×
Evaluate Swallowing Function (92610) $374.85 $833 4.4×
Evaluation of speech fluency (92521) $475.20 $1,056 3.6×
Evoked Auditory Test,Limited (92587) $423.90 $942 1.9×
Exercise test for bronchospasm (94617) $462.60 $1,028 3.3×
External ECG rec>48hr<7d recording (93242) $229.50 $510 5.8×
External ECG rec>7d<15d recording (93246) $249.75 $555 6.3×
External Ecg Scanning Analysis Report (93226) $646.20 $1,436 10.4×
Extracranial Bilat Study (93880) $846.90 $1,882 3.4×
Extracranial Uni/Ltd Study (93882) $473.85 $1,053 4.3×
F-up/limited tthrc echo congenital car anomaly (93304) $835.65 $1,857 1.4×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $56.25 $125 1.4×
Flexible endoscopic eval swallow c/v rec (92612) $172.80 $384 0.9×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,473.75 $3,275 1.6×
Fundus photography (92250) $179.55 $399 1.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,468.25 $5,485 6.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $2,057.40 $4,572 9.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,715.30 $6,034 3.0×
Gi tract capsule endoscopy (91110) $2,250.90 $5,002 2.4×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $53.10 $118 1.3×
Group Therapeutic Procedures (97150) $67.05 $149 3.7×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $56.25 $125 1.4×
Health Behavior Assessment/Re-Assessment (96156) $178.65 $397 1.7×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $141.75 $315 3.6×
Health behavior ivntj group f2f 1st 30 min (96164) $45.90 $102 1.2×
Health behavior ivntj indiv f2f 1st 30 min (96158) $178.65 $397 1.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $14,583.60 $32,408 4.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,744.10 $6,098 3.8×
High altitude simulation test (94452) $178.65 $397 1.3×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $187.65 $417 1.3×
Holter monitor recording (93225) $982.35 $2,183 7.0×
Icd Device Interrogate (93289) $363.15 $807 9.2×
Icd device progr eval dual (93283) $259.65 $577 6.6×
Icd Device Progr Eval Mult (93284) $282.15 $627 7.2×
Ilr Device Eval Progr (93285) $87.75 $195 2.2×
Ilr Device Interrogate (93291) $117.45 $261 3.8×
Im Adm Intransl/Oral 1 Vaccine (90473) $54.90 $122 0.7×
Immunization administration (90471) $65.25 $145 0.9×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $903.15 $2,007 2.3×
Insert/Place Heart Catheter (93503) $2,571.30 $5,714 1.5×
Interrogate Subq Defib (93261) $215.55 $479 5.5×
Interrogation vad in person (93750) $269.10 $598 2.7×
Intracranial Complete Study (93886) $544.05 $1,209 2.2×
Iontophoresis 15 min (97033) $106.65 $237 5.6×
Irrig Drug Delivery Device (96523) $126.90 $282 2.0×
IV infusion hydration each additional hour (96361) $279.90 $622 5.7×
IV infusion hydration initial 31 min-1 hour (96360) $295.65 $657 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $243.45 $541 3.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $231.75 $515 4.7×
IV push initial (96374) $211.50 $470 0.9×
L Hrt Art/Grft Angio (93459) $12,797.10 $28,438 3.7×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $8,012.70 $17,806 2.3×
Lung Function Test (Mbc/Mvv) (94200) $142.65 $317 2.3×
Lwr Xtr Vasc Stdy Bilat (93924) $1,567.80 $3,484 6.9×
Mechanical chest wall oscillation per session (94669) $366.75 $815 1.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $91.35 $203 2.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $86.40 $192 2.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $76.95 $171 4.5×
Methacholine challenge (94070) $478.80 $1,064 1.2×
Microvolt T-Wave Assess (93025) $391.50 $870 2.9×
Motility study esophagus (91010) $1,055.25 $2,345 2.7×
Motion Fluoroscopy/Swallow (92611) $480.60 $1,068 5.3×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $56.25 $125 1.4×
Multiple Family Group Psychotherapy (90849) $212.40 $472 1.1×
Multiple Sleep Latency Test (95805) $2,128.05 $4,729 2.3×
Muscle Test 2 Limbs (95861) $248.40 $552 1.8×
Muscle Test Nonparaspinal (95870) $242.10 $538 1.7×
Muscle Test One Limb (95860) $291.60 $648 2.1×
Nasopharyngoscopy (92511) $491.40 $1,092 2.3×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $490.50 $1,090 2.2×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $475.20 $1,056 2.1×
Needle electromyography larynx (95865) $492.75 $1,095 3.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $525.60 $1,168 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $295.65 $657 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $361.35 $803 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $312.30 $694 1.4×
Nerve Conduction Studies 11-12 Studies (95912) $738.90 $1,642 1.9×
Nerve conduction studies 13 or more studies (95913) $805.05 $1,789 2.0×
Nerve Conduction Studies 3-4 Studies (95908) $523.35 $1,163 2.3×
Nerve conduction studies 5-6 studies (95909) $570.60 $1,268 2.5×
Nerve conduction studies 7-8 studies (95910) $621.90 $1,382 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $705.60 $1,568 1.8×
Neurobehavioral Status Exam (96116) $289.80 $644 1.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $312.30 $694 2.3×
Neuromuscular Reeducation (97112) $123.75 $275 3.8×
Nrpsyc tst eval phys/qhp 1st (96132) $720 $1,600 1.8×
Optokinetic Nystagmus Test (92544) $356.85 $793 2.6×
Oral Function Therapy (92526) $244.80 $544 2.9×
Oral Speech Device Eval (92597) $172.80 $384 2.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $135.90 $302 2.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $92.25 $205 2.0×
Oscillating Tracking Test (92545) $423.90 $942 1.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $80.55 $179 3.5×
Osteopathic manipulative tx 3-4 body regions (98926) $115.65 $257 5.1×
Osteopathic manipulative tx 5-6 body regions (98927) $152.10 $338 6.7×
Ot Contrast Bath Ea 15 Min (97034) $72 $160 5.1×
Ot eval high complexity (97167) $297 $660 3.0×
Ot Eval Low Complex (97165) $256.95 $571 2.6×
Ot Eval Moderate Complexity (97166) $270 $600 2.7×
Ot manual therapy 15 min (97140) $105.75 $235 3.8×
Ot paraffin bath (97018) $46.80 $104 7.8×
Ot Prosthetic Training, Each 15 Min (97761) $157.05 $349 3.9×
Ot Re-Eval Est Plan Care (97168) $217.80 $484 3.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $148.50 $330 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $117.90 $262 0.9×
Oxygen Uptake Rest Indirect (94690) $655.65 $1,457 10.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $660.15 $1,467 2.9×
Peripheral arterial disease rehab per session (93668) $312.30 $694 5.0×
Perq transcath closure pda (93582) $25,740.45 $57,201 1.3×
Perq Transcath Cls Aortic (93591) $24,504.30 $54,454 1.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,742.75 $26,095 2.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $16,352.55 $36,339 1.3×
Phlebotomy therapeutic (99195) $241.65 $537 1.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $472.05 $1,049 7.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $324.90 $722 5.2×
Physical Performance Test (97750) $92.25 $205 2.7×
Plethysmography (94726) $572.40 $1,272 1.5×
Pm device eval in person (93288) $153 $340 3.9×
Pm device progr eval dual (93280) $174.60 $388 4.4×
Pm device progr eval multi (93281) $183.60 $408 4.7×
Pm Device Progr Eval Sngl (93279) $136.80 $304 3.5×
Pm/Icd Remote Tech Serv (93296) $106.20 $236 2.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,268.50 $13,930 6.9×
Positional nystagmus test (92542) $230.85 $513 1.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $333 $740 8.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $216.45 $481 5.5×
Prq Card Angio/Athrect 1 Art (92924) $16,473.15 $36,607 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $13,046.85 $28,993 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $15,357.15 $34,127 1.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $35,135.55 $78,079 1.8×
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$251.07–$387.90 $557.92–$862 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$251.07–$338.85 $557.92–$753 varies
Psychological tst eval svc phys/qhp first hour (96130) $430.20 $956 1.9×
Psycl/Nrpsyc Tst Auto Result (96146) $102.15 $227 3.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $392.40 $872 0.8×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $216.90 $482 1.5×
Psytx Crisis Initial 60 Min (90839) $287.10 $638 1.5×
Pt Eval High Complex (97163) $297 $660 3.0×
Pt eval low complex 20 min (97161) $256.95 $571 2.6×
Pt Eval Mod Complex (97162) $270 $600 2.8×
Pt gait training 15 min (97116) $117.45 $261 4.0×
Pt group caregiver training (97552) $34.65 $77 1.6×
Pt mechanical traction (97012) $114.75 $255 8.0×
Pt Re-Eval Est Plan Care (97164) $217.80 $484 3.2×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $41.85 $93 1.1×
Pulm function test by gas (94727) $194.40 $432 0.9×
Pulmonary service/procedure (94799) $228.37 $507.48 1.7×
Pulmonary Stress Testing (94618) $1,025.55 $2,279 7.3×
Pure Tone Audiometry Air (92552) $179.55 $399 1.3×
R Hrt Art/Grft Angio (93457) $11,702.25 $26,005 3.4×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $7,235.10 $16,078 2.1×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $7,235.10 $16,078 2.1×
R hrt coronary artery angio (93456) $13,173.30 $29,274 3.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $9,661.95 $21,471 2.8×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $9,661.95 $21,471 2.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,954.55 $19,899 2.6×
Refill/Maint Portable Pump (96521) $449.10 $998 2.0×
Rem interrog icpms <30 d phys/qhp (93297) $103.95 $231 2.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $103.95 $231 2.6×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $265.05 $589 6.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $189 $420 1.3×
Remote 30 Day Ecg Rev/Report (93270) $670.05 $1,489 17.0×
Right Heart Cath (93451) $4,934.70 $10,966 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $281.70 $626 1.3×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $112.05 $249 4.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $467.55 $1,039 3.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $235.35 $523 4.9×
Self Care Mngment Training (97535) $127.80 $284 3.9×
Sensory Integration Ea 15 Min (97533) $159.75 $355 2.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $573.75 $1,275 2.5×
Short-latency somatosens ep std upr limbs (95925) $484.20 $1,076 2.1×
Sleep study attended (95807) $1,890.45 $4,201 4.8×
Sleep study unattended (95806) $1,048.50 $2,330 4.6×
Slp caregiver training 1st 30 min (97550) $81.45 $181 1.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $628.20 $1,396 2.8×
Somatosensory Testing (95938) $1,055.25 $2,345 1.2×
Speech sound lang comprehen (92523) $475.20 $1,056 2.1×
Spirometry (94010) $310.50 $690 1.4×
Spontaneous Nystagmus Test (92541) $230.85 $513 1.6×
Ssep lower limbs (95926) $480.15 $1,067 2.1×
Standardized Cognitive Performance Testing (96125) $653.40 $1,452 6.4×
Stress Tte Only (93350) $1,999.35 $4,443 3.5×
Surfactant Admin Thru Tube (94610) $355.95 $791 1.5×
Temp transcutaneous pacing (92953) $1,271.70 $2,826 1.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $90.45 $201 4.0×
Ther Ivntj Ea Addl 15 Min (97130) $87.75 $195 4.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $157.95 $351 4.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $97.65 $217 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $258.30 $574 2.5×
Ther/Proph/Diag Inj Ia (96373) $314.55 $699 1.4×
Ther/Proph/Diag Inj Sc/Im (96372) $88.65 $197 1.2×
Ther/Proph/Diag Iv Inf Init (96365) $260.55 $579 1.2×
Therapeutic Activities (97530) $128.70 $286 3.7×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,357.10 $5,238 6.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $42.75 $95 1.1×
Transcath Closure of Asd (93580) $33,462.45 $74,361 1.7×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $145.35 $323 3.7×
Tte w/doppler, complete (93306) $3,451.05 $7,669 6.0×
Tte W/O Doppler Complete (93307) $1,024.65 $2,277 4.1×
Tx atrial fib pulm vein isol (93656) $29,810.25 $66,245 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $244.80 $544 3.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $101.70 $226 4.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $98.55 $219 2.0×
Tympanometry (92567) $97.65 $217 2.5×
Tympanometry and reflex threshold measurements (92550) $356.85 $793 1.6×
Unlis neurological/neuromuscular dx px (95999) $833.75 $1,852.76 6.1×
Unlisted cardiovascular service/procedure (93799)
range across 5 matching MRF lines
$1,875.86–$7,557 $4,168.56–$16,793.33 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $560.41 $1,245.34 4.1×
Unlisted otorhinolaryngological service (92700) $79.06 $175.67 2.6×
Upr/L Xtremity Art 2 Levels (93922) $268.20 $596 1.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $611.55 $1,359 2.7×
Valvuloplasty aortic valve (92986) $8,505 $18,900 1.4×
Valvuloplasty mitral valve (92987) $15,384.15 $34,187 1.3×
Valvuloplasty pulmonary valve (92990) $12,322.80 $27,384 1.0×
Vasopneumatic device (97016) $83.70 $186 7.0×
Veeg 2-12 Hr Cont Mntr (95713) $2,663.55 $5,919 6.8×
Veeg 2-12 hr intmt mntr (95712) $1,930.05 $4,289 4.9×
Veeg 2-12 hr unmonitored (95711) $2,363.40 $5,252 10.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,026.35 $4,503 5.1×
Veeg Ea 12-26 Hr Unmntr (95714) $3,595.50 $7,990 9.1×
Veeg ea 12-26hr cont mntr (95716) $4,644.45 $10,321 5.1×
Vent Mgmt Inpat Init Day (94002) $2,533.50 $5,630 3.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,026.80 $4,504 3.1×
Visual Evoked Potential Test (95930) $480.15 $1,067 2.1×
Visual reinforcement audiometry (vra) (92579) $233.55 $519 1.0×
Vital capacity, total (94150) $347.85 $773 2.6×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,879.20 $4,176 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $118.80 $264 3.8×
Whirlpool Therapy (97022) $85.50 $190 5.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $108.45 $241 1.7×

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.