Visits & medical services prices at UCHealth University of Colorado Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic immitance testing (92570) $150.50 $430 1.1×
Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of… (95803) $99.40 $284 1.6×
Acupunct w/o stimul 15 min (97810) $60.20 $172 2.0×
Acupunct w/stimul 15 min (97813) $66.50 $190 2.2×
Administration of chemotherapy into artery using push technique (96420) $546 $1,560 1.6×
Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) $902.30 $2,578 2.6×
Advance care planning first 30 mins (99497) $108.50 $310 1.0×
Aep hearing status deter broadband stimuli i&r (92651) $395.50 $1,130 1.7×
Aep neurodiagnostic interpretation and report (92653) $802.55 $2,293 3.5×
Aep threshold estimation mlt frequencies i&r (92652) $1,073.45 $3,067 4.7×
Aerosol inhalation pentamidine (94642) $604.10 $1,726 2.6×
Airway inhalation treatment (94640) $249.20 $712 1.1×
Allergy injection single (95115) $33.95 $97 0.7×
Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal),… (95018) $42 $120 1.1×
Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal),… (95017) $42 $120 1.4×
Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) $209.30 $598 1.5×
Ambulatory bp recording (93786) $193.20 $552 1.4×
Analysis cochlear implt 7 yr/> prgrmg (92603) $470.75 $1,345 3.5×
Analysis cochlear implt 7 yr/> sbsq reprgrmg (92604) $235.55 $673 1.7×
Analyze pacemaker system (93724) $2,476.60 $7,076 7.6×
Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis (92286) $196 $560 1.4×
Appl modality 1+lllt po pain (97037) $36.05 $103 0.9×
Appl on-body injector for timed subq injection (96377) $34.30 $98 0.7×
Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) $54.60 $156
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $142.45 $407
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $102.20 $292
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $134.75 $385
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $54.60 $156
Application of ultraviolet light to skin (96900) $75.25 $215 1.9×
Assessment of aphasia (96105) $303.45 $867
Basic vestibular evaluation (92540) $455.70 $1,302 2.0×
Behav assmt w/score & docd/stand instrument (96127) $64.12 $183.19 1.6×
Behavioral & qualit analysis voice and resonance (92524) $327.25 $935
Bfb training ea addl 15 min (90913) $98.35 $281
Biofeedback training by any modality Other Outpatient (90901) $132.30 $378
Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) $122.15 $349
Bioimpedance-derived physiologic cardiovascular analysis (93701) $1,794.80 $5,128 12.8×
Biopsy of heart lining (93505) $5,828.55 $16,653 1.7×
Bipap initial day (94660) $1,050.70 $3,002 4.5×
Bis extracellular fluid alys lymphedema assmnt (93702) $218.40 $624 1.6×
Blink reflex test (95933) $148.75 $425 2.4×
Breath hydrogen/methane test (91065) $267.75 $765 1.2×
Breathing capacity test (94010) $317.80 $908 1.4×
Bronchial allergy tests (95070) $710.85 $2,031 1.8×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $439.25 $1,255 1.1×
C motor evoked lwr limbs (95929) $1,004.15 $2,869 2.6×
C motor evoked uppr limbs (95928) $997.85 $2,851 1.1×
Caloric vestibular test w/rec bi bithermal (92537) $943.25 $2,695 6.9×
Caloric vestibular test w/rec bi monothermal (92538) $471.45 $1,347 2.1×
Canalith repositioning (95992) $124.25 $355
Car seat/bed test inft thru 12 mo 60 min (94780) $104.65 $299 2.7×
Cardiopulmonary exercise testing (94621) $1,001.35 $2,861 2.5×
Cardiovascular procedure unlisted (93799) $3,276.97 $9,362.76 24.1×
Cardiovascular stress test (93017) $1,510.25 $4,315 6.6×
Cardioversion elective external (92960) $1,798.30 $5,138 2.6×
Caregiver training 1st 30 min (97550) $134.05 $383
Caregiver training ea addl 15 (97551) $127.40 $364
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) $20,665.75 $59,045 6.0×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) $18,847.15 $53,849 5.5×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) $17,453.10 $49,866 5.1×
Cervical & ocular vemp testing w/i&r (92519) $294.70 $842 1.3×
Cervical vemp testing w/i&r (92517) $154.70 $442 1.1×
Chemo anti-neopl sq/im (96401) $299.60 $856 3.9×
Chemo hormon antineopl sq/im (96402) $276.85 $791 3.6×
Chemo intralesional over 7 (96406) $171.85 $491 0.8×
Chemo intralesional up to 7 (96405) $290.15 $829 3.8×
Chemo IV infus each addl seq (96417) $291.90 $834 3.8×
Chemo IV infusion addl hr (96415) $290.85 $831 3.8×
Chemo IV push addl drug (96411) $441.70 $1,262 5.8×
Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) $358.75 $1,025 1.0×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $845.60 $2,416 2.4×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $479.85 $1,371 1.4×
Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) $222.60 $636 0.6×
Chest physiotherapy initial (94667) $103.25 $295 0.7×
Chiropract manj 1-2 regions (98940) $64.40 $184 2.8×
Chiropract manj 3-4 regions (98941) $86.45 $247 3.8×
Chiropractic manipulative treatment (CMT); spinal, 5 regions (98942) $122.50 $350 5.4×
Color vision examination, extended, eg, anomaloscope or equivalent (92283) $137.90 $394 2.2×
Color/duplex Doppler, complete (93975) $440.65 $1,259 1.8×
Color/duplex Doppler, limited (93976) $424.20 $1,212 3.8×
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $96.60 $276
Compre electrophysiologic w/o arrhyt induction (93619) $5,794.60 $16,556 0.7×
Compre ep eval abltj atr fib pulm vein isolation (93656) $36,236.55 $103,533 1.3×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; (96000) $564.90 $1,614 1.4×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure… (96001) $1,152.90 $3,294 1.3×
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) $5,239.85 $14,971 0.6×
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) $32,514.30 $92,898 1.2×
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) $38,537.45 $110,107 1.4×
Comprehensive hearing test (92557) $317.80 $908 2.3×
Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed,… (92548) $365.05 $1,043 2.6×
Conditioning play audiometry (92582) $208.95 $597 1.5×
Cont gluc mntr physician/qhp provided equipment (95250) $438.90 $1,254 3.1×
Cont gluc mntr pt prov eqp (95249) $74.55 $213 1.2×
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) $390.60 $1,116 2.8×
Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report (92145) $67.90 $194 1.1×
Coronary art/grft angio s&i (93455) $12,125.40 $34,644 3.5×
Coronary artery angio s&i (93454) $10,248.70 $29,282 3.0×
Corticapted neurological or neuromuscular diagnostic procedure (95999) $171.94 $491.24 1.3×
Cpr (92950) $1,417.50 $4,050 6.2×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $272.65 $779 1.2×
Cptrized oph dx img anterior segment uni/bi (92132) $178.15 $509 2.9×
Cptrized oph dx img pst segment uni/bi optic nrv (92133) $178.15 $509 2.9×
Cptrized oph dx img pst segment uni/bi retina (92134) $182.35 $521 2.9×
Critical care ill/injured patient init 30-74 min (99291) $2,825.55 $8,073 3.2×
Ctr motr ep std transcrnl motr stim upr&low limb (95939) $2,164.40 $6,184 2.4×
Debridement open wound 20 sq cm< (97597) $390.25 $1,115 1.8×
Developmental tst admin phys/qhp 1st hour (96112) $350 $1,000 2.6×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming (92602) $365.75 $1,045 2.7×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming (92601) $626.85 $1,791 4.6×
Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and… (92284) $378.35 $1,081 0.8×
Dialysis one evaluation (90945) $974.75 $2,785 2.2×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $256.55 $733 0.7×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $527.80 $1,508 4.8×
Duplex hemodialysis access (93990) $428.75 $1,225 3.9×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $793.45 $2,267 3.2×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $382.20 $1,092 3.5×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) $667.80 $1,908 2.7×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) $401.80 $1,148 3.6×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $1,346.80 $3,848 5.4×
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $461.65 $1,319 4.2×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $1,318.10 $3,766 5.2×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $806.75 $2,305 7.3×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $916.65 $2,619 3.6×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $446.25 $1,275 4.0×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $995.40 $2,844 4.0×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $474.25 $1,355 4.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $162.05 $463 1.2×
Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles (96002) $219.10 $626 1.0×
ECG monit/reprt up to 48 hrs (93226) $799.05 $2,283 12.8×
Echo transesophageal (93312) $1,955.10 $5,586 3.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,713.60 $4,896 3.0×
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) $939.75 $2,685 3.7×
Ecog implanted brain npgt w/rec i&r <30 days (95836) $150.85 $431 3.8×
EEG 41-60 minutes (95812) $653.80 $1,868 2.9×
EEG awake & asleep (95819) $1,828.75 $5,225 8.0×
EEG awake/drowsy (95816) $1,508.85 $4,311 6.6×
EEG coma or sleep only (95822) $1,671.60 $4,776 7.3×
EEG cont rec w/video by tech min 8 channels (95700) $496.30 $1,418 2.2×
EEG extended monitoring 61-119 minutes (95813) $1,984.15 $5,669 8.7×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $647.85 $1,851 1.6×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $540.75 $1,545 1.4×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $779.10 $2,226 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $337.05 $963 1.5×
EEG w/o video by tech 2-12 hr unmonitored (95705) $233.45 $667 1.0×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $352.80 $1,008 1.5×
EKG 12 lead tracing only (93005) $329 $940 5.3×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $128.80 $368 1.3×
Elec alys implt cplx cn npgt prgrmg (95977) $546 $1,560 5.4×
Elec alys implt npgt cplx sp/pn prgrmg (95972) $259.70 $742 2.6×
Elec alys implt npgt phys/qhp w/o programming (95970) $223.30 $638 1.6×
Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) $260.05 $743 2.6×
Elec alys implt smpl cn npgt prgrmg (95976) $520.10 $1,486 13.2×
Electro-oculography with interpretation and report (92270) $272.65 $779 1.9×
Electrocochleography (92584) $352.45 $1,007 2.6×
Electroconvulsive therapy (90870) $648.90 $1,854 0.7×
Electrode stimulation brain (95961) $715.75 $2,045 0.8×
Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) $3,916.85 $11,191 3.0×
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) $4,167.10 $11,906 0.5×
Emergency department visit high mdm (99285) $2,762.20 $7,892 4.4×
Emergency department visit low mdm (99283) $842.45 $2,407 2.9×
Emergency department visit may not req phys/qhp (99281) $231 $660 2.6×
Emergency department visit moderate mdm (99284) $2,044.70 $5,842 4.6×
Emergency department visit straightforward mdm (99282) $424.55 $1,213 2.6×
EMG thoracic paraspinal (95869) $219.10 $626 1.0×
End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) $441.85 $1,262.42 3.3×
Endoscopy swallow (fees) vid (92612) $438.55 $1,253
Esoph balloon distension tst (91040) $1,306.20 $3,732 3.3×
Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) $2,668.05 $7,623 6.8×
Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) $1,897.70 $5,422 8.3×
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) $1,788.15 $5,109 4.5×
Esophageal recording (93615) $819.35 $2,341 0.6×
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing without Cardiac Cath (93616) $4,455.50 $12,730 3.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $292.60 $836 2.2×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $343 $980
Evaluate pt use of inhaler (94664) $235.90 $674 1.0×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) $144.55 $413
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $367.85 $1,051
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) $303.45 $867
Evaluation of central auditory function, with report; initial 60 minutes (92620) $284.90 $814 2.1×
Evaluation of speech fluency (92521) $358.05 $1,023
Evaluation of speech sound production articulate (92522) $341.95 $977
Evoked auditory test limited (92587) $221.20 $632 1.0×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $203.70 $582 1.0×
Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) $192.50 $550 1.4×
Exercise tst brncspsm wo ECG (94619) $78.75 $225 1.3×
External ECG rec>48hr<7d recording (93242) $849.80 $2,428 21.6×
External ECG rec>7d<15d recording (93246) $849.80 $2,428 21.6×
External ECG rec>7d<15d scanning alys w/report (93247) $513.10 $1,466 3.7×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $418.95 $1,197 3.0×
External ocular photography with interpretation and report for documentation of medical progress (eg, close-up… (92285) $80.50 $230 2.0×
Facial nerve function studies (eg, electroneuronography) (92516) $287.35 $821 1.3×
Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) $102.40 $292.56 3.4×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $414.05 $1,183
Fluidotherapy (97022) $100.80 $288
Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral (92235) $361.90 $1,034 1.6×
Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient… (92242) $449.75 $1,285 2.0×
Full field electroretinography w/i&r (92273) $592.90 $1,694 2.6×
Fundus photography with interpretation and report (92250) $121.80 $348 0.9×
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $94.85 $271 0.4×
Gastroesophag reflx test w/cath ph eltrd plcmt (91034) $1,053.15 $3,009 2.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,803.90 $5,154 2.0×
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) $2,241.75 $6,405 2.3×
Gi transit & pres meas wireless capsule w/interp (91112) $4,289.95 $12,257 4.5×
Gonioscopy (92020) $106.40 $304 0.8×
Group caregiver training strategies & technique (97552) $112.35 $321
Hast w/oxygen titrate (94453) $147.70 $422 1.1×
Health behavior assessment/re-assessment (96156) $229.32 $655.19 2.1×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $156.78 $447.93 4.0×
Health behavior ivntj group f2f 1st 30 min (96164) $53.48 $152.78 1.4×
Health behavior ivntj indiv f2f 1st 30 min (96158) $157.42 $449.77 0.8×
Hemodialysis procedure w/ phys/qhp evaluation (90935) $2,059.75 $5,885 2.8×
High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care… (94452) $110.60 $316 0.8×
Im adm intransl/oral 1 vaccine (90473) $42.70 $122 0.6×
Imm admn sarscov2 vaccine single dose (90480) $34.30 $98 0.8×
Immunization administration (90471) $50.75 $145 0.7×
Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral (92240) $821.10 $2,346 3.6×
Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) $2,562.35 $7,321 2.0×
Infrared therapy (97026) $102.20 $292
Ingestion challenge test initial 120 minutes (95076) $450.45 $1,287 1.1×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $148.05 $423 3.0×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $176.75 $505 0.8×
Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) $2,199.05 $6,283 1.3×
Interrog dev eval pm/ldls pm phys/qhp in person (93288) $134.05 $383 3.4×
Interrog device eval heart (93289) $210 $600 5.3×
Interrog w/o prgrmg ipnss (93153) $87.15 $249 0.9×
Interrog&prgrmg ipnss (93151) $113.40 $324 1.1×
Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography (93152) $269.15 $769 0.8×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) $288.40 $824 7.3×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) $107.10 $306 3.5×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) $1,118.95 $3,197 28.4×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93292) $414.40 $1,184 10.5×
Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) $142.10 $406 3.6×
Interrogation vad in prson w/phys/qhp analysis (93750) $117.25 $335 1.2×
Intra-atrial recording (93602)
unusually low — confirm this is the full procedure
$3,070.90 $8,774 0.4×
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) $6,553.40 $18,724 0.8×
Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) $59.50 $170 1.0×
Irrigaj implntd venous access drug delivery syst (96523) $165.20 $472 2.7×
IV infusion hydration each additional hour (96361) $148.05 $423 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $462.70 $1,322 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $154 $440 2.0×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $487.20 $1,392 2.2×
IV tx, each additional hour (96366) $154.35 $441 3.1×
Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Other Outpatient (92520) $284.55 $813 2.0×
Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance… (93595) $5,212.90 $14,894 1.5×
Liver elastography (91200) $2,066.40 $5,904 15.2×
Lwr xtr vasc stdy bilat (93924) $534.80 $1,528 2.3×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $116.55 $333 0.8×
Maximum voluntary ventilation (94200) $70 $200 1.1×
Measurement of adequacy of hearing protection device (92596) $60.55 $173 1.5×
Measurement of brain wave activity (EEG) to evaluate brain death (95824) $1,029.35 $2,941 2.6×
Mechanical chest wall oscillation lung function (94669) $308 $880 1.3×
Mechanical traction therapy (97012) $98.35 $281
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $58.45 $167
Medical nutrition group (97804) $24.85 $71
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $66.15 $189
Methacholine challenge (94070) $463.05 $1,323 1.2×
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $466.90 $1,334
Multi-family group psychotherapy - psychologist (90849) $140.91 $402.58 0.8×
Multifocal electroretinography w/i&r (92274) $308.70 $882 2.3×
Multiple sleep latency (95805) $1,419.25 $4,055 1.6×
Muscle test 3 limbs (95863) $340.20 $972 2.5×
Muscle test larynx (95865) $497.35 $1,421 3.5×
Nasopharyngoscopy (92511) $340.55 $973 1.6×
Ndl EMG 4 xtr w/wo related paraspinal areas (95864) $354.20 $1,012 2.6×
Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) $226.45 $647 1.6×
Needle electromyography cranial nrv muscle uni (95867) $448.35 $1,281 2.0×
Needle electromyography hemidiaphragm (95866) $187.25 $535 1.4×
Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) $347.90 $994 1.5×
Needle electromyography; 1 extremity with or without related paraspinal areas (95860) $183.05 $523 1.3×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $293.65 $839 2.1×
Needle measurement of electrical activity in muscles on both sides of body (95868) $633.50 $1,810 2.8×
Neg pressure wound therapy non dme </= 50 sq cm (97607) $542.85 $1,551 1.3×
Neg pressure wound therapy non dme >50 sq cm (97608) $713.30 $2,038 1.7×
Negative pressure wound therapy dme </= 50 sq cm (97605) $600.95 $1,717 2.8×
Negative pressure wound therapy dme >50 sq cm (97606) $652.05 $1,863 1.5×
Nerve conduction studies 1-2 studies (95907) $327.25 $935 1.4×
Nerve conduction studies 11-12 studies (95912) $1,960.70 $5,602 5.0×
Nerve conduction studies 13/> studies (95913) $2,301.60 $6,576 5.8×
Nerve conduction studies 3-4 studies (95908) $596.75 $1,705 2.6×
Nerve conduction studies 5-6 studies (95909) $937.65 $2,679 4.1×
Nerve conduction studies 7-8 studies (95910) $1,278.90 $3,654 3.2×
Nerve conduction studies 9-10 studies (95911) $1,619.80 $4,628 4.1×
Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge,… (96116) $296.42 $846.92 1.3×
Neuromuscular junction test (95937) $205.45 $587 1.5×
Neuropsychological tst eval phys/qhp 1st hour (96132) $192.89 $551.10 0.5×
Nitric oxide expired gas determination (95012) $116.20 $332 2.9×
Non-invasive physiologic study extremity 3 levels (93923) $575.40 $1,644 2.5×
Noninvasive ear/pulse oximetry overnight monitor (94762) $185.50 $530 1.4×
Occupational therapy eval high complex 60 mins (97167) $322.70 $922
Occupational therapy eval low complex 30 mins (97165) $297.85 $851
Occupational therapy eval mod complex 45 mins (97166) $307.30 $878
Ocular vemp testing w/i&r (92518) $157.15 $449 1.2×
Ophthalmic biometry (92136) $185.50 $530 1.3×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92004) $206.50 $590 1.5×
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92014) $206.50 $590 1.5×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $47.25 $135 0.8×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $65.45 $187 1.1×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording (92544) $109.90 $314 0.8×
Oral function therapy (92526) $319.90 $914
Oral speech device eval (92597) $311.15 $889
Orthc/prostc mgmt sbsq enc (97763) $137.90 $394
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $173.25 $495
Osteopath manj 1-2 regions (98925) $65.80 $188 2.9×
Osteopath manj 3-4 regions (98926) $99.75 $285 4.4×
Osteopath manj 9-10 regions (98929) $199.85 $571 8.8×
Osteopathic manipulative tx 5-6 body regions (98927) $151.20 $432 6.6×
Osteopathic manipulative tx 7-8 body regions (98928) $175 $500 7.7×
Ot manual therapy ea 15 min (97140) $173.25 $495
Ot neuromuscular re-education (97112) $150.50 $430
Ot paraffin bath (97018) $74.55 $213
Ot re-evaluation (97168) $277.55 $793
OT Therapeutic Activities Charges (97530) $127.75 $365
Ot wheelchair management (97542) $135.45 $387
Outpatient cardiac rehab w/cont ECG monitoring (93798) $242.90 $694 1.8×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $194.25 $555 1.4×
Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted (94681) $412.65 $1,179 1.0×
Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) $318.50 $910 5.1×
Patch or application test(s) (specify number of tests) (95044) $18.55 $53 0.0×
Pdt dstr prmlg les skn illum/activj by phys/qhp (96573) $660.45 $1,887 3.1×
Pdt dstr prmlg les skn illum/activj per day (96567) $298.55 $853 1.4×
Percutaneous balloon valvuloplasty; pulmonary valve without Cardiac Cath (92990) $15,304.45 $43,727 1.3×
Percutaneous tests w/allergenic extracts (95004) $18.55 $53 0.0×
Percutaneous transcatheter closure of a congenital ventricular septal defect with implant (93581) $31,110.80 $88,888 1.6×
Peripheral vascular rehab (93668) $119 $340 1.9×
Perq transcath closure pda (93582) $11,267.20 $32,192 0.6×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $16,052.40 $45,864 0.8×
Perq transcath cls paravalvr leak 1 mitral valve (93590) $19,364.10 $55,326 1.0×
Phlebotomy therapeutic (99195) $274.05 $783 2.0×
Photochemotherapy; psoralens and ultraviolet A (PUVA) (96912) $129.15 $369 2.1×
Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B (96910) $152.25 $435 2.4×
Phy/qhp op pulm rhb w/mntr (94626) $212.10 $606 3.4×
Phy/qhp op pulm rhb w/o mntr (94625) $197.40 $564 3.2×
Physical therapy evaluation high complex 45 mins (97163) $322.70 $922
Physical therapy evaluation low complex 20 mins (97161) $297.85 $851
Physical therapy evaluation mod complex 30 mins (97162) $307.30 $878
Pm device progr eval multi (93281) $134.40 $384 3.4×
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $3,982.65 $11,379 4.4×
Positional nystagmus test, minimum of 4 positions, with recording (92542) $172.20 $492 1.2×
Pr cholinesterase inhibitor challenge test for myasthenia gravis (95857) $159.25 $455 0.7×
Pr corneal topography (92025) $250.25 $715 4.0×
Pr tympanometry and reflex threshold measurements (92550) $121.10 $346 0.5×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $17.85 $51 0.4×
Prepj& antigen allergen immunotherapy 1 insect (95145) $32.90 $94 0.7×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92312) $337.40 $964 2.4×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) $112.35 $321 0.8×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $279.65 $799 0.6×
Prgrmg dev eval pm/ldls pm (93279) $114.10 $326 2.9×
Professional services for allergen immunotherapy; 2 or more injections (95117) $46.90 $134 0.9×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95147) $70.70 $202 0.9×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95149) $103.25 $295 1.4×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95146) $54.95 $157 1.1×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $78.05 $223 1.0×
Program eval implantable in persn dual ld pacer (93280) $132.30 $378 3.4×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $121.45 $347 3.1×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93260) $895.65 $2,559 22.7×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) $101.15 $289 2.6×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) $142.80 $408 3.6×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $133.35 $381 3.4×
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $123.55 $353
Prq trluml coronary angio/atherect one art/brnch (92924) $17,713.50 $50,610 1.5×
Prq trluml coronary angioplasty one art/branch (92920) $8,280.30 $23,658 1.4×
Prq trluml coronary stent w/angio one art/brnch (92928) $16,523.15 $47,209 1.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
unusually low — confirm this is the full procedure
$5,048.40 $14,424 0.4×
Psych diag eval w/med srvcs (90792) $152.49 $435.66 0.8×
Psychiatric diagnostic evaluation (90791) $162.23 $463.49 0.9×
Psychological tst eval svc phys/qhp first hour (96130) $167.13 $477.51 0.7×
Psycl/nrpsycl tst elec platform auto result (96146) $25.75 $73.55 0.8×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $285.06 $814.43 0.6×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $97.97 $279.89 0.7×
Psytx crisis initial 60 min (90839) $158.63 $453.22 0.8×
Pt gait training 15 min (97116) $146.65 $419
Pt physical performance test (97750) $192.15 $549
Pt re-evaluation (97164) $277.55 $793
Pulm funct tst plethysmograp (94726) $969.50 $2,770 2.5×
Pulmonary stress testing (94618) $596.40 $1,704 4.2×
R hrt art/grft angio (93457) $15,917.65 $45,479 4.7×
R hrt cath chd w/img cath trgt zon abnl nt connj (93594) $5,523.70 $15,782 1.6×
R hrt cath chd w/img cath trgt zone nml nt connj (93593) $3,595.90 $10,274 1.1×
R hrt coronary artery angio (93456) $14,760.55 $42,173 4.3×
R&l hrt art/ventricle angio (93461) $16,486.75 $47,105 4.8×
R&l hrt cath w/ventriclgrphy (93453) $9,916.20 $28,332 2.9×
Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) $229.60 $656 3.7×
Refill/maint pump/resvr syst (96522) $435.05 $1,243 1.9×
Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) $262.15 $749 0.8×
Refilling and maintenance of portable pump (96521) $423.50 $1,210 1.9×
Remote 30 day ECG rev/report (93270) $189.35 $541 4.8×
Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) $254.10 $726 0.8×
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93597) $4,403 $12,580 1.3×
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93596) $3,388.35 $9,681 1.0×
Right heart cath o2 saturation & cardiac output (93451) $7,468.30 $21,338 2.2×
Right ventricular recording (93603) $2,895.90 $8,274 2.3×
Select picture audiometry (92583) $95.55 $273 1.5×
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $146.65 $419
Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) $82.25 $235 1.3×
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $173.25 $495
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) $386.40 $1,104 1.7×
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) $2,048.55 $5,853 2.3×
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) $1,024.80 $2,928 4.5×
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) $966.35 $2,761 4.2×
Sleep study attended (95807) $805.35 $2,301 2.0×
Sleep study unattended (95806) $214.20 $612 0.9×
Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) $271.60 $776 1.2×
Speech audiometry threshold (92555) $91.35 $261 1.5×
Speech sound lang comprehen (92523) $358.05 $1,023
Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording (92541) $208.95 $597 1.5×
Standardized cognitive performance testing (96125) $311.15 $889
Stenger test pure tone (92565) $62.30 $178 1.0×
Stenger test speech (92577) $291.20 $832 0.7×
Stress tte only (93350) $1,325.45 $3,787 2.3×
Surfactant administration (94610) $344.40 $984 1.5×
Tcd emboli detect wo inj (93892) $209.65 $599 1.9×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $354.90 $1,014 3.2×
Temp transcutaneous pacing (92953) $460.25 $1,315 0.7×
Test for ability to detect and repeat spoken words with speech recognition (92556) $141.75 $405 2.3×
Test for abnormal eye movement using a moving target that moves back and forth with recording (92545) $135.10 $386 0.6×
Test for abnormal eye movement using a rotating chair (92546) $354.20 $1,012 2.6×
Test for hearing various pitches using earphone (92552) $150.50 $430 1.1×
Test for hearing various pitches using earphone and device placed against the bone (92553) $182 $520 1.3×
Test to assess by hearing by examining the repetition of real words versus nonsense words (92571) $575.05 $1,643 14.6×
Test to assess hearing loss using grammatically incorrect sentences (92576) $477.05 $1,363 12.1×
Test to assess hearing using 2 syllable words (92572) $477.05 $1,363 3.5×
Test to assess middle ear muscle reflex (92568) $65.45 $187 1.7×
Testing autonomic nervous system function (95923) $136.85 $391 1.0×
Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more… (95921) $1,125.95 $3,217 8.3×
Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function),… (95922) $1,632.40 $4,664 11.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $137.90 $394
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $133.70 $382
Ther/proph/diag inj ia (96373) $148.05 $423 0.7×
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $67.55 $193
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) $112.70 $322
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $28.35 $81
Therapeutic prophylactic/dx injection subq/im (96372) $154.35 $441 2.0×
Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) $186.20 $532
Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) $241.85 $691
Therapy activation of implanted phrenic nerve stimulator system, including all interrogation and programming (93150) $117.95 $337 1.2×
Tilt table evaluation (93660) $2,221.45 $6,347 5.6×
Tinnitus assessment (92625) $176.40 $504 1.3×
Transcath closure of asd (93580) $22,898.05 $65,423 1.2×
Transcranial doppler stdy intracranial art compl (93886) $728 $2,080 2.9×
Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) $691.60 $1,976 6.3×
Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) $1,298.50 $3,710 2.3×
Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) $691.95 $1,977 1.2×
Treatment of inflammatory skin disease using laser, 250.0-500.0 sq cm (96921) $231.70 $662 1.1×
Treatment of inflammatory skin disease using laser, more than 500.0 sq cm (96922) $266.70 $762 0.6×
Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) $1,067.15 $3,049 4.7×
Tte congenital complete (93303) $952 $2,720 1.7×
Tte f-up or lmtd (93308) $656.95 $1,877 2.6×
Tte w/doppler complete (93306) $2,770.25 $7,915 4.8×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $291.90 $834
Tx speech language voice commj auditry 2/>indiv (92508) $84.35 $241
Tympanometry (92567) $84 $240 2.1×
Unlisted diagnostic gastroenterology procedure (91299) $1,324.48 $3,784.22 9.8×
Unlisted modality (specify type and time if constant attendance) (97039) $146.38 $418.22
Unlisted psychiatric service or procedure (90899) $171.09 $488.81 4.3×
Unlisted special dermatological service or procedure (96999) $203.73 $582.06 1.0×
Upr/l xtremity art 2 levels (93922) $386.05 $1,103 2.8×
Valvuloplasty aortic valve (92986) $8,650.25 $24,715 1.4×
Valvuloplasty mitral valve (92987) $16,356.90 $46,734 1.3×
Veeg by tech 2-12 hours unmonitored (95711) $281.75 $805 1.2×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $779.10 $2,226 2.0×
Veeg by tech 2-12 hr intermittent monitoring (95712) $388.85 $1,111 1.0×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $5,722.50 $16,350 6.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $5,150.25 $14,715 13.1×
Veeg by tech ea incr 12-26 hr unmonitored (95714) $701.05 $2,003 1.8×
Ventilation ip/obs initial day (94002) $1,968.40 $5,624 3.0×
Ventilator subsequent day (94003) $1,540.35 $4,401 2.4×
Visual ep testing cns except glaucoma w/i&r (95930) $219.10 $626 1.0×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $340.55 $973 2.4×
Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) $229.60 $656 3.7×
Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) $121.10 $346 1.9×
Visual reinforcement audiometry (vra) (92579) $125.65 $359 0.6×
Vital capacity total (94150) $206.50 $590 1.5×
Wada activation test (95958) $1,479.10 $4,226 1.6×
Wound(s) care non-selective (97602) $191.10 $546 0.9×