Visits & medical services prices at Unity Health - Jacksonville

Jacksonville, AR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $45.75 $183 0.5×
Ablation av node (93650)
likely a partial charge, not the full procedure		 $330.75 $1,323 0.0×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $35 $140 0.3×
Acoustic reflex testing (92568) $13 $52 0.4×
Administration of prolonged chemotherapy into artery (96425) $160.75 $643 0.5×
Advance care planning first 30 mins (99497) $21.75 $87 0.2×
Airway inhalation treatment (94640) $22.25 $89 0.1×
Allergy skin tests (95028) $6.25 $25 0.2×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $8.25 $33 0.3×
Ambulatory Bp Analysis (93788) $9 $36 0.1×
Ambulatory Bp Recording (93786) $15.75 $63 0.1×
Analysis and programming of inner ear implant (younger than 7 years) (92601) $80 $320 0.7×
Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) $50.50 $202 0.4×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $47.75 $191 0.4×
Analyze Neurostim Complex (95972) $34 $136 0.4×
Analyze neurostim no prog (95970) $27.50 $110 0.2×
Appl on-body injector for timed subq injection (96377) $27.50 $110 0.6×
Application of allergenic extract onto mucous membrane of nose with reaction analysis (95065) $11.75 $47 0.3×
Application of allergenic extract skin patch, exposure to ultraviolet light, and reaction analysis (95052) $4.50 $18 0.1×
Arrhythmia induction (93618) $211.50 $846 0.2×
Assessment of aphasia (96105) $116.25 $465 1.2×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $18.25 $73 0.5×
Auditory Function, 60 Min (92620) $41.25 $165 0.3×
Behav assmt w/score & docd/stand instrument (96127) $18 $72 0.5×
Behavior id assessment by phys/qhp ea 15 min (97151) $8.25 $33 0.1×
Behavioral and qualitative analysis of voice and resonance (92524) $58 $232 0.5×
Breath Hydrogen/Methane Test (91065) $34.25 $137 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $119.50 $478 0.3×
Bundle of his recording (93600)
likely a partial charge, not the full procedure		 $122.25 $489 0.0×
Canalith Repositioning (95992) $11.50 $46 0.3×
Capsule endoscopy (91110) $241.25 $965 0.3×
Cardiac Stress Tst,Tracing Only (93017) $241.75 $967 1.2×
Cardiopulmonary exercise testing (94621) $83.25 $333 0.2×
Cardiopulmonary resuscitation (92950) $277.50 $1,110 1.4×
Cardioversion (92960) $305.75 $1,223 0.5×
Cardioversion internal (92961) $137.75 $551 0.2×
Care mgmt svc bhvl hlth cond (99484) $13 $52 0.4×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $1,128.75 $4,515 0.4×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $164 $656 0.1×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
likely a partial charge, not the full procedure		 $561.25 $2,245 0.0×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $1,741.62 $6,966.50 0.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $1,617.50 $6,470 0.5×
Cbt 1st hour (94644) $18.50 $74 0.1×
Chemo Admin Peritoneal Cavity (96446) $83.50 $334 0.3×
Chemo Hormon Antineopl Sq/Im (96402) $43.50 $174 0.6×
Chemo inj subarach/intravent (96542) $54.25 $217 0.2×
Chemo IV push addl drug (96411) $78 $312 1.2×
Chemo Iv Push Sngl Drug (96409) $100.50 $402 0.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $217 $868 0.7×
Chemother, IV infusion, 1 hr (96413) $159.50 $638 0.5×
Chemother, IV infusion, ea add hr (96415) $47 $188 0.7×
Chemother,ia infusn tech,<1 hr (96422) $71.75 $287 0.2×
Chemother,Ia Push Technique (96420) $83.50 $334 0.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $70 $280 1.0×
Chemotherapy admn intraarterial infusion ea hr (96423) $137.75 $551 3.1×
Chemotherapy, unspecified procedure (96549) $37.25 $149 0.8×
Chemotx Admn Cns Req Spinal Puncture (96450) $91 $364 0.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $72.50 $290 1.1×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $83.50 $334 0.3×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $21.50 $86 0.2×
Circadian respiratry pattern rec 12-24 hr infant (94772) $131 $524 0.4×
Color/duplex Doppler, complete (93975) $191.25 $765 0.9×
Comprehensive Hearing Test (92557) $35 $140 0.3×
Computerized dynamic posturography (92548) $55.75 $223 0.4×
Conditioning Play Audiometry (92582) $35 $140 0.3×
Cont Gluc Monitoring Patient Provided Equipment (95249) $22.25 $89 0.4×
Continuous Glucose Monitoring (95250) $69.50 $278 0.6×
Coronary artery angio s&i (93454) $1,003.38 $4,013.50 0.3×
Cpap initiation and management (94660) $118 $472 0.6×
Cpt initial (94667) $22.75 $91 0.2×
Critical care (99291) $466 $1,864 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $92.88 $371.50 0.5×
Demo &/or eval,pt use,aerosol device (94664) $35.50 $142 0.2×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $37.50 $150 0.1×
Duodenal Motility Study (91022) $96.75 $387 0.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $104.25 $417 0.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $72.50 $290 0.7×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $64.50 $258 0.7×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $77 $308 0.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $234 $936 1.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $149.50 $598 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $159.88 $639.50 0.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $122.75 $491 1.2×
Dup-scan xtr veins unilateral/limited study (93971) $121.38 $485.50 1.2×
Duplex hemodialysis access (93990) $101.50 $406 1.0×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $127.25 $509 0.6×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $158 $632 1.6×
Duplex scan extracranial art compl bi study (93880) $219.75 $879 1.0×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $43.50 $174 0.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $73.75 $295 0.6×
Ear and throat examination (92502) $99.75 $399 0.2×
Ear Protector Attenuation Measurements (92596) $20.25 $81 0.6×
Echo Heart Xthoracic,Limited (93308) $174.88 $699.50 0.8×
Echo r-t 2d w/probe placement only (93313) $22.50 $90 0.0×
Echo transesophageal (93312) $415.75 $1,663 0.8×
EEG awake asleep (95819) $259.50 $1,038 1.3×
EEG awake drowsy (95816) $250.50 $1,002 1.2×
EEG cerebral death evaluation (95824) $182.25 $729 0.5×
EEG coma or sleep only (95822) $134.50 $538 0.7×
Eeg Extended Monitoring 61-119 Minutes (95813) $166.50 $666 0.8×
EKG (93005) $48 $192 0.9×
EKG rhythm strip (93041) $23.25 $93 0.4×
Ekg Signal Averaging (93278) $19.75 $79 0.4×
Elec alys implt cplx cn npgt prgrmg (95977) $30 $120 0.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $10.50 $42 0.3×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $26.50 $106 0.3×
Electrocardiogram (ECG) assessment of irregular heart beats (93025) $150 $600 1.2×
Electrocochleography (92584) $36.50 $146 0.3×
Electroconvulsive Therapy (90870) $73.50 $294 0.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $139 $556 0.7×
EMG cranial nerve bilat (95868) $53 $212 0.3×
EMG cranial nerve unilat (95867) $36.75 $147 0.2×
EMG four extremities (95864) $88.50 $354 0.7×
EMG one extremity (95860) $45 $180 0.4×
EMG thoracic paraspinal (95869) $21.75 $87 0.1×
EMG three extremities (95863) $73.75 $295 0.6×
EMG two extremities (95861) $61.75 $247 0.5×
Endomyocardial biopsy (93505) $399.50 $1,598 0.1×
Ep Analyze Pacer Sys (93724) $196.50 $786 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure		 $527.75 $2,111 0.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure		 $396.50 $1,586 0.1×
Ep Electrophysiologic F/U Study (93624)
likely a partial charge, not the full procedure		 $205 $820 0.0×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $260.50 $1,042 0.2×
Ep Esophageal Recording Atria+Pacing (93616) $45.75 $183 0.0×
Ep Right Ventricular Recording (93603) $93.50 $374 0.1×
Er level 1 (99281) $72.38 $289.50 0.9×
Er level ii (99282) $109.62 $438.50 0.8×
Er level iii (99283) $171 $684 0.7×
Er level IV (99284) $283.75 $1,135 0.7×
Er level v (99285) $346.38 $1,385.50 0.6×
Ergonovine provocation test (93024) $62 $248 0.1×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $71.75 $287 0.2×
Esophageal Capsule Endoscopy (91111) $359 $1,436 0.4×
Esophageal recording (93615) $65 $260 0.1×
Esophagus acid perfusion test esophagitis (91030) $71 $284 0.2×
Esophgl balo distension dx std w/provocation (91040) $182.25 $729 0.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $43.25 $173 0.4×
Evaluation of speech fluency (92521) $121.75 $487 0.9×
Evaluation of speech sound production (92522) $106.50 $426 1.0×
Evaluation of swallowing function (92610) $68.62 $274.50 0.8×
Evaluation with prescription of speech-generating alternative (92607) $104.50 $418 0.9×
Evoked Auditory Test,Comprehsv (92588) $73 $292 0.2×
Evoked auditory test,limited (92587) $65 $260 0.3×
Exhaled Air Analysis (94690) $30 $120 0.5×
Exhaled air analysis o2 (94680) $33 $132 0.3×
External ECG rec>48hr<7d recording (93242) $9.25 $37 0.3×
External ECG rec>7d<15d recording (93246) $15.25 $61 0.4×
External Ecg Scanning Analysis Report (93226) $44.25 $177 0.8×
Eye allergy tests (95060) $21.75 $87 0.2×
Facial nerve function studies (92516) $32.50 $130 0.2×
Filtered Speech Test (92571) $9 $36 0.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $83 $332 0.4×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $100.50 $402 0.4×
Flow volume loop (94375) $49 $196 0.2×
Gastric motility studies (91020) $117.75 $471 0.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $100 $400 0.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $81.50 $326 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $239 $956 0.3×
Group Therapeutic Procedures (97150) $15.75 $63 0.9×
Hast w/report (94452) $28.75 $115 0.2×
Hemodialysis (90935) $36 $144 0.1×
High altitude simulation test (94453) $39 $156 0.3×
Holter Monitor Recording (93225) $39 $156 0.3×
Hydrotherapy (97036) $14.50 $58 0.4×
Hypnotherapy (90880) $55.50 $222 0.6×
Hypoxia Response Curve (94450) $28.75 $115 0.2×
Icd Device Interrogate (93289) $22.75 $91 0.6×
Ilr Device Eval Progr (93285) $24.25 $97 0.7×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $23.50 $94 0.6×
Immunization Admin (90471) $22.75 $91 0.3×
Immunotherapy, 2+ Injections (95117) $11 $44 0.3×
Ingestion challenge test initial 120 minutes (95076) $79 $316 0.2×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $35.50 $142 0.1×
Inital newborn e/m (99460) $39 $156 0.3×
Initial normal newborn care, same day discharge (99463) $29.50 $118 0.2×
Initial set-up and programming by a physician or other qualified health care professional of wearable… (93745) $27 $108 0.1×
Injection intra arterial (96373) $54.25 $217 0.3×
Injection of hypnotic drug for psychiatric diagnosis or therapy (90865) $82.75 $331 0.5×
Ins swan ganz bedside (93503) $74.75 $299 0.1×
Insertion of catheter for assessment of heart blood vessel function at various temperatures (93740) $6.75 $27 0.1×
Interrog dev eval icpms phys/qhp in person (93290) $12 $48 0.3×
Interrog dev eval scrms phys/qhp in person (93291) $12 $48 0.4×
Interrogation eval in person wr defibrillator (93292) $19 $76 0.5×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure		 $87.75 $351 0.0×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure		 $119.25 $477 0.0×
Intracutaneous tests w/allergenic xtrcs airborne (95027) $2.75 $11 0.1×
Intralesional Chemo Admin,8+ Lesn (96406) $54.25 $217 0.3×
Intralesional Chemo Admin,<8 Lesn (96405) $42.75 $171 0.6×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure		 $124.25 $497 0.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $31 $124 0.6×
Ischemic limb exercise test (95875) $51 $204 0.4×
IV infusion hydration each additional hour (96361) $34.75 $139 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $111.25 $445 0.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $58.75 $235 0.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $122 $488 0.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $37.75 $151 0.9×
IV push initial (96374) $99.25 $397 0.5×
Laryngeal Function Studies (92520) $32.50 $130 0.3×
Laryngoscopic Sensory Test (92614) $74.25 $297 0.5×
Loudness balance binaural/monaural (92562) $13.50 $54 0.1×
Manual therapy 15 min (97140) $20.62 $82.50 0.7×
Massage 15 min (97124) $24 $96 0.8×
Maximum voluntary ventilation (94200) $12 $48 0.2×
Measurement of heart blood flow and respiration (93701) $17.75 $71 0.1×
Mechanical chest wall oscillation (94669) $29.25 $117 0.1×
Mechanical traction (97012) $21.75 $87 1.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $11.75 $47 0.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $15.75 $63 0.4×
Methacholine challenge (94070) $130.25 $521 0.4×
Motility study esophagus (91010) $95.75 $383 0.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $97.25 $389 1.1×
Multiple Family Group Psychotherapy (90849) $18 $72 0.1×
Multiple sleep latency test (95805) $618.25 $2,473 0.8×
Nasal function studies (92512) $31.25 $125 0.2×
Nasopharyngoscopy (92511) $66 $264 0.4×
Needle electromyography hemidiaphragm (95866) $51 $204 0.4×
Needle electromyography larynx (95865) $60 $240 0.5×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $26.25 $105 0.2×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $90 $360 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $125.75 $503 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $125.75 $503 0.3×
Nerve conduction studies 13/> studies (95913) $119.50 $478 0.3×
Nerve Conduction Studies 3-4 Studies (95908) $67 $268 0.3×
Nerve Conduction Studies 9-10 Studies (95911) $119.50 $478 0.3×
Nerve conduction studies; 1-2 studies (95907) $37.25 $149 0.2×
Nerve conduction studies; 11-12 studies (95912) $119.50 $478 0.3×
Nerve conduction studies; 5-6 studies (95909) $67 $268 0.3×
Nerve conduction studies; 7-8 studies (95910) $67 $268 0.2×
Newborn resuscitation (99465) $171.25 $685 0.3×
Nitric oxide expired gas determination (95012) $10.50 $42 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $140 $560 1.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $210.75 $843 1.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $57.25 $229 0.5×
Nrpsyc tst eval phys/qhp 1st (96132) $35 $140 0.1×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $42.25 $169 0.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $27.50 $110 0.6×
Oscillating Tracking Test (92545) $20.75 $83 0.1×
Osteopathic manipulative tx 1-2 body regions (98925) $9.50 $38 0.5×
Osteopathic manipulative tx 3-4 body regions (98926) $13 $52 0.6×
Osteopathic manipulative tx 5-6 body regions (98927) $17.75 $71 0.9×
Osteopathic manipulative tx 7-8 body regions (98928) $20.50 $82 1.0×
Osteopathic manipulative tx 9-10 body regions (98929) $23.25 $93 1.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $22 $88 0.7×
Ot Contrast Bath Ea 15 Min (97034) $29.25 $117 2.1×
Ot eval high complex 60 min (97167) $91.25 $365 0.9×
Ot eval low complex 30 min (97165) $50.50 $202 0.5×
Ot eval mod complex 45 min (97166) $71 $284 0.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $11.75 $47 0.2×
Ot Prosthetic Training, Each 15 Min (97761) $23 $92 0.6×
Ot Range Motion Measure,Each Extrem (95851) $9 $36 0.3×
Ot re-eval est plan care (97168) $27.75 $111 0.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $82.25 $329 0.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $79.50 $318 0.7×
Paraffin bath (97018) $25.25 $101 4.2×
Patch/Application Test Specify Number Tests (95044) $8.75 $35 0.0×
Patient-initiated spirometric phys/qhp r&i only (94016) $13.50 $54 0.5×
Patient-initiated spirometric recording (94015) $12.50 $50 0.1×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $25.75 $103 0.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $16.50 $66 0.1×
Percutaneous tests w/allergenic extracts (95004) $6.50 $26 0.0×
Peripheral arterial disease rehab per session (93668) $28.25 $113 0.5×
Phy/qhp op pulm rhb w/mntr (94626) $54.75 $219 1.0×
Phy/qhp op pulm rhb w/o mntr (94625) $54.75 $219 1.0×
Plethysmography (94726) $101.25 $405 0.3×
Pm device eval in person (93288) $52.75 $211 1.5×
Pm device progr eval dual (93280) $23.25 $93 0.7×
Pm device progr eval multi (93281) $27 $108 0.8×
Pm device progr eval sngl (93279) $19.50 $78 0.6×
Pm/Icd Remote Tech Serv (93296) $18.50 $74 0.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,000.50 $4,002 1.2×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $346.50 $1,386 0.4×
Positional Nystagmus Test (92542) $21.75 $87 0.2×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $11 $44 0.3×
Prepj& antigen allergen immunotherapy 1 insect (95145) $8.50 $34 0.2×
Prepj& antigen allergen immunotherapy 2 insect (95146) $13.50 $54 0.3×
Prepj& antigen allergen immunotherapy 3 insect (95147) $13 $52 0.2×
Prepj& antigen allergen immunotherapy 4 insect (95148) $18.50 $74 0.3×
Prepj& antigen allergen immunotherapy 5 insect (95149) $24 $96 0.4×
Prepj& Antigen Allergen Immunotherapy Whl Inse (95170) $5 $20 0.1×
Prepj& antigen prv allergen immunotherapy 1 do (95144) $6.25 $25 0.1×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $37.75 $151 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $11 $44 0.3×
Programming of dual lead implantable defibrillator system (93283) $31.75 $127 0.9×
Programming of single lead implantable defibrillator system (93282) $25.25 $101 0.7×
Prq balloon valvuloplasty aortic valve (92986)
likely a partial charge, not the full procedure		 $765 $3,060 0.1×
Prq card revasc chronic 1vsl (92943)
likely a partial charge, not the full procedure		 $1,653.62 $6,614.50 0.2×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure		 $3,034.12 $12,136.50 0.3×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure		 $3,826 $15,304 0.2×
Prq revasc byp graft 1 vsl (92937)
likely a partial charge, not the full procedure		 $2,720.50 $10,882 0.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure		 $741 $2,964 0.0×
Prq trluml coronary angio/atherect one art/brnch (92924)
likely a partial charge, not the full procedure		 $292.25 $1,169 0.0×
Prq trluml coronary angioplasty one art/branch (92920)
unusually low: confirm this is the full procedure		 $1,697.38 $6,789.50 0.3×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure		 $362.50 $1,450 0.0×
Psych diag eval w/med srvcs (90792) $80.50 $322 0.5×
Psychiatric diagnostic evaluation (90791) $69.75 $279 0.4×
Psychoanalysis (90845) $44 $176 0.3×
Psycl tst eval phys/qhp 1st (96130) $36 $144 0.2×
Psycl/Nrpsyc Tst Auto Result (96146) $5.50 $22 0.2×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $11 $44 0.0×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $15.75 $63 0.1×
Psytx crisis initial 60 min (90839) $72.50 $290 0.4×
Pt Aquatic Therapy/Exercises (97113) $19.25 $77 0.5×
Pt Electric Current Therapy (97033) $29.75 $119 1.6×
Pt Electrical Stimulation (97032) $24.25 $97 1.6×
Pt eval high complex 45 min (97163) $91.25 $365 0.9×
Pt eval low complex 20 min (97161) $57.50 $230 0.6×
Pt Gait Training Therapy (97116) $25 $100 0.9×
Pt Infrared Therapy (97026) $3 $12 0.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $40 $160 1.2×
Pt Physical Performance Test (97750) $16 $64 0.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $71 $284 0.7×
Pt re-evaluation (97164) $32.50 $130 0.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $23 $92 0.7×
Pt Ultrasound Therapy (97035) $22.25 $89 1.5×
Pt Whirlpool Therapy (97022) $35.38 $141.50 2.3×
Pulmonary stress testing (94618) $71.25 $285 0.6×
Pure Tone Audiometry Air & Bone (92553) $35 $140 0.3×
Pure Tone Audiometry, Air (92552) $27.50 $110 0.2×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $3,073.75 $12,295 1.0×
R hrt art/grft angio (93457) $187.50 $750 0.1×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $1,644.88 $6,579.50 0.5×
Rapid Desensitization Procedure Each Hour (95180) $60.88 $243.50 0.1×
Refill/Maint Pump/Resvr Syst (96522) $93 $372 0.5×
Refill/maint, portable pump (96521) $102.75 $411 0.5×
Rem interrog icpms <30 d phys/qhp (93297) $14.25 $57 0.4×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $15.75 $63 0.4×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $14.75 $59 0.4×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $30.75 $123 0.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $21 $84 0.6×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $39 $156 0.1×
Right heart cath (93451) $1,479 $3,101 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $27 $108 0.1×
Rom meas&reprt hand w/wo comparison normal sid (95852) $7.50 $30 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $22.75 $91 0.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $25.25 $101 0.5×
Sbsq psychiatric collab care mgmt 1st 60 mins (99493) $32.25 $129 0.3×
Sc Ther Infusion Reset Pump (96371) $33 $132 0.5×
Select picture audiometry (92583) $17.50 $70 0.3×
Sensory Integration Ea 15 Min (97533) $26.75 $107 0.4×
Sinusoidal Rotational Test (92546) $44.75 $179 0.4×
Sleep study attended (95807) $352.50 $1,410 1.0×
Sleep study unattended (95806) $94.50 $378 0.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $82.50 $330 0.4×
Smoking cessation > 10 min (99407) $2.25 $9 0.1×
Speech Audiometry Threshold (92555) $10.50 $42 0.2×
Speech Audiometry, Complete (92556) $13 $52 0.2×
Speech group therapy (92508) $11 $44 0.5×
Speech sound lang comprehen (92523) $121.75 $487 0.5×
Spirometry (94010) $69.12 $276.50 0.3×
Spontaneous Nystagmus Test (92541) $27 $108 0.2×
Staggered Spondaic Word Test (92572) $12.50 $50 0.1×
Standardized Cognitive Performance Testing (96125) $50 $200 0.5×
Stenger Test, Pure Tone (92565) $8.75 $35 0.2×
Stenger Test, Speech (92577) $11 $44 0.0×
Stress echo (93350) $61.25 $245 0.1×
Stress Tte Complete (93351) $393.25 $1,573 0.8×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $20 $80 0.5×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $101 $404 0.5×
Surfactant Admin Thru Tube (94610) $31.25 $125 0.2×
Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) $158 $632 1.6×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $154.50 $618 1.6×
Temp transcutaneous pacing (92953) $196.50 $410 0.3×
Tensilon test (95857) $23.25 $93 0.1×
Test for abnormal eye movement using a moving target with recording (92544) $22.50 $90 0.2×
Test for allergy using allergenic extract injected into skin (95024) $6.50 $26 0.1×
Test for allergy using combination of methods with drug or biological (95018) $11.50 $46 0.3×
Test photosensitivity (95056) $19.25 $77 0.2×
Test to assess hearing loss using different tone pitches (92575) $20.50 $82 0.6×
Test to assess hearing loss using grammatically incorrect sentences (92576) $11.75 $47 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $34.50 $138 1.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $34.50 $138 1.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $51 $204 0.5×
Ther/prop/diag inj/inf proc (96379) $11.50 $46 0.3×
Ther/Proph/Diag Inj Sc/Im (96372) $37.25 $149 0.6×
Therapeutic Activities (97530) $28.50 $114 0.8×
Therapeutic phlebotomy (99195) $46.75 $187 0.4×
Tilt Table Eval (93660) $157.12 $628.50 0.4×
Tinnitus assessment (92625) $32 $128 0.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $3 $12 0.1×
Tone Decay Test (92563) $11.50 $46 0.3×
Trans Care Mgmt 14 Day Disch (99495) $53.75 $215 0.4×
Trans Care Mgmt 7 Day Disch (99496) $75.25 $301 0.6×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $157.25 $629 0.7×
Transcranial Doppler Limited (93888) $105 $420 1.1×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $23 $92 0.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $334.38 $1,337.50 0.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $73 $292 0.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $31.25 $125 0.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $51.88 $207.50 0.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $45.75 $183 1.0×
Tympanometry (92567) $8.75 $35 0.2×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $138 $552 0.3×
Ultraviolet Therapy (97028) $3.75 $15 0.4×
Unlisted otorhinolaryngological service (92700) $44.50 $178 1.6×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure		 $612.25 $2,449 0.1×
Vasc Duplex Extrem Venous,Bilat (93970) $286 $1,144 1.3×
Vasc Duplex Scan Extracranial,Limited (93882) $112.50 $450 1.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $129.50 $518 0.6×
Vasopneumatic device (97016) $20.75 $83 1.7×
Ventilation assist & mgmt inpatient 1st day (94002) $346 $1,384 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $310.75 $1,243 0.5×
Visual reinforcement audiometry (vra) (92579) $35 $140 0.2×
Vital capacity total (94150) $12.25 $49 0.1×
Wheelchair Mgmt Ea 15 Min (97542) $20 $80 0.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $107 $428 1.2×