Visits & medical services prices at UnityPoint Health Des Moines Iowa Methodist Medical Center
Des Moines, IA · every code in this section with a posted price and a Medicare benchmark.
305 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $8,533.10 | $10,666.37 | 1.1× |
| Acoustic Reflex Testing (92568) | $49.87 | $62.33 | 1.4× |
| Actinotherapy Ultraviolet Light (96900) | $682.54 | $853.17 | 19.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $70.44 | $88.05 | 1.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $1,366.71 | $1,708.38 | 6.6× |
| Aep neurodiagnostic i&r (92653) | $570.96 | $713.70 | 2.8× |
| Aep threshold estimation mlt frequencies i&r (92652) | $570.96 | $713.70 | 2.8× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$228.62–$249.36 | $285.77–$311.69 | varies |
| Airway resistance by oscillometry (94728) | $341.06 | $426.32 | 2.8× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $79.48 | $99.34 | 2.2× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $433.39 | $541.73 | 3.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $403 | $503.74 | 3.2× |
| Analyze neurostim complex (95972) | $482.36 | $602.95 | 5.3× |
| Analyze Neurostim Simple (95971) | $348.48 | $435.60 | 3.8× |
| Ans parasymp & symp w/tilt (95924) | $194.13 | $242.66 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $126.27 | $157.83 | 8.8× |
| Application Modality 1/> Areas Infrared (97026) | $10.64 | $13.29 | 1.6× |
| Application on-body injector (96377) | $139.99 | $174.98 | 3.1× |
| Arrhythmia Induction (93618) | $5,041.63 | $6,302.03 | 4.3× |
| Assessment of aphasia per hr (96105) | $527.47 | $659.33 | 5.4× |
| Assmt & care planning pt w/cognitive impairment (99483) | $128.20 | $160.25 | 1.3× |
| Audiometry Air & Bone (92553) | $121.47 | $151.83 | 1.0× |
| Basic vestibular evaluation (92540) | $1,738.24 | $2,172.80 | 8.4× |
| Behavral qualit analys voice (92524) | $236.46 | $295.57 | 2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $720.66 | $900.82 | 2.0× |
| Bundle of his recording (93600) | $4,960.56 | $6,200.69 | 0.7× |
| C motor evoked upr&lwr limbs (95939) | $1,625.65 | $2,032.06 | 2.0× |
| Caloric Vstblr Test W/Rec (92537) | $324.84 | $406.05 | 2.6× |
| Canalith repositioning proc (95992) | $140.32 | $175.39 | 3.4× |
| Car seat/bed test 60 min (94780) | $144.82 | $181.02 | 4.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $845.26 | $1,056.57 | 4.1× |
| Cardiopulmonary exercise testing (94621) | $1,962.56 | $2,453.20 | 5.5× |
| Cardiopulmonary resuscitation (92950) | $813.90 | $1,017.37 | 3.9× |
| Cardioversion (92960) | $1,437.12 | $1,796.40 | 2.3× |
| Cardioversion elective internal (92961) | $1,192.92 | $1,491.14 | 1.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $103.04 | $128.80 | 4.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $13,583.27 | $16,979.08 | 4.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $14,262.43 | $17,828.03 | 4.6× |
| Cbt 1st hour (94644) | $290.48 | $363.10 | 2.3× |
| Chemo Admin Peritoneal Cavity (96446) | $1,137.24 | $1,421.55 | 3.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $222.14 | $277.67 | 3.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $222.14 | $277.67 | 3.2× |
| Chemo Ia Push (96420) | $1,137.24 | $1,421.55 | 3.6× |
| Chemo IV infusion addl hr (96415) | $222.14 | $277.67 | 3.2× |
| Chemo IV push addl drug (96411) | $222.14 | $277.67 | 3.2× |
| Chemother Prolong Infuse W/Pump (96416) | $1,137.24 | $1,421.55 | 3.6× |
| Chemotherapy Into Cns (96450) | $1,137.24 | $1,421.55 | 3.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $222.14 | $277.67 | 3.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,137.24 | $1,421.55 | 3.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $674.92 | $843.65 | 2.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $674.92 | $843.65 | 2.1× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$160.39–$160.44 | $200.48–$200.54 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $582.23 | $727.78 | 1.6× |
| Color/duplex Doppler, complete (93975) | $1,097.64 | $1,372.04 | 4.8× |
| Color/duplex Doppler, limited (93976) | $942.40 | $1,177.99 | 9.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $142.19 | $177.73 | 4.4× |
| Comprehensive Hearing Test (92557) | $160.26 | $200.32 | 1.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $555.76 | $694.69 | 4.3× |
| Continuous Pulse Ox (94762) | $601.12 | $751.39 | 4.9× |
| Coronary Art/Grft Angio S&I (93455) | $11,422.80 | $14,278.50 | 3.7× |
| Coronary Artery Angio S&I (93454) | $9,339.09 | $11,673.86 | 3.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$1,215.75–$2,463.25 | $1,519.68–$3,079.06 | varies |
| Cpt initial (94667) | $162.87 | $203.58 | 1.3× |
| Critical care first hour (99291) | $3,794.75 | $4,743.43 | 4.8× |
| Debridement Open Wound 20 Sq Cm< (97597) | $342.07 | $427.58 | 1.8× |
| Developmental tst admin phys/qhp 1st hour (96112) | $242.12 | $302.64 | 2.0× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$1,179.08–$1,646.24 | $1,473.84–$2,057.80 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $221.72 | $277.14 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,030.60 | $1,288.24 | 4.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $738.95 | $923.68 | 7.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,222.33 | $1,527.91 | 5.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $873.13 | $1,091.41 | 8.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,481.60 | $1,851.99 | 6.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,020.05 | $1,275.06 | 10.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $503.11 | $628.88 | 2.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $241.56 | $301.95 | 2.4× |
| Duplex Scan Hemodialysis Access (93990) | $680.97 | $851.21 | 6.8× |
| Duplex up extrem art bilat (93930) | $1,166.31 | $1,457.88 | 5.1× |
| Duplex up extrem art unilat/ltd (93931) | $778.40 | $973 | 7.7× |
| Echo Heart Xthoracic,Limited (93308) | $930.11 | $1,162.63 | 4.1× |
| Echo transesophag montr cardiac pump functj (93318) | $2,260.59 | $2,825.73 | 4.3× |
| Echo transesophageal (93312) | $1,755.79 | $2,194.73 | 3.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,900.96 | $2,376.20 | 3.6× |
| Eeg 41-60 Minutes (95812) | $1,191.68 | $1,489.59 | 5.7× |
| EEG awake and asleep (95819) | $1,068.92 | $1,336.15 | 5.1× |
| EEG awake drowsy (95816) | $1,122.68 | $1,403.34 | 5.4× |
| EEG cerebral death evaluation (95824) | $1,360.44 | $1,700.55 | 3.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,092.48 | $1,365.60 | 5.3× |
| EEG extended monitoring 61-119 minutes (95813) | $1,741.57 | $2,176.96 | 8.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,092.48 | $1,365.60 | 5.3× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,092.48 | $1,365.60 | 5.3× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,096.88 | $2,621.09 | 5.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,096.88 | $2,621.09 | 5.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,092.48 | $1,365.60 | 5.3× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,096.88 | $2,621.09 | 5.8× |
| EKG signal averaged (93278) | $358.24 | $447.80 | 6.3× |
| Electrical Stimulation Ea 15 Min (97032) | $156.34 | $195.42 | 10.6× |
| Electrocardiogram Tracing (93005) | $204.09 | $255.11 | 3.6× |
| Electroconvulsive Therapy (90870) | $1,337.56 | $1,671.94 | 1.6× |
| Electrophysiology Evaluation (93642) | $2,129.57 | $2,661.96 | 1.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$44–$674.64 | $55–$843.30 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$44–$1,221.88 | $55–$1,527.35 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$44–$1,944.94 | $55–$2,431.17 | varies |
| Emg 3 Extremities (95863) | $710.40 | $887.99 | 5.7× |
| Emg 4 Extremities (95864) | $774.77 | $968.46 | 6.3× |
| Endomyocardial Biopsy (93505) | $2,355.92 | $2,944.90 | 0.8× |
| Ep & ablate supravent arrhyt (93653) | $33,218.45 | $41,523.06 | 1.3× |
| Ep & ablate ventric tachy (93654) | $35,025.02 | $43,781.27 | 1.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $13,051.28 | $16,314.10 | 1.7× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,392.92 | $9,241.15 | 1.0× |
| Er level 1 (99281) range across 2 matching MRF lines |
$44–$351.86 | $55–$439.82 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$44–$2,811.57 | $55–$3,514.46 | varies |
| Evaluate pt use of inhaler (94664) | $166.08 | $207.59 | 0.8× |
| Evaluate Speech Production (92522) | $236.46 | $295.57 | 2.1× |
| Evaluate Swallowing Function (92610) | $387.91 | $484.88 | 4.6× |
| Evaluation of speech fluency (92521) | $236.46 | $295.57 | 1.8× |
| Evoked Auditory Test,Limited (92587) | $221.72 | $277.14 | 1.1× |
| Exercise test for bronchospasm (94617) | $196.49 | $245.61 | 1.5× |
| External ECG rec>48hr<7d recording (93242) | $73.06 | $91.32 | 2.0× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $120.16 | $150.20 | 0.9× |
| External ECG rec>7d<15d recording (93246) | $120.16 | $150.20 | 3.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $241.70 | $302.12 | 1.9× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$574.81–$663.91 | $718.51–$829.88 | varies |
| Extracranial Bilat Study (93880) | $986.07 | $1,232.58 | 4.3× |
| Extracranial Uni/Ltd Study (93882) | $559.87 | $699.83 | 5.6× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,483.52 | $1,854.40 | 4.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,562.94 | $1,953.67 | 1.9× |
| Gi tract capsule endoscopy (91110) | $2,459.56 | $3,074.45 | 2.8× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,718.16 | $2,147.70 | 1.9× |
| Group Therapeutic Procedures (97150) | $100.70 | $125.87 | 5.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $16,122.45 | $20,153.06 | 5.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $941.45 | $1,176.81 | 1.4× |
| High altitude simulation test (94452) | $456.28 | $570.35 | 3.6× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $456.28 | $570.35 | 3.6× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$434.72–$454.50 | $543.39–$568.12 | varies |
| Hubbard tank 15 min (97036) | $257.97 | $322.46 | 7.4× |
| Immunization administration (90471) | $116.23 | $145.28 | 1.7× |
| Ingestion challenge test initial 120 minutes (95076) | $828.14 | $1,035.17 | 2.3× |
| Insert/Place Heart Catheter (93503) | $2,488.37 | $3,110.46 | 1.6× |
| Intra-atrial pacing (93610) | $5,041.63 | $6,302.03 | 0.7× |
| Intra-atrial recording (93602) | $5,041.63 | $6,302.03 | 0.7× |
| Intracranial Complete Study (93886) | $1,177.44 | $1,471.80 | 5.1× |
| Intraventricular pacing (93612) | $5,041.63 | $6,302.03 | 0.7× |
| Iontophoresis 15 min (97033) | $180.04 | $225.04 | 9.5× |
| Irrig Drug Delivery Device (96523) | $222.14 | $277.67 | 3.9× |
| IV infusion hydration each additional hour (96361) | $139.99 | $174.98 | 3.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $674.92 | $843.65 | 3.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $222.14 | $277.67 | 3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $139.99 | $174.98 | 3.1× |
| IV push initial (96374) | $674.92 | $843.65 | 3.3× |
| L Hrt Art/Grft Angio (93459) | $14,672.29 | $18,340.36 | 4.7× |
| Laryngeal Function Studies (92520) | $641.55 | $801.93 | 5.0× |
| Liver Elastography W/O Imag W/I&R (91200) | $325.28 | $406.59 | 2.6× |
| Lung Function Test (Mbc/Mvv) (94200) | $140.66 | $175.82 | 2.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $851.91 | $1,064.88 | 4.1× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $221.72 | $277.14 | 1.1× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $531.85 | $664.81 | 1.5× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $172.28 | $215.34 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $25.02 | $31.27 | 0.7× |
| Methacholine challenge (94070) | $1,400.26 | $1,750.32 | 3.9× |
| Motility study esophagus (91010) | $1,875.15 | $2,343.93 | 5.2× |
| Motion Fluoroscopy/Swallow (92611) | $668.35 | $835.43 | 7.3× |
| Multiple Sleep Latency Test (95805) | $3,314.24 | $4,142.79 | 4.0× |
| Muscle Test 2 Limbs (95861) | $646.04 | $807.55 | 5.1× |
| Muscle Test One Limb (95860) | $581.68 | $727.10 | 4.5× |
| Nasopharyngoscopy (92511) | $454.33 | $567.91 | 2.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $393.76 | $492.19 | 1.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $451.27 | $564.08 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $451.27 | $564.08 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $213.02 | $266.27 | 1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $276.94 | $346.17 | 0.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $395.97 | $494.96 | 1.1× |
| Nerve conduction studies 13 or more studies (95913) | $395.97 | $494.96 | 1.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $267.11 | $333.88 | 1.3× |
| Nerve conduction studies 5-6 studies (95909) | $267.11 | $333.88 | 1.3× |
| Nerve conduction studies 7-8 studies (95910) | $267.11 | $333.88 | 0.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $395.97 | $494.96 | 1.1× |
| Neuromuscular Reeducation (97112) | $145.64 | $182.04 | 4.4× |
| Newborn resuscitation (99465) | $614.30 | $767.87 | 1.0× |
| Nitric oxide expired gas determination (95012) | $141.26 | $176.57 | 3.9× |
| Oral Function Therapy (92526) | $250.49 | $313.11 | 3.0× |
| Oral Speech Device Eval (92597) | $434.44 | $543.05 | 6.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $142.19 | $177.73 | 2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $142.19 | $177.73 | 3.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $115.10 | $143.87 | 5.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $94.75 | $118.43 | 6.8× |
| Ot eval high complexity (97167) | $350.30 | $437.87 | 3.5× |
| Ot Eval Low Complex (97165) | $300.25 | $375.31 | 3.0× |
| Ot Eval Moderate Complexity (97166) | $330.28 | $412.84 | 3.3× |
| Ot manual therapy 15 min (97140) | $164.20 | $205.24 | 5.9× |
| Ot paraffin bath (97018) | $93.79 | $117.23 | 15.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $142.19 | $177.73 | 3.5× |
| Ot Re-Eval Est Plan Care (97168) | $251.01 | $313.76 | 3.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $273.58 | $341.97 | 2.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $273.58 | $341.97 | 2.2× |
| Oxygen Uptake Rest Indirect (94690) | $1,012.96 | $1,266.19 | 17.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $293.04 | $366.29 | 1.4× |
| Peripheral arterial disease rehab per session (93668) | $175.16 | $218.94 | 3.1× |
| Perq Transcath Cls Mitral (93590) | $34,351.85 | $42,939.81 | 1.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $9,268.08 | $11,585.09 | 1.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $18,707.49 | $23,384.36 | 1.7× |
| Phlebotomy therapeutic (99195) | $127.65 | $159.56 | 1.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $405.35 | $506.68 | 7.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $405.35 | $506.68 | 7.1× |
| Physical Performance Test (97750) | $142.19 | $177.73 | 4.2× |
| Plethysmography (94726) | $720.66 | $900.82 | 2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,144.20 | $6,430.25 | 6.2× |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,278.42 | $5,348.02 | 5.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,278.42 | $5,348.02 | 5.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $16,094.60 | $20,118.24 | 1.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $12,786.08 | $15,982.60 | 1.2× |
| Prq Card Stent/Ath/Angio (92933) | $19,051.71 | $23,814.63 | 1.1× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $15,923.81 | $19,904.76 | 1.4× |
| Psych diag eval w/med srvcs (90792) | $467.84 | $584.79 | 2.7× |
| Psychiatric diagnostic evaluation (90791) | $467.84 | $584.79 | 2.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $30.59 | $38.23 | 0.2× |
| Psytx Crisis Initial 60 Min (90839) | $357.48 | $446.84 | 2.1× |
| Pt Eval High Complex (97163) | $375.32 | $469.15 | 3.8× |
| Pt eval low complex 20 min (97161) | $330.28 | $412.84 | 3.4× |
| Pt Eval Mod Complex (97162) | $350.30 | $437.87 | 3.6× |
| Pt gait training 15 min (97116) | $139.18 | $173.97 | 4.8× |
| Pt group caregiver training (97552) | $84.63 | $105.78 | 3.8× |
| Pt mechanical traction (97012) | $115.38 | $144.22 | 8.0× |
| Pt Re-Eval Est Plan Care (97164) | $251.01 | $313.76 | 3.7× |
| Pt ultraviolet (97028) | $119.59 | $149.48 | 14.3× |
| Pulm function test by gas (94727) | $706.88 | $883.59 | 3.4× |
| Pulmonary service/procedure (94799) | $84.20 | $105.24 | 0.7× |
| Pulmonary Stress Testing (94618) | $740.54 | $925.67 | 5.8× |
| Pure Tone Audiometry Air (92552) | $93.60 | $116.99 | 0.7× |
| R Hrt Art/Grft Angio (93457) | $16,773.14 | $20,966.42 | 5.4× |
| R hrt coronary artery angio (93456) | $13,699.27 | $17,124.08 | 4.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $10,126.48 | $12,658.10 | 3.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $320.40 | $400.49 | 1.0× |
| Refill/Maint Portable Pump (96521) | $674.92 | $843.65 | 3.3× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $78.49 | $98.11 | 2.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $250.83 | $313.53 | 2.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $300.77 | $375.96 | 8.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $183.08 | $228.84 | 3.2× |
| Right Heart Cath (93451) | $6,319.65 | $7,899.56 | 2.0× |
| Right ventricular recording (93603) | $5,041.63 | $6,302.03 | 4.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $268.08 | $335.09 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $434.44 | $543.05 | 3.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $267.11 | $333.88 | 5.6× |
| Self Care Mngment Training (97535) | $141.26 | $176.57 | 4.4× |
| Sensory Integration Ea 15 Min (97533) | $97.15 | $121.43 | 1.6× |
| Short-latency somatosens ep std upr limbs (95925) | $867.22 | $1,084.02 | 4.2× |
| Sleep study unattended (95806) | $1,357.48 | $1,696.85 | 6.5× |
| Slp caregiver training 1st 30 min (97550) | $205.72 | $257.14 | 3.9× |
| Slp Stdy Unatnd W/Anal (95801) | $1,357.48 | $1,696.85 | 23.9× |
| Speech Audiometry Complete (92556) | $79.28 | $99.09 | 1.4× |
| Speech audiometry threshold (92555) | $44.05 | $55.06 | 0.8× |
| Speech sound lang comprehen (92523) | $236.46 | $295.57 | 1.0× |
| Spin/Brain Pump Refil & Main (95991) | $320.40 | $400.49 | 1.1× |
| Spirometry (94010) | $341.06 | $426.32 | 1.6× |
| Ssep lower limbs (95926) | $1,084.08 | $1,355.09 | 5.2× |
| Standardized Cognitive Performance Testing (96125) | $272.27 | $340.33 | 2.6× |
| Stress Tte Only (93350) | $1,055.71 | $1,319.63 | 2.0× |
| Subcutaneous Infusion Each Additional Hour (96370) | $139.99 | $174.98 | 3.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $674.92 | $843.65 | 3.3× |
| Subq Infusion Additional Pump Infusion Site (96371) | $222.14 | $277.67 | 3.2× |
| Surfactant Admin Thru Tube (94610) | $233.85 | $292.31 | 1.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $432.80 | $541 | 4.3× |
| Temp transcutaneous pacing (92953) | $1,424.61 | $1,780.76 | 2.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $142.58 | $178.22 | 6.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $142.58 | $178.22 | 6.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $194.27 | $242.83 | 5.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $141.88 | $177.34 | 4.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $194.32 | $242.89 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $222.14 | $277.67 | 3.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $674.92 | $843.65 | 3.3× |
| Therapeutic Activities (97530) | $141.26 | $176.57 | 4.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,860.47 | $2,325.58 | 5.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $50.38 | $62.97 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $50.38 | $62.97 | 1.4× |
| Transcath Closure of Asd (93580) | $26,190.48 | $32,738.10 | 1.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $1,012.99 | $1,266.23 | 10.1× |
| Tte w/doppler, complete (93306) | $2,021.12 | $2,526.39 | 3.8× |
| Tte W/O Doppler Complete (93307) | $930.11 | $1,162.63 | 4.1× |
| Tx atrial fib pulm vein isol (93656) | $36,947.29 | $46,184.11 | 1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $309.55 | $386.93 | 4.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $145.29 | $181.61 | 6.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $139.99 | $174.98 | 3.1× |
| Tympanometry (92567) | $77.18 | $96.47 | 2.1× |
| Tympanometry and reflex threshold measurements (92550) | $121.47 | $151.83 | 0.6× |
| Unlisted Psychiatric Service/Procedure (90899) range across 5 matching MRF lines |
$157.65–$1,169.23 | $197.06–$1,461.53 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $643.29 | $804.11 | 5.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,092.08 | $1,365.10 | 5.3× |
| Valvuloplasty aortic valve (92986) | $7,244.44 | $9,055.55 | 1.3× |
| Valvuloplasty mitral valve (92987) | $13,562.93 | $16,953.66 | 1.2× |
| Valvuloplasty pulmonary valve (92990) | $9,365.15 | $11,706.43 | 0.8× |
| Vasopneumatic device (97016) | $164.33 | $205.41 | 13.7× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,096.88 | $2,621.09 | 5.8× |
| Veeg 2-12 hr intmt mntr (95712) | $1,092.48 | $1,365.60 | 3.0× |
| Veeg 2-12 hr unmonitored (95711) | $1,092.48 | $1,365.60 | 5.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,096.88 | $2,621.09 | 5.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,096.88 | $2,621.09 | 5.8× |
| Veeg ea 12-26hr cont mntr (95716) | $2,747.10 | $3,433.87 | 3.3× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$3,574.82–$4,111.04 | $4,468.52–$5,138.79 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$1,853.84–$2,224.61 | $2,317.30–$2,780.76 | varies |
| Visual Evoked Potential Test (95930) | $1,062.48 | $1,328.09 | 5.1× |
| Visual reinforcement audiometry (vra) (92579) | $121.47 | $151.83 | 0.6× |
| Vital capacity, total (94150) | $164.40 | $205.50 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $116.92 | $146.15 | 3.8× |
| Whirlpool Therapy (97022) | $187.08 | $233.84 | 11.9× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $120.16 | $150.20 | 2.1× |
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.