Visits & medical services prices at United Hospital Center
Bridgeport, WV · every code in this section with a posted price and a Medicare benchmark.
384 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $117 | $234 | 1.2× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $205 | $410 | 1.6× |
| Acoustic Reflex Testing (92568) | $43 | $86 | 1.2× |
| Actinotherapy Ultraviolet Light (96900) | $48 | $96 | 1.3× |
| Acupunct W/Stimul 15 Min (97813) | $39 | $78 | 1.4× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $39 | $78 | 1.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $47 | $94 | 1.2× |
| Advncd Care Plan 30 Min (99497) | $133 | $266 | 1.4× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$103–$241.50 | $206–$483 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$458–$461 | $916–$922 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$458–$461 | $916–$922 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$113.50–$255 | $227–$510 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $52.50 | $105 | 1.5× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$109.50–$455.50 | $219–$911 | varies |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$153–$257.50 | $306–$515 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$109.50–$174 | $219–$348 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $429 | $858 | 1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$39–$44.50 | $78–$89 | varies |
| Application on-body injector (96377) | $87 | $174 | 1.9× |
| Assessment of aphasia per hr (96105) | $608.50 | $1,217 | 6.3× |
| Assmt & care planning pt w/cognitive impairment (99483) | $117 | $234 | 1.2× |
| Audiometry Air & Bone (92553) | $88.50 | $177 | 0.7× |
| Basic vestibular evaluation (92540) | $110 | $220 | 0.5× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$217–$233.50 | $434–$467 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $171 | $342 | 2.1× |
| Bfb training ea addl 15 min (90913) | $85 | $170 | 2.6× |
| Biofeedback training any modality (90901) | $158 | $316 | 3.8× |
| Blink reflex test (95933) | $145 | $290 | 2.5× |
| Brief Emotional/Behav Assmt (96127) | $43 | $86 | 1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$250–$430 | $500–$860 | varies |
| C motor evoked uppr limbs (95928) | $593 | $1,186 | 0.7× |
| C motor evoked upr&lwr limbs (95939) | $593 | $1,186 | 0.7× |
| Caloric vestibular test w/rec bi monothermal (92538) | $208.50 | $417 | 1.0× |
| Caloric Vstblr Test W/Rec (92537) | $213 | $426 | 1.7× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$99–$118 | $198–$236 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$758–$819 | $1,516–$1,638 | varies |
| Cardiopulmonary exercise testing (94621) | $446.50 | $893 | 1.2× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$559–$669.50 | $1,118–$1,339 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,494–$1,498.50 | $2,988–$2,997 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $43.50 | $87 | 1.2× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $43.50 | $87 | 1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $25 | $50 | 1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,043.50 | $12,087 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $6,050 | $12,100 | 1.9× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $418.50 | $837 | 2.0× |
| Cervical Vemp Testing W/I&R (92517) | $220.50 | $441 | 1.8× |
| Chemo Admin Peritoneal Cavity (96446) | $369 | $738 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$168.50–$197.50 | $337–$395 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $130 | $260 | 1.9× |
| Chemo Ia Push (96420) | $486 | $972 | 1.5× |
| Chemo Intralesional Over 7 (96406) | $6 | $12 | 0.0× |
| Chemo intralesional up to 7 (96405) | $6 | $12 | 0.1× |
| Chemo IV infusion addl hr (96415) | $168.50 | $337 | 2.4× |
| Chemo IV push addl drug (96411) | $288.50 | $577 | 4.1× |
| Chemother Prolong Infuse W/Pump (96416) | $669 | $1,338 | 2.1× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $486 | $972 | 1.5× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $68.50 | $137 | 1.5× |
| Chemotherapy Into Cns (96450) | $543 | $1,086 | 1.7× |
| Chemotherapy Intracavitary (96440) | $486 | $972 | 1.5× |
| Chemotherapy Unspecified (96549) | $55 | $110 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $187 | $374 | 2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $815.50 | $1,631 | 2.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $288.50 | $577 | 0.9× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$72.50–$110 | $145–$220 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $62 | $124 | 0.6× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $72.50 | $145 | 1.3× |
| Color/duplex Doppler, complete (93975) | $676 | $1,352 | 2.9× |
| Color/duplex Doppler, limited (93976) | $486 | $972 | 4.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $61.50 | $123 | 1.9× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $204.50 | $409 | 1.2× |
| Comprehensive Hearing Test (92557) range across 3 matching MRF lines |
$92.50–$281.50 | $185–$563 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$93–$98 | $186–$196 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$97.50–$98 | $195–$196 | varies |
| Conditioning Play Audiometry (92582) | $92.50 | $185 | 0.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$153.50–$518.50 | $307–$1,037 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $85 | $170 | 1.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$225.50–$233.50 | $451–$467 | varies |
| Cornea hysteresis determin impulse stimj uni/bi (92145) | $56.50 | $113 | 1.0× |
| Coronary Art/Grft Angio S&I (93455) | $6,206 | $12,412 | 2.0× |
| Coronary Artery Angio S&I (93454) | $6,050 | $12,100 | 1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $407.50 | $815 | 1.9× |
| Cpt initial (94667) range across 3 matching MRF lines |
$69–$81.50 | $138–$163 | varies |
| Critical care first hour (99291) | $1,482 | $2,964 | 1.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $137.50 | $275 | 0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$214.50–$295 | $429–$590 | varies |
| Dialysis One Evaluation (90945) | $493 | $986 | 1.2× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $135 | $270 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $276.50 | $553 | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $363 | $726 | 3.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $486 | $972 | 2.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $399 | $798 | 3.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $695.50 | $1,391 | 3.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $349 | $698 | 3.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $306 | $612 | 1.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $145 | $290 | 1.4× |
| Duplex Scan Hemodialysis Access (93990) | $99 | $198 | 1.0× |
| Duplex up extrem art bilat (93930) | $539.50 | $1,079 | 2.3× |
| Duplex up extrem art unilat/ltd (93931) | $275 | $550 | 2.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$494.50–$692.50 | $989–$1,385 | varies |
| Echo r-t 2d w/probe placement only (93313) | $535 | $1,070 | 1.0× |
| Echo transesophageal (93312) | $1,413 | $2,826 | 2.7× |
| Eeg 41-60 Minutes (95812) | $696 | $1,392 | 3.3× |
| EEG awake and asleep (95819) | $683 | $1,366 | 3.3× |
| EEG awake drowsy (95816) | $622 | $1,244 | 3.0× |
| EEG cerebral death evaluation (95824) | $340 | $680 | 0.9× |
| EEG extended monitoring 61-119 minutes (95813) | $845.50 | $1,691 | 4.0× |
| Eeg Sleep Only (95822) | $799 | $1,598 | 3.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $248.50 | $497 | 1.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $429 | $858 | 1.2× |
| Electrical Stimulation Ea 15 Min (97032) | $44.50 | $89 | 3.0× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$120–$123 | $240–$246 | varies |
| Electrocochleography (92584) | $177.50 | $355 | 1.4× |
| Electrophysiology Evaluation (93642) | $3,054.50 | $6,109 | 2.6× |
| Emergency Dept Visit Level 2 (99282) | $272 | $544 | 1.8× |
| Emergency Dept Visit Level 3 (99283) | $479 | $958 | 1.8× |
| Emergency Dept Visit Level 4 (99284) | $787 | $1,574 | 1.9× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$403–$743.50 | $806–$1,487 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$433.50–$972.50 | $867–$1,945 | varies |
| Endomyocardial Biopsy (93505) | $2,870 | $5,740 | 0.9× |
| Er level 1 (99281) range across 2 matching MRF lines |
$137–$149 | $274–$298 | varies |
| Er level v (99285) | $1,138.50 | $2,277 | 2.0× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $125 | $250 | 1.0× |
| Evaluate pt use of inhaler (94664) | $113.50 | $227 | 0.5× |
| Evaluate Speech Production (92522) | $185 | $370 | 1.7× |
| Evaluate Swallowing Function (92610) | $198 | $396 | 2.3× |
| Evaluation of speech fluency (92521) | $185 | $370 | 1.4× |
| Evoked Auditory Test,Limited (92587) | $98.50 | $197 | 0.5× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $231 | $462 | 1.2× |
| External ECG rec>48hr<7d recording (93242) | $73 | $146 | 2.0× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $106 | $212 | 0.8× |
| External ECG rec>7d<15d recording (93246) | $114 | $228 | 3.2× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $214.50 | $429 | 1.7× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$237.50–$475 | $475–$950 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$332.50–$693.50 | $665–$1,387 | varies |
| Extracranial Uni/Ltd Study (93882) | $482.50 | $965 | 4.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $639 | $1,278 | 1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $370 | $740 | 1.9× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $888 | $1,776 | 1.1× |
| Fundus photography (92250) range across 2 matching MRF lines |
$153–$186 | $306–$372 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $938.50 | $1,877 | 2.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $935 | $1,870 | 1.1× |
| Gi tract capsule endoscopy (91110) | $1,962.50 | $3,925 | 2.2× |
| Gi wireless capsule measure (91112) range across 2 matching MRF lines |
$1,042.50–$1,182.50 | $2,085–$2,365 | varies |
| Gonioscopy (92020) | $141 | $282 | 1.1× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$38.50–$44.50 | $77–$89 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $197.50 | $395 | 1.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $5,990.50 | $11,981 | 1.9× |
| Holter monitor recording (93225) | $249 | $498 | 1.9× |
| Icd Device Interrogate (93289) | $78 | $156 | 2.2× |
| Icd device progr eval dual (93283) | $69 | $138 | 1.9× |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$44–$76.50 | $88–$153 | varies |
| Ilr Device Eval Progr (93285) | $69 | $138 | 1.9× |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$75–$81 | $150–$162 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $37 | $74 | 0.5× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $29.50 | $59 | 0.5× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $29.50 | $59 | 0.5× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $19.50 | $39 | 0.5× |
| Immunization administration (90471) range across 2 matching MRF lines |
$9–$71.50 | $18–$143 | varies |
| Insert/Place Heart Catheter (93503) | $2,377 | $4,754 | 1.6× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $115 | $230 | 0.9× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $115 | $230 | 0.9× |
| Interrogate Subq Defib (93261) | $60.50 | $121 | 1.7× |
| Interrogation vad in person (93750) | $102 | $204 | 1.1× |
| Interrogation without programming ipnss (93153) | $109.50 | $219 | 1.2× |
| Intra-atrial pacing (93610) | $4,777.50 | $9,555 | 0.6× |
| Intracranial Complete Study (93886) | $501.50 | $1,003 | 2.2× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $34.50 | $69 | 1.2× |
| Intracutaneous tests w/allergenic extracts (95024) | $26.50 | $53 | 0.5× |
| Iontophoresis 15 min (97033) | $50.50 | $101 | 2.7× |
| Irrig Drug Delivery Device (96523) | $118.50 | $237 | 2.1× |
| IV infusion hydration each additional hour (96361) | $120.50 | $241 | 2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $429 | $858 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $184.50 | $369 | 2.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$79.50–$117 | $159–$234 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$244–$429.50 | $488–$859 | varies |
| L Hrt Art/Grft Angio (93459) | $6,262 | $12,524 | 2.0× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $3,106.50 | $6,213 | 1.0× |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$148–$253 | $296–$506 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $114 | $228 | 2.0× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,632 | $3,264 | 1.2× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $298.50 | $597 | 1.4× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $334 | $668 | 0.9× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$110–$306.50 | $220–$613 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $35.50 | $71 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$25.50–$96 | $51–$192 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $61 | $122 | 3.6× |
| Motility study esophagus (91010) | $719 | $1,438 | 2.0× |
| Motion Fluoroscopy/Swallow (92611) | $208.50 | $417 | 2.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$2,398.50–$3,197 | $4,797–$6,394 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$346–$433.50 | $692–$867 | varies |
| Muscle Test Nonparaspinal (95870) | $161 | $322 | 1.3× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$240–$366 | $480–$732 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$229.50–$249.50 | $459–$499 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$307.50–$403 | $615–$806 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$307.50–$403 | $615–$806 | varies |
| Needle electromyography larynx (95865) | $145 | $290 | 1.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $140.50 | $281 | 0.7× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $248.50 | $497 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$466.50–$577 | $933–$1,154 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $577 | $1,154 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$231–$387.50 | $462–$775 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$466.50–$777 | $933–$1,554 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$248.50–$407.50 | $497–$815 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$193.50–$700 | $387–$1,400 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$224.50–$700 | $449–$1,400 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 4 matching MRF lines |
$110–$407.50 | $220–$815 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$248.50–$700 | $497–$1,400 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$131.50–$700 | $263–$1,400 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$173–$700 | $346–$1,400 | varies |
| Neurobehavioral Status Exam (96116) | $248.50 | $497 | 1.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$58.50–$205 | $117–$410 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$44–$50.50 | $88–$101 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$908.50–$954.50 | $1,817–$1,909 | varies |
| Nitric oxide expired gas determination (95012) | $43 | $86 | 1.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $429 | $858 | 1.2× |
| Ocular Vemp Testing W/I&R (92518) | $220.50 | $441 | 1.8× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $172 | $344 | 1.3× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $78 | $156 | 0.6× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $78 | $156 | 0.6× |
| Ophth medical xm&eval intermediate estab pt (92012) | $78 | $156 | 0.6× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $153.50 | $307 | 1.2× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $68 | $136 | 1.2× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $68 | $136 | 1.2× |
| Optokinetic Nystagmus Test (92544) | $203.50 | $407 | 1.6× |
| Oral Function Therapy (92526) | $196 | $392 | 2.3× |
| Oral Speech Device Eval (92597) | $154 | $308 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $60 | $120 | 1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $61.50 | $123 | 1.3× |
| Oscillating Tracking Test (92545) | $409.50 | $819 | 2.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $25.50 | $51 | 1.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $25.50 | $51 | 1.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $6.50 | $13 | 0.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $30.50 | $61 | 1.5× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $40.50 | $81 | 1.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $44.50 | $89 | 3.2× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$162–$185 | $324–$370 | varies |
| Ot Eval Low Complex (97165) | $185 | $370 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $185 | $370 | 1.8× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$44–$83 | $88–$166 | varies |
| Ot paraffin bath (97018) | $69 | $138 | 11.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $61.50 | $123 | 1.5× |
| Ot Re-Eval Est Plan Care (97168) | $105.50 | $211 | 1.5× |
| Ot rom hand (95852) | $64.50 | $129 | 3.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $183.50 | $367 | 1.5× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $269 | $538 | 10.9× |
| Pdt dstr prmlg les phys/qhp (96573) | $231 | $462 | 1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $252 | $504 | 1.2× |
| Percutaneous tests w/allergenic extracts (95004) | $24.50 | $49 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $70.50 | $141 | 1.2× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $9,515.11 | $19,030.21 | 0.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $12,079.50 | $24,159 | 2.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $7,965 | $15,930 | 0.7× |
| Phlebotomy therapeutic (99195) | $150.50 | $301 | 1.2× |
| Photo patch test(s) (95052) | $71.50 | $143 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$81.50–$84 | $163–$168 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$78–$81.50 | $156–$163 | varies |
| Physical Performance Test (97750) | $61.50 | $123 | 1.8× |
| Plethysmography (94726) | $430 | $860 | 1.2× |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$43–$78 | $86–$156 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$76.50–$107 | $153–$214 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$69–$107 | $138–$214 | varies |
| Pm Device Progr Eval Sngl (93279) | $76.50 | $153 | 2.1× |
| Pm/Icd Remote Tech Serv (93296) | $56 | $112 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,845.50–$2,966 | $3,691–$5,932 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,694.50 | $5,389 | 3.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,392 | $2,784 | 1.7× |
| Positional nystagmus test (92542) | $145 | $290 | 1.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $7 | $14 | 0.2× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $54 | $108 | 1.2× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $54 | $108 | 1.2× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $83 | $166 | 1.2× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $83 | $166 | 1.2× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $513.50 | $1,027 | 1.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $69 | $138 | 1.9× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $117 | $234 | 1.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $29.50 | $59 | 0.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $29.50 | $59 | 0.7× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $83 | $166 | 1.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $7,965 | $15,930 | 0.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $7,965 | $15,930 | 0.7× |
| Prq Card Stent/Ath/Angio (92933) | $9,515 | $19,030 | 0.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $7,965 | $15,930 | 0.7× |
| Psych diag eval w/med srvcs (90792) | $204.50 | $409 | 1.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $153 | $306 | 1.2× |
| Pt Eval High Complex (97163) | $185 | $370 | 1.9× |
| Pt eval low complex 20 min (97161) | $185 | $370 | 1.9× |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$162–$185 | $324–$370 | varies |
| Pt gait training 15 min (97116) | $50.50 | $101 | 1.7× |
| Pt group caregiver training (97552) | $25 | $50 | 1.1× |
| Pt mechanical traction (97012) | $96.50 | $193 | 6.7× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$162–$185 | $324–$370 | varies |
| Pulmonary service/procedure (94799) | $421.50 | $843 | 3.4× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$179.50–$241.50 | $359–$483 | varies |
| Pure Tone Audiometry Air (92552) | $41 | $82 | 0.3× |
| R Hrt Art/Grft Angio (93457) | $5,990.50 | $11,981 | 1.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $3,106.50 | $6,213 | 1.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $3,106.50 | $6,213 | 1.0× |
| R hrt coronary artery angio (93456) | $6,548.50 | $13,097 | 2.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $3,106.50 | $6,213 | 1.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $3,106.50 | $6,213 | 1.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,460 | $12,920 | 2.1× |
| Rapid Desensitization Procedure Each Hour (95180) | $513.50 | $1,027 | 1.2× |
| Rectal sensation tone&compliance study (91124) | $248 | $496 | 1.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $329 | $658 | 1.0× |
| Refill/Maint Portable Pump (96521) | $393.50 | $787 | 1.9× |
| Rem interrog icpms <30 d phys/qhp (93297) | $81.50 | $163 | 2.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $81.50 | $163 | 2.3× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $43 | $86 | 1.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $153.50 | $307 | 1.2× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $43 | $86 | 1.2× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $78.50 | $157 | 2.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $73.50 | $147 | 2.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$77.50–$85 | $155–$170 | varies |
| Right Heart Cath (93451) | $5,990.50 | $11,981 | 1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$229–$434 | $458–$868 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $89.50 | $179 | 3.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $246 | $492 | 2.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $124 | $248 | 2.6× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $153 | $306 | 1.2× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$54–$61.50 | $108–$123 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $9.50 | $19 | 0.2× |
| Sensory Integration Ea 15 Min (97533) | $50.50 | $101 | 0.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $418.50 | $837 | 2.0× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$407.50–$551.50 | $815–$1,103 | varies |
| Sleep study attended (95807) | $680.50 | $1,361 | 1.9× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$427.50–$443.50 | $855–$887 | varies |
| Slp caregiver training 1st 30 min (97550) | $49.50 | $99 | 0.9× |
| Slp Stdy Unatnd W/Anal (95801) | $530 | $1,060 | 9.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$248.50–$570 | $497–$1,140 | varies |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$593–$700 | $1,186–$1,400 | varies |
| Speech Audiometry Complete (92556) | $44.50 | $89 | 0.8× |
| Speech audiometry threshold (92555) | $32.50 | $65 | 0.6× |
| Speech sound lang comprehen (92523) | $185 | $370 | 0.8× |
| Spin/Brain Pump Refil & Main (95991) | $353 | $706 | 1.2× |
| Spirometry (94010) range across 4 matching MRF lines |
$117.50–$289 | $235–$578 | varies |
| Spontaneous Nystagmus Test (92541) | $145 | $290 | 1.1× |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$324.50–$700 | $649–$1,400 | varies |
| Stress Tte Only (93350) | $1,472 | $2,944 | 2.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $94 | $188 | 2.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $422 | $844 | 2.1× |
| Surfactant Admin Thru Tube (94610) | $393 | $786 | 1.9× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,092–$1,179 | $2,184–$2,358 | varies |
| Tensilon Test (95857) | $461 | $922 | 2.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $20 | $40 | 0.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $20 | $40 | 1.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$61.50–$138.50 | $123–$277 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $50.50 | $101 | 1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $134.50 | $269 | 1.3× |
| Ther/Proph/Diag Inj Ia (96373) | $166.50 | $333 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$84–$135 | $168–$270 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$244.50–$566.50 | $489–$1,133 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $248.50 | $497 | 1.2× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$54–$61.50 | $108–$123 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $17 | $34 | 0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $42.50 | $85 | 1.2× |
| Trans Care Mgmt 14 Day Disch (99495) | $153.50 | $307 | 1.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $158.50 | $317 | 1.2× |
| Tte w/doppler, complete (93306) | $1,220.50 | $2,441 | 2.3× |
| Tte W/O Doppler Complete (93307) | $1,049.50 | $2,099 | 4.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $162.50 | $325 | 2.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $126 | $252 | 5.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $116 | $232 | 2.6× |
| Tympanometry (92567) range across 3 matching MRF lines |
$43–$52.50 | $86–$105 | varies |
| Tympanometry and reflex threshold measurements (92550) | $205 | $410 | 1.0× |
| Unlis neurological/neuromuscular dx px (95999) | $203.50 | $407 | 1.6× |
| Unlisted cardiovascular service/procedure (93799) | $317 | $634 | 2.5× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $659 | $1,318 | 5.3× |
| Unlisted otorhinolaryngological service (92700) | $42.50 | $85 | 1.5× |
| Unlisted Special Dermatological Service/Px (96999) | $231 | $462 | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$165.50–$309.50 | $331–$619 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $314 | $628 | 1.5× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$83–$94.50 | $166–$189 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$325–$712.50 | $650–$1,425 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$251.50–$712.50 | $503–$1,425 | varies |
| Visual Evoked Potential Test (95930) | $407.50 | $815 | 2.0× |
| Visual Field Exam Extended (92083) | $153.50 | $307 | 1.2× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $126.50 | $253 | 2.2× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $68.50 | $137 | 1.2× |
| Visual reinforcement audiometry (vra) (92579) | $102 | $204 | 0.5× |
| Vital capacity, total (94150) | $136 | $272 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $61.50 | $123 | 2.0× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$133–$145.50 | $266–$291 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $81 | $162 | 1.4× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $44 | $88 | 1.2× |
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.