Visits & medical services prices at UMass Memorial Medical Center

Worcester, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $23,344 $23,344 2.5×
Acoustic Reflex Testing (92568) $137 $137 3.1×
Actinotherapy Ultraviolet Light (96900) $466 $466 10.4×
Acupunct W/Stimul 15 Min (97813) $152 $152 4.4×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $141 $141 4.1×
Admn Sarscov2 Vacc 1 Dose (90480) $131 $131 2.7×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $505 $505 2.0×
Aep neurodiagnostic i&r (92653) $882 $882 3.4×
Aep threshold estimation mlt frequencies i&r (92652) $882 $882 3.4×
Airway Inhalation Treatment (94640) $358 $358 1.4×
Airway resistance by oscillometry (94728) $714 $714 4.6×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $156 $156 3.5×
Allg tstg perq & ic venoms immed react w/i&r (95017) $156 $156 4.5×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $881 $881 5.5×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788)
range across 2 matching MRF lines		 $410–$450 $410–$450 varies
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $528 $528 3.4×
Analyze neurostim complex (95972)
range across 2 matching MRF lines		 $2,591–$2,850 $2,591–$2,850 varies
Analyze neurostim no prog (95970) $518 $518 3.2×
Analyze Neurostim Simple (95971) $1,362 $1,362 12.0×
Analyze Pacemaker System (93724) $983 $983 2.7×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $257 $257 1.1×
Ans parasymp & symp w/tilt (95924) $485 $485 1.9×
Ant sgm imaging w/microscopy endothelial analy (92286) $547 $547 3.4×
Appl modality 1+ areas lllt po pain reduction (97037) $142 $142 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $242 $242 16.9×
Application on-body injector (96377) $526 $526 9.4×
Assessment of aphasia per hr (96105) $824 $824 8.5×
Assmt & care planning pt w/cognitive impairment (99483) $176 $176 1.4×
Audiometry Air & Bone (92553) $340 $340 2.2×
Auditory Function, 60 Min (92620) $730 $730 4.7×
Basic vestibular evaluation (92540) $1,151 $1,151 4.4×
Behavral qualit analys voice (92524) $1,433 $1,433 13.1×
Bioimpedance Cv Analysis (93701) $398 $398 2.5×
Blink reflex test (95933) $689 $689 9.7×
Breath hydrogen/methane test (91065) $902 $902 3.5×
Brief Emotional/Behav Assmt (96127) $182 $182 4.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $706 $706 1.6×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure		 $4,614 $4,614 0.5×
Caloric vestibular test w/rec bi monothermal (92538) $386 $386 1.5×
Caloric Vstblr Test W/Rec (92537) $469 $469 3.0×
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $228–$235 $228–$235 varies
Cardiac Stress Tst,Tracing Only (93017) $1,664 $1,664 6.4×
Cardiopulmonary exercise testing (94621) $3,162 $3,162 7.1×
Cardiopulmonary resuscitation (92950) $1,425 $1,425 5.5×
Cardioversion (92960)
range across 3 matching MRF lines		 $5,350.69–$191,630.99 $5,350.69–$191,630.99 varies
Cardioversion elective internal (92961) $1,403 $1,403 1.8×
Care mgmt services behavioral hlth cond 20 mins (99484) $92 $92 2.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $46,723 $46,723 12.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $35,092 $35,092 9.0×
Cbt 1st hour (94644) $480 $480 3.0×
Cervical & Ocular Vemp Testing W/I&R (92519) $946 $946 3.7×
Cervical Vemp Testing W/I&R (92517) $505 $505 3.3×
Chemo Admin Peritoneal Cavity (96446) $509 $509 1.3×
Chemo Anti-Neopl Sq/Im (96401) $474 $474 5.5×
Chemo Hormon Antineopl Sq/Im (96402) $270 $270 3.1×
Chemo Ia Push (96420) $446 $446 1.1×
Chemo Intralesional Over 7 (96406) $794 $794 3.1×
Chemo intralesional up to 7 (96405) $820 $820 9.5×
Chemo IV infusion addl hr (96415) $303 $303 3.5×
Chemo IV push addl drug (96411) $526 $526 6.1×
Chemother Prolong Infuse W/Pump (96416) $847 $847 2.1×
Chemotherapy Into Cns (96450) $2,370 $2,370 6.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $690 $690 8.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $847 $847 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines		 $478–$526 $478–$526 varies
Chest Wall Manipulation (94668) $223 $223 1.4×
Cmptr ophth dx img ant segmt (92132) $332 $332 4.7×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $201 $201 2.8×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines		 $2,951–$4,428 $2,951–$4,428 varies
Color/duplex Doppler, limited (93976) $1,208 $1,208 9.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $209 $209 6.5×
Comprehensive Hearing Test (92557) $451 $451 2.9×
Computerized Ophthalmic Imaging Optic Nerve (92133) $332 $332 4.7×
Computerized Ophthalmic Imaging Retina (92134) $332 $332 4.7×
Conditioning Play Audiometry (92582) $688 $688 4.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $849 $849 5.3×
Cont Gluc Mntr Pt Prov Eqp (95249) $232 $232 3.3×
Contact Lens Fit,Corneoscleral Lens (92313) $398 $398 2.5×
Continuous Pulse Ox (94762) $797 $797 5.2×
Corneal Topography (92025) $245 $245 3.5×
Coronary Art/Grft Angio S&I (93455) $30,192 $30,192 7.8×
Coronary Artery Angio S&I (93454) $20,125 $20,125 5.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,840 $1,840 7.0×
Cpt initial (94667) $272 $272 1.7×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $991 $991 3.8×
Critical care first hour (99291)
range across 2 matching MRF lines		 $5,887–$6,358 $5,887–$6,358 varies
Dark Adaptation Eye Exam (92284) $281 $281 0.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 16 matching MRF lines		 $374–$419 $374–$419 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574)
range across 2 matching MRF lines		 $395–$415 $395–$415 varies
Developmental tst admin phys/qhp 1st hour (96112) $150 $150 1.0×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602)
range across 6 matching MRF lines		 $528–$576 $528–$576 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $585 $585 1.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,479 $1,479 5.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,074 $1,074 8.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,424 $1,424 11.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines		 $1,628–$1,790 $1,628–$1,790 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines		 $1,058–$1,164 $1,058–$1,164 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,748 $1,748 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $973 $973 7.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,870 $1,870 6.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,636 $1,636 13.1×
Duplex Scan Hemodialysis Access (93990) $1,155 $1,155 9.2×
Duplex up extrem art bilat (93930) $1,597 $1,597 5.6×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines		 $817–$899 $817–$899 varies
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $385 $385 2.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604)
range across 2 matching MRF lines		 $528–$576 $528–$576 varies
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $528 $528 3.4×
ECG/monitoring and analysis (93271) $595 $595 5.2×
Echo Congenital Complete (93303) $3,193 $3,193 4.9×
Echo Heart Xthoracic,Limited (93308) $1,255 $1,255 4.4×
Echo r-t 2d w/probe placement only (93313) $4,193 $4,193 6.4×
Echo transesophag congen probe plcmt only (93316) $2,736 $2,736 4.2×
Echo transesophageal (93312)
range across 2 matching MRF lines		 $9,903.42–$11,264.62 $9,903.42–$11,264.62 varies
Echo Transesophageal - Congenital Tee Complete (93315) $3,346 $3,346 5.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines		 $3,056–$3,346 $3,056–$3,346 varies
Eeg 41-60 Minutes (95812) $1,473 $1,473 5.7×
EEG awake and asleep (95819) $1,249 $1,249 4.8×
EEG awake drowsy (95816) $1,249 $1,249 4.8×
EEG cerebral death evaluation (95824) $268 $268 0.6×
EEG cont rec w/video by tech min 8 channels (95700) $2,701 $2,701 10.4×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines		 $1,338–$1,473 $1,338–$1,473 varies
Eeg Sleep Only (95822) $1,070 $1,070 4.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,025 $2,025 7.8×
EEG w/o vid 2-12hr cont mntr (95707) $2,701 $2,701 10.4×
EEG w/o vid ea 12-26hr intmt (95709) $1,106 $1,106 2.5×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,351 $1,351 3.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $2,433 $2,433 9.4×
EEG wo vid ea 12-26hr unmntr (95708) $921 $921 2.1×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $358 $358 3.1×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $690 $690 6.1×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $175 $175 3.9×
Electrical Stimulation Ea 15 Min (97032) $242 $242 16.5×
Electrocardiogram Tracing (93005) $312 $312 4.4×
Electrocochleography (92584) $727 $727 4.7×
Electroconvulsive Therapy (90870) $1,272 $1,272 1.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $15,378 $15,378 1.6×
Electrophysiology Evaluation (93642) $6,956 $6,956 4.8×
Emergency Dept Visit Level 2 (99282) $887 $887 4.8×
Emergency Dept Visit Level 3 (99283) $2,425 $2,425 7.4×
Emergency Dept Visit Level 4 (99284) $3,502 $3,502 7.0×
Emg 3 Extremities (95863) $832 $832 5.4×
Emg 4 Extremities (95864) $911 $911 5.9×
Endomyocardial Biopsy (93505) $11,873 $11,873 3.1×
Ep & ablate supravent arrhyt (93653) $50,734 $50,734 1.6×
Ep & ablate ventric tachy (93654) $50,734 $50,734 1.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $15,715 $15,715 1.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $15,715 $15,715 1.7×
Er level 1 (99281) $484 $484 4.8×
Er level v (99285) $4,226 $4,226 5.9×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,502 $1,502 3.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $3,086 $3,086 6.9×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 20 matching MRF lines		 $354–$412 $354–$412 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines		 $238–$243 $238–$243 varies
Evaluate Speech Production (92522) $655 $655 5.9×
Evaluate Swallowing Function (92610) $747 $747 8.8×
Evaluation of speech fluency (92521) $1,499 $1,499 11.2×
Evoked Auditory Test,Limited (92587) $455 $455 1.8×
Excimer laser tx psoriasis 250-500 sq cm (96921) $575 $575 2.4×
Excimer laser tx psoriasis >500 sq cm (96922) $868 $868 1.8×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $657 $657 2.7×
Exercise test for bronchospasm (94617) $431 $431 2.7×
External ECG rec>48hr<7d recording (93242) $119 $119 2.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $210 $210 1.3×
External ECG rec>7d<15d recording (93246) $210 $210 4.7×
External ECG rec>7d<15d scanning alys w/report (93247) $426 $426 2.7×
External Ecg Scanning Analysis Report (93226) $1,029 $1,029 14.6×
Extracranial Bilat Study (93880) $1,870 $1,870 6.5×
Extracranial Uni/Ltd Study (93882) $1,118 $1,118 8.9×
F-up/limited tthrc echo congenital car anomaly (93304) $3,193 $3,193 4.9×
Flexible endoscopic eval swallow c/v rec (92612)
range across 2 matching MRF lines		 $558–$603 $558–$603 varies
Flexible ndsc eval swlng&laryn sens c/v rec (92616)
range across 2 matching MRF lines		 $1,270–$1,372 $1,270–$1,372 varies
Fluorescein angiography (92235) $1,575 $1,575 6.1×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $1,841 $1,841 7.1×
Full Field Electroretinography W/I&R (92273) $977 $977 3.8×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $3,959 $3,959 3.8×
Fundus photography (92250) $355 $355 2.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,155 $1,155 2.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,031 $2,031 2.0×
Gi tract capsule endoscopy (91110) $5,737 $5,737 5.3×
Gi tract imaging intraluminal colon i&r (91113) $2,739 $2,739 2.5×
Gonioscopy (92020) $267 $267 1.7×
Group Therapeutic Procedures (97150) $164 $164 9.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $47,896 $47,896 12.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 6 matching MRF lines		 $2,195–$2,356 $2,195–$2,356 varies
Holter monitor recording (93225) $700 $700 4.4×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $218 $218 4.9×
Icd Device Interrogate (93289) $678 $678 15.2×
Icd device progr eval dual (93283) $535 $535 12.0×
Icd Device Progr Eval Mult (93284) $610 $610 13.6×
Icm Device Eval (93290) $287 $287 6.4×
Ilr Device Eval Progr (93285) $507 $507 11.3×
Ilr Device Interrogate (93291) $336 $336 9.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $74 $74 0.9×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $245 $245 3.5×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $117 $117 1.7×
Immunization administration (90471) $74 $74 0.9×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $798 $798 3.1×
Ingestion challenge test initial 120 minutes (95076) $1,838 $1,838 4.1×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,155 $1,155 2.6×
Insert/Place Heart Catheter (93503) $4,565 $4,565 2.4×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $270 $270 2.4×
Interrog&prgrmg ipnss during polysomnography (93152) $513 $513 1.4×
Interrogate Subq Defib (93261) $148 $148 3.3×
Interrogation vad in person (93750) $476 $476 4.2×
Interrogation without programming ipnss (93153) $270 $270 2.4×
Intracranial Complete Study (93886) $1,405 $1,405 4.9×
Intracutaneous tests w/allergenic extracts (95024) $125 $125 1.8×
Iontophoresis 15 min (97033) $186 $186 9.8×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines		 $184–$199 $184–$199 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines		 $225–$243 $225–$243 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines		 $608–$625 $608–$625 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines		 $570–$586 $570–$586 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines		 $217–$239 $217–$239 varies
IV push initial (96374)
range across 3 matching MRF lines		 $459–$485 $459–$485 varies
L Hrt Art/Grft Angio (93459) $36,262 $36,262 9.3×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $9,766 $9,766 2.5×
Liver Elastography W/O Imag W/I&R (91200) $462 $462 3.0×
Lung Function Test (Mbc/Mvv) (94200) $488 $488 6.9×
Lwr Xtr Vasc Stdy Bilat (93924) $1,447 $1,447 5.6×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $2,870 $2,870 1.7×
Mechanical chest wall oscillation per session (94669) $253 $253 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $118 $118 3.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $122 $122 3.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $70 $70 4.1×
Methacholine challenge (94070) $1,375 $1,375 3.1×
Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) $398 $398 2.5×
Motility study esophagus (91010) $1,376 $1,376 3.1×
Motion Fluoroscopy/Swallow (92611) $702 $702 7.7×
Multifocal Electroretinography W/I&R (92274) $510 $510 3.3×
Multiple Family Group Psychotherapy (90849)
range across 2 matching MRF lines		 $158–$190 $158–$190 varies
Muscle Test 2 Limbs (95861) $753 $753 4.7×
Muscle Test Hemidiaphragm (95866) $543 $543 3.5×
Muscle Test Nonparaspinal (95870) $358 $358 2.2×
Muscle Test One Limb (95860) $658 $658 4.1×
Nasopharyngoscopy (92511) $417 $417 1.7×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $519 $519 2.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $496 $496 1.9×
Needle electromyography larynx (95865) $543 $543 3.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $392 $392 1.5×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $2,066 $2,066 8.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $352 $352 0.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $967 $967 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $857–$3,664 $857–$3,664 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $887 $887 1.8×
Nerve Conduction Studies 1-2 Studies (95907) $470 $470 1.8×
Nerve Conduction Studies 11-12 Studies (95912) $2,008 $2,008 4.5×
Nerve conduction studies 13 or more studies (95913) $2,048 $2,048 4.6×
Nerve Conduction Studies 3-4 Studies (95908) $470 $470 1.8×
Nerve conduction studies 5-6 studies (95909) $1,053 $1,053 4.1×
Nerve conduction studies 7-8 studies (95910) $1,161 $1,161 2.6×
Nerve Conduction Studies 9-10 Studies (95911) $1,824 $1,824 4.1×
Neurobehavioral Status Exam (96116) $1,064 $1,064 4.1×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $449 $449 2.9×
Neuromuscular Reeducation (97112) $230 $230 7.0×
Nitric oxide expired gas determination (95012) $272 $272 6.1×
Nrpsyc tst eval phys/qhp 1st (96132) $1,024 $1,024 2.3×
Ocular Vemp Testing W/I&R (92518) $505 $505 3.3×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $413 $413 2.6×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $505 $505 3.2×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $427 $427 2.7×
Ophth medical xm&eval intermediate estab pt (92012) $324 $324 2.0×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $442 $442 2.8×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $248 $248 3.5×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $188 $188 2.7×
Optokinetic Nystagmus Test (92544) $497 $497 3.2×
Oral Function Therapy (92526) $566 $566 6.7×
Oral Speech Device Eval (92597) $435 $435 6.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $260 $260 5.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $196 $196 4.3×
Oscillating Tracking Test (92545) $790 $790 3.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines		 $105–$116 $105–$116 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines		 $105–$116 $105–$116 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines		 $105–$116 $105–$116 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 2 matching MRF lines		 $105–$116 $105–$116 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 2 matching MRF lines		 $105–$116 $105–$116 varies
Ot eval high complexity (97167) $677 $677 6.7×
Ot Eval Low Complex (97165) $454 $454 4.5×
Ot Eval Moderate Complexity (97166) $566 $566 5.6×
Ot manual therapy 15 min (97140) $239 $239 8.6×
Ot paraffin bath (97018) $143 $143 23.8×
Ot Prosthetic Training, Each 15 Min (97761)
range across 3 matching MRF lines		 $154–$260 $154–$260 varies
Ot Re-Eval Est Plan Care (97168) $306 $306 4.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $716 $716 4.6×
Oxygen Uptake Rest Indirect (94690) $129 $129 1.8×
Patch/Application Test Specify Number Tests (95044) $168 $168 0.2×
Pdt dstr prmlg les phys/qhp (96573)
range across 4 matching MRF lines		 $395–$435 $395–$435 varies
Pdt dstr prmlg les skn illum/activj per day (96567) $1,082 $1,082 4.5×
Penile Vascular Study,Ltd or F/U (93981) $559 $559 4.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $577 $577 2.2×
Percutaneous tests w/allergenic extracts (95004) $163 $163 0.2×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $35,000 $35,000 1.6×
Perq transcath closure pda (93582) $39,291 $39,291 1.8×
Perq Transcath Cls Mitral (93590) $44,378 $44,378 2.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $24,776 $24,776 3.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $37,631 $37,631 2.7×
Phlebotomy therapeutic (99195) $460 $460 2.9×
Photochemotx Psoralens&Ultraviolet Puva (96912) $248 $248 3.5×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $248 $248 3.5×
Physical Performance Test (97750) $242 $242 7.2×
Plethysmography (94726) $757 $757 1.7×
Pm device eval in person (93288) $422 $422 9.4×
Pm device progr eval dual (93280) $453 $453 10.1×
Pm device progr eval multi (93281) $556 $556 12.4×
Pm Device Progr Eval Sngl (93279) $391 $391 8.7×
Pm/Icd Remote Tech Serv (93296) $735 $735 16.4×
Positional nystagmus test (92542) $458 $458 2.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $173 $173 3.1×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $142 $142 2.5×
Prepj& antigen allergen immunotherapy 2 insect (95146) $278 $278 5.0×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $368 $368 4.3×
Prepj& antigen allergen immunotherapy 5 insect (95149) $397 $397 4.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $148 $148 3.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $477 $477 10.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $151 $151 2.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $188 $188 3.3×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $339 $339 3.9×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $152 $152 2.7×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $118 $118 2.1×
Prq Card Angio/Athrect 1 Art (92924) $47,244 $47,244 3.4×
Prq Card Stent W/Angio 1 Vsl (92928) $32,762 $32,762 2.4×
Prq Card Stent/Ath/Angio (92933) $37,631 $37,631 1.7×
Prq Revasc Byp Graft 1 Vsl (92937) $37,631 $37,631 2.7×
Prq trl rvs ch occ ant&rtrgr (92945) $38,000 $38,000 2.7×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines		 $364–$552 $364–$552 varies
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines		 $352–$607 $352–$607 varies
Psychological tst eval svc phys/qhp first hour (96130) $387 $387 1.5×
Psycl/Nrpsyc Tst Auto Result (96146) $74 $74 2.1×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $142 $142 0.3×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $195 $195 1.2×
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines		 $364–$552 $364–$552 varies
Pt Eval High Complex (97163) $677 $677 6.9×
Pt eval low complex 20 min (97161) $454 $454 4.6×
Pt Eval Mod Complex (97162) $566 $566 5.8×
Pt gait training 15 min (97116) $223 $223 7.7×
Pt mechanical traction (97012) $105 $105 7.3×
Pt Re-Eval Est Plan Care (97164) $306 $306 4.5×
Pt ultraviolet (97028) $89 $89 10.7×
Pulm function test by gas (94727) $810 $810 3.1×
Pulmonary service/procedure (94799) $319 $319 2.1×
Pulmonary Stress Testing (94618) $1,319 $1,319 8.3×
Pure Tone Audiometry Air (92552) $175 $175 1.1×
R Hrt Art/Grft Angio (93457) $42,933 $42,933 11.1×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $9,766 $9,766 2.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $9,766 $9,766 2.5×
R hrt coronary artery angio (93456) $26,878 $26,878 6.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $9,766 $9,766 2.5×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $9,766 $9,766 2.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $32,584 $32,584 8.4×
Rapid Desensitization Procedure Each Hour (95180) $743 $743 1.4×
Refill/Maint Portable Pump (96521) $718 $718 2.8×
Refill/Maint Pump/Resvr Syst (96522) $847 $847 3.3×
Rem interrog icpms <30 d phys/qhp (93297) $111 $111 2.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $111 $111 2.5×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $139 $139 3.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $395 $395 2.5×
Rem Mntr Wrls P-Art Prs Snr (93264) $858 $858 19.2×
Remote 30 Day Ecg Rev/Report (93270) $190 $190 4.2×
Remote 30 Day Ecg Tech Supp (93229) $655 $655 1.5×
Replacement of contact lens (92326) $197 $197 2.8×
Respiratory flow volume loop (94375) $511 $511 2.0×
Right Heart Cath (93451) $15,305 $15,305 3.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $139 $139 0.6×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $398 $398 2.5×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $230–$259 $230–$259 varies
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $212 $212 3.0×
Sensory Integration Ea 15 Min (97533) $230 $230 3.8×
Short-latency somatosens ep std upr limbs (95925) $1,775 $1,775 6.9×
Sinusoidal Vertical Axis Rotational Testing (92546) $460 $460 3.0×
Somatosensory Testing (95938) $2,042 $2,042 2.0×
Speech Audiometry Complete (92556) $182 $182 2.6×
Speech audiometry threshold (92555) $149 $149 2.1×
Speech sound lang comprehen (92523) $997 $997 4.4×
Spin/Brain Pump Refil & Main (95991) $884 $884 2.4×
Spirometry (94010) $491 $491 1.9×
Spontaneous Nystagmus Test (92541) $614 $614 3.9×
Ssep lower limbs (95926) $1,742 $1,742 6.7×
Standardized Cognitive Performance Testing (96125) $525 $525 5.1×
Stenger Test, Pure Tone (92565) $180 $180 2.5×
Temp transcutaneous pacing (92953) $1,048 $1,048 1.3×
Testing Autonomic Nervous System Function (95923) $767 $767 4.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $234 $234 10.5×
Ther Ivntj Ea Addl 15 Min (97130) $173 $173 8.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines		 $202–$223 $202–$223 varies
Ther/Proph/Diag Inj Ia (96373) $288 $288 1.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $190–$203 $190–$203 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines		 $608–$625 $608–$625 varies
Therapeutic Activities (97530)
range across 6 matching MRF lines		 $212–$230 $212–$230 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,768 $2,768 6.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $75 $75 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $55 $55 1.2×
Transcath Closure of Asd (93580) $14,845 $14,845 0.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,077 $1,077 8.6×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $697 $697 15.6×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $547 $547 3.5×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $576 $576 3.6×
Tte w/doppler, complete (93306)
range across 4 matching MRF lines		 $2,853–$3,039 $2,853–$3,039 varies
Tte W/O Doppler Complete (93307) $2,789 $2,789 9.8×
Tx atrial fib pulm vein isol (93656) $50,734 $50,734 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $653 $653 8.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines		 $459–$485 $459–$485 varies
Tympanometry (92567) $185 $185 4.1×
Tympanometry and reflex threshold measurements (92550) $186 $186 0.7×
Unlisted cardiovascular service/procedure (93799)
range across 6 matching MRF lines		 $417–$7,028 $417–$7,028 varies
Unlisted noninvasive vascular diagnostic study (93998) $183 $183 5.3×
Unlisted otorhinolaryngological service (92700)
range across 6 matching MRF lines		 $75–$83 $75–$83 varies
Unlisted Special Dermatological Service/Px (96999) $614 $614 2.6×
Upr/L Xtremity Art 2 Levels (93922) $572 $572 3.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $737 $737 2.8×
Valvuloplasty aortic valve (92986) $36,757 $36,757 5.4×
Valvuloplasty mitral valve (92987) $19,909 $19,909 1.4×
Veeg 2-12 Hr Cont Mntr (95713) $3,377 $3,377 7.6×
Veeg 2-12 hr intmt mntr (95712) $3,041 $3,041 6.8×
Veeg 2-12 hr unmonitored (95711) $2,701 $2,701 10.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,520 $1,520 3.4×
Veeg Ea 12-26 Hr Unmntr (95714) $1,351 $1,351 3.0×
Veeg ea 12-26hr cont mntr (95716) $1,555 $1,555 1.5×
Vent Mgmt Inpat Init Day (94002) $2,470 $2,470 3.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,245 $2,245 3.0×
Visual Evoked Potential Test (95930) $996 $996 3.8×
Visual Field Exam Extended (92083) $447 $447 2.8×
Visual field xm uni/bi w/interp intermed exam (92082) $350 $350 5.0×
Visual reinforcement audiometry (vra) (92579) $422 $422 1.6×
Vital capacity, total (94150) $121 $121 0.8×
Wada Activation Test Hemispheric Function W/Eeg (95958) $5,491 $5,491 5.3×
Wheelchair Mgmt Ea 15 Min (97542) $230 $230 7.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $191 $191 2.7×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $310 $310 6.9×

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.