Visits & medical services prices at University Hospitals Samaritan Medical Center

Ashland, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $16,052.25 $21,403 2.1×
Actinotherapy Ultraviolet Light (96900) $138.75 $185 3.8×
Acupunct W/Stimul 15 Min (97813) $45.75 $61 1.6×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $45.75 $61 1.6×
Advncd Care Plan 30 Min (99497) $143.25 $191 1.5×
Aep neurodiagnostic i&r (92653) $1,471.50 $1,962 7.0×
Aep threshold estimation mlt frequencies i&r (92652) $867 $1,156 4.1×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$198.75–$429.75 $265–$573 varies
Airway resistance by oscillometry (94728) $425.25 $567 3.4×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $195.75 $261 1.5×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $199.50 $266 1.5×
Analyze neurostim complex (95972) $932.25 $1,243 10.1×
Analyze neurostim no prog (95970) $612 $816 4.7×
Analyze Neurostim Simple (95971) $1,263.75 $1,685 13.7×
Anrct mano rct sensation&rct balo expulsion test (91125) $645.75 $861 1.8×
Ans parasymp & symp w/tilt (95924) $1,104.75 $1,473 5.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $99 $132 6.9×
Application on-body injector (96377) $151.50 $202 3.3×
Assessment of aphasia per hr (96105) $396.75 $529 4.1×
Behavral qualit analys voice (92524) $318.75 $425 2.9×
Biofeedback training any modality (90901) $189 $252 4.6×
Bis Xtracell Fluid Analysis (93702) $123 $164 1.0×
Blink reflex test (95933) $441.75 $589 7.7×
Breath hydrogen/methane test (91065) $333 $444 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $315.75 $421 0.9×
C motor evoked uppr limbs (95928) $4,662.75 $6,217 5.6×
C motor evoked upr&lwr limbs (95939) $849.75 $1,133 1.0×
Canalith repositioning proc (95992) $130.50 $174 3.2×
Cardiac Stress Tst,Tracing Only (93017) $715.50 $954 3.4×
Cardiopulmonary exercise testing (94621) $1,923.75 $2,565 5.3×
Cardiopulmonary resuscitation (92950) $741.75 $989 3.5×
Cardioversion (92960)
range across 3 matching MRF lines
$1,164–$1,461.75 $1,552–$1,949 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,322.50 $12,430 3.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,016.75 $10,689 2.5×
Cbt 1st hour (94644) $176.25 $235 1.4×
Chemo Admin Peritoneal Cavity (96446) $642.75 $857 2.0×
Chemo Anti-Neopl Sq/Im (96401) $573.75 $765 8.2×
Chemo Hormon Antineopl Sq/Im (96402) $559.50 $746 8.0×
Chemo Ia Push (96420) $540.75 $721 1.7×
Chemo Intralesional Over 7 (96406) $246.75 $329 1.2×
Chemo intralesional up to 7 (96405) $83.25 $111 1.2×
Chemo IV infusion addl hr (96415) $420.75 $561 6.0×
Chemo IV push addl drug (96411) $174.75 $233 2.5×
Chemother Prolong Infuse W/Pump (96416) $1,028.25 $1,371 3.2×
Chemotherapy Into Cns (96450) $1,323.75 $1,765 4.1×
Chemotherapy Unspecified (96549) $44.25 $59 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $863.25 $1,151 12.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $762 $1,016 2.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,003.50 $1,338 3.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $665.25 $887 2.1×
Chest Wall Manipulation (94668) $216.75 $289 1.7×
Color/duplex Doppler, complete (93975) $905.25 $1,207 3.9×
Color/duplex Doppler, limited (93976) $868.50 $1,158 8.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $101.25 $135 3.2×
Computerized Ophthalmic Imaging Optic Nerve (92133) $130.50 $174 2.3×
Conditioning Play Audiometry (92582) $123 $164 1.0×
Continuous Pulse Ox (94762) $119.25 $159 1.0×
Coronary Art/Grft Angio S&I (93455) $8,006.25 $10,675 2.5×
Coronary Artery Angio S&I (93454) $6,600 $8,800 2.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $306.75 $409 1.4×
Cpt initial (94667) $113.25 $151 0.9×
Critical care first hour (99291) $1,246.50 $1,662 1.6×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $480.75 $641 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $319.50 $426 1.6×
Developmental tst admin phys/qhp 1st hour (96112) $439.50 $586 3.5×
Duodenal motility study (91022) $1,347.75 $1,797 3.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $734.25 $979 3.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $855.75 $1,141 8.4×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $948.75 $1,265 9.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $908.25 $1,211 3.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $612 $816 6.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $832.50 $1,110 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $810.75 $1,081 8.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $103.50 $138 1.0×
Duplex Scan Hemodialysis Access (93990) $747.75 $997 7.4×
Duplex up extrem art bilat (93930) $576.75 $769 2.5×
Duplex up extrem art unilat/ltd (93931) $855.75 $1,141 8.4×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $153 $204 1.2×
ECG/monitoring and analysis (93271) $581.25 $775 6.3×
Echo Congenital Complete (93303) $1,142.25 $1,523 2.2×
Echo Heart Xthoracic,Limited (93308) $512.25 $683 2.2×
Echo transesophag montr cardiac pump functj (93318) $523.50 $698 1.0×
Echo transesophageal (93312) $1,724.25 $2,299 3.3×
Echo Transesophageal - Congenital Tee Complete (93315) $1,626 $2,168 3.1×
Eeg 41-60 Minutes (95812) $1,081.50 $1,442 5.2×
EEG awake and asleep (95819) $1,283.25 $1,711 6.1×
EEG awake drowsy (95816) $1,283.25 $1,711 6.1×
EEG cerebral death evaluation (95824) $1,605.75 $2,141 4.4×
EEG cont rec w/video by tech min 8 channels (95700) $843.75 $1,125 4.0×
EEG extended monitoring 61-119 minutes (95813) $1,440.75 $1,921 6.9×
Eeg Sleep Only (95822) $1,283.25 $1,711 6.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $303.75 $405 1.5×
EEG w/o vid 2-12hr cont mntr (95707) $2,025 $2,700 9.7×
EEG w/o vid ea 12-26hr intmt (95709) $2,361.75 $3,149 6.5×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $4,050 $5,400 11.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,181.25 $1,575 5.6×
EEG wo vid ea 12-26hr unmntr (95708) $303.75 $405 0.8×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $990.75 $1,321 10.7×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $1,124.25 $1,499 12.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $1,058.25 $1,411 29.2×
Electrical Stimulation Ea 15 Min (97032) $114.75 $153 7.8×
Electrocardiogram Tracing (93005) $167.25 $223 2.9×
Emergency Dept Visit Level 2 (99282) $216.75 $289 1.5×
Emergency Dept Visit Level 3 (99283) $362.25 $483 1.4×
Emergency Dept Visit Level 4 (99284) $567 $756 1.4×
Emg 3 Extremities (95863) $913.50 $1,218 7.3×
Emg 4 Extremities (95864) $1,110 $1,480 8.9×
Endomyocardial Biopsy (93505) $3,693.75 $4,925 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $16,433.25 $21,911 2.2×
Er level 1 (99281) $126 $168 1.5×
Er level v (99285) $890.25 $1,187 1.5×
Esophgl Balo Distension Dx Std W/Provocation (91040) $519 $692 1.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $817.50 $1,090 2.3×
Evaluate pt use of inhaler (94664) $196.50 $262 0.9×
Evaluate Speech Production (92522) $273 $364 2.4×
Evaluate Swallowing Function (92610) $383.25 $511 4.5×
Evaluation of speech fluency (92521) $274.50 $366 2.1×
Evoked Auditory Test,Limited (92587) $63 $84 0.3×
Exercise test for bronchospasm (94617)
range across 2 matching MRF lines
$101.25–$484.50 $135–$646 varies
External ECG rec>48hr<7d recording (93242) $238.50 $318 6.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $238.50 $318 1.8×
External ECG rec>7d<15d recording (93246) $238.50 $318 6.6×
External Ecg Scanning Analysis Report (93226) $459 $612 8.0×
Extracranial Bilat Study (93880) $762 $1,016 3.3×
Extracranial Uni/Ltd Study (93882) $127.50 $170 1.3×
F-up/limited tthrc echo congenital car anomaly (93304) $693.75 $925 1.3×
Flexible endoscopic eval swallow c/v rec (92612) $551.25 $735 2.8×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,605.75 $2,141 1.9×
Gastric motility studies (91020) $1,317 $1,756 3.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $943.50 $1,258 2.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,190.25 $1,587 5.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $971.25 $1,295 1.2×
Gi tract capsule endoscopy (91110) $1,582.50 $2,110 1.8×
Group Therapeutic Procedures (97150) $96 $128 5.3×
Health Behavior Assessment/Re-Assessment (96156) $144.75 $193 1.5×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $115.50 $154 3.2×
Health behavior ivntj group f2f 1st 30 min (96164) $117 $156 3.2×
Health behavior ivntj indiv f2f 1st 30 min (96158) $115.50 $154 0.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $11,483.25 $15,311 3.7×
High altitude simulation test (94452) $351 $468 2.7×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $422.25 $563 3.3×
Holter monitor recording (93225) $280.50 $374 2.2×
Icd Device Interrogate (93289) $181.50 $242 5.0×
Icd device progr eval dual (93283) $287.25 $383 7.9×
Icd Device Progr Eval Mult (93284) $363.75 $485 10.1×
Icm Device Eval (93290) $112.50 $150 3.1×
Ilr Device Eval Progr (93285) $186.75 $249 5.2×
Ilr Device Interrogate (93291) $176.25 $235 6.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $47.25 $63 0.7×
Immunization administration (90471) $36.75 $49 0.5×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $320.25 $427 0.9×
Insert/Place Heart Catheter (93503) $5,181 $6,908 3.4×
Interrog eval crtd sins bat modulj sys ip w/ (93146) $151.50 $202 1.2×
Interrog eval crtd sins bat modulj sys ip wo (93145) $151.50 $202 1.2×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $90 $120 1.0×
Interrog&prgrmg ipnss during polysomnography (93152) $292.50 $390 1.0×
Interrogate Subq Defib (93261) $420.75 $561 11.6×
Interrogation eval in person wr defibrillator (93292) $170.25 $227 4.7×
Interrogation without programming ipnss (93153) $90 $120 1.0×
Intracranial Complete Study (93886) $1,215.75 $1,621 5.3×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$114.75–$115.50 $153–$154 varies
Irrig Drug Delivery Device (96523) $227.25 $303 4.0×
IV infusion hydration each additional hour (96361) $156 $208 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $422.25 $563 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $383.25 $511 5.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $114.75 $153 2.5×
IV push initial (96374) $201.75 $269 1.0×
L Hrt Art/Grft Angio (93459) $10,920 $14,560 3.5×
Laryngeal Function Studies (92520) $359.25 $479 2.8×
Lung Function Test (Mbc/Mvv) (94200) $102.75 $137 1.8×
Lwr Xtr Vasc Stdy Bilat (93924) $1,150.50 $1,534 5.5×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,640.25 $2,187 1.2×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $1,005.75 $1,341 8.1×
Mechanical chest wall oscillation per session (94669) $390.75 $521 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48 $64 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $50.25 $67 1.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $65.25 $87 3.8×
Methacholine challenge (94070) $697.50 $930 1.9×
Motility study esophagus (91010) $817.50 $1,090 2.3×
Motion Fluoroscopy/Swallow (92611) $480 $640 5.2×
Multiple Family Group Psychotherapy (90849) $370.50 $494 2.2×
Multiple Sleep Latency Test (95805) $4,164.75 $5,553 5.0×
Muscle Test 2 Limbs (95861) $687.75 $917 5.3×
Muscle Test Hemidiaphragm (95866) $735 $980 5.9×
Muscle Test Nonparaspinal (95870) $339.75 $453 2.6×
Muscle Test One Limb (95860) $362.25 $483 2.8×
Nasopharyngoscopy (92511) $303.75 $405 1.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $768 $1,024 3.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $751.50 $1,002 3.6×
Needle electromyography larynx (95865) $768 $1,024 6.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $397.50 $530 1.9×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $750 $1,000 3.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $471.75 $629 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $509.25 $679 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $166.50 $222 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $807 $1,076 2.0×
Nerve Conduction Studies 1-2 Studies (95907) $744 $992 3.6×
Nerve Conduction Studies 11-12 Studies (95912) $3,394.50 $4,526 9.4×
Nerve conduction studies 13 or more studies (95913) $4,359 $5,812 12.0×
Nerve Conduction Studies 3-4 Studies (95908) $1,488 $1,984 7.1×
Nerve conduction studies 5-6 studies (95909) $1,732.50 $2,310 8.3×
Nerve conduction studies 7-8 studies (95910) $2,094.75 $2,793 5.8×
Nerve Conduction Studies 9-10 Studies (95911) $2,871.75 $3,829 7.9×
Neurobehavioral Status Exam (96116) $336 $448 1.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $441.75 $589 3.5×
Neuromuscular Reeducation (97112) $117 $156 3.6×
Newborn resuscitation (99465) $393 $524 0.6×
Nitric oxide expired gas determination (95012) $220.50 $294 6.1×
Nrpsyc tst eval phys/qhp 1st (96132) $316.50 $422 0.9×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $337.50 $450 0.9×
Oral Function Therapy (92526) $288 $384 3.4×
Oral Speech Device Eval (92597) $410.25 $547 5.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $119.25 $159 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $108 $144 2.3×
Ot eval high complexity (97167) $285.75 $381 2.8×
Ot Eval Low Complex (97165) $272.25 $363 2.7×
Ot Eval Moderate Complexity (97166) $285.75 $381 2.8×
Ot manual therapy 15 min (97140) $114 $152 4.1×
Ot paraffin bath (97018) $84.75 $113 14.1×
Ot Prosthetic Training, Each 15 Min (97761) $106.50 $142 2.6×
Ot Re-Eval Est Plan Care (97168) $184.50 $246 2.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $268.50 $358 2.1×
Oxygen Uptake Rest Indirect (94690) $433.50 $578 7.6×
Penile Vascular Study,Ltd or F/U (93981) $435 $580 4.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $322.50 $430 1.5×
Peripheral arterial disease rehab per session (93668) $139.50 $186 2.4×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
likely a partial charge, not the full procedure
$3,865.50 $5,154 0.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,578 $10,104 1.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $20,522.25 $27,363 1.8×
Phlebotomy therapeutic (99195) $324 $432 2.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $134.25 $179 2.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $134.25 $179 2.3×
Physical Performance Test (97750) $121.50 $162 3.6×
Plethysmography (94726) $368.25 $491 1.0×
Pm device eval in person (93288) $113.25 $151 3.1×
Pm device progr eval dual (93280) $287.25 $383 7.9×
Pm device progr eval multi (93281) $214.50 $286 5.9×
Pm Device Progr Eval Sngl (93279) $141.75 $189 3.9×
Pm/Icd Remote Tech Serv (93296) $138.75 $185 3.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,448.75 $7,265 6.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $420.75 $561 11.6×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $170.25 $227 4.7×
Prq Card Angio/Athrect 1 Art (92924) $12,754.50 $17,006 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $9,687.75 $12,917 0.9×
Prq Card Stent/Ath/Angio (92933) $20,522.25 $27,363 1.2×
Prq Revasc Byp Graft 1 Vsl (92937) $20,522.25 $27,363 1.8×
Prq trl rvs ch occ ant&rtrgr (92945) $14,048.25 $18,731 1.3×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $10,756.50 $14,342 1.0×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $210.75 $281 0.5×
Pt Eval High Complex (97163) $273 $364 2.8×
Pt eval low complex 20 min (97161) $276 $368 2.8×
Pt Eval Mod Complex (97162) $276 $368 2.8×
Pt gait training 15 min (97116) $105.75 $141 3.6×
Pt mechanical traction (97012) $119.25 $159 8.3×
Pt Re-Eval Est Plan Care (97164) $186 $248 2.8×
Pulm function test by gas (94727) $207.75 $277 1.0×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines
$111–$116.25 $148–$155 varies
Pulmonary Stress Testing (94618) $309 $412 2.4×
R Hrt Art/Grft Angio (93457) $8,859 $11,812 2.8×
R hrt coronary artery angio (93456) $8,979 $11,972 2.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,202.50 $12,270 2.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $774 $1,032 2.4×
Refill/Maint Pump/Resvr Syst (96522) $630 $840 3.1×
Rem interrog icpms <30 d phys/qhp (93297) $109.50 $146 3.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $109.50 $146 3.0×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $84 $112 2.3×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $295.50 $394 2.3×
Remote 30 Day Ecg Rev/Report (93270) $279 $372 7.7×
Respiratory flow volume loop (94375) $303.75 $405 1.5×
Right Heart Cath (93451) $3,668.25 $4,891 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $343.50 $458 1.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $431.25 $575 3.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $229.50 $306 4.8×
Select picture audiometry (92583) $56.25 $75 1.0×
Self Care Mngment Training (97535) $106.50 $142 3.3×
Sensory Integration Ea 15 Min (97533) $119.25 $159 2.0×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,130.25 $1,507 5.4×
Short-latency somatosens ep std upr limbs (95925) $1,692 $2,256 8.1×
Sleep study attended (95807) $316.50 $422 0.9×
Sleep study unattended (95806) $303.75 $405 1.5×
Somatosensory Testing (95938) $2,091.75 $2,789 2.5×
Speech sound lang comprehen (92523) $351 $468 1.5×
Spin/Brain Pump Refil & Main (95991) $294 $392 1.0×
Spirometry (94010) $162.75 $217 0.8×
Ssep lower limbs (95926) $1,692 $2,256 8.1×
Standardized Cognitive Performance Testing (96125) $279 $372 2.7×
Stress Tte Only (93350) $1,369.50 $1,826 2.6×
Surfactant Admin Thru Tube (94610) $256.50 $342 1.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $585 $780 5.8×
Temp transcutaneous pacing (92953) $940.50 $1,254 1.5×
Testing Autonomic Nervous System Function (95923) $880.50 $1,174 6.8×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $90 $120 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $98.25 $131 4.4×
Ther Ivntj Ea Addl 15 Min (97130) $98.25 $131 4.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$120–$122.25 $160–$163 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $100.50 $134 3.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $316.50 $422 3.1×
Ther/Proph/Diag Inj Sc/Im (96372) $99.75 $133 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $611.25 $815 3.0×
Therapeutic Activities (97530) $114.75 $153 3.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $943.50 $1,258 2.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $174.75 $233 4.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $72.75 $97 2.0×
Transcath Closure of Asd (93580) $11,268 $15,024 0.6×
Transcranial Doppler Intracran Art Emboli Detect (93892) $697.50 $930 6.9×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $905.25 $1,207 8.9×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $124.50 $166 3.4×
Tte w/doppler, complete (93306) $1,691.25 $2,255 3.2×
Tte W/O Doppler Complete (93307) $1,137.75 $1,517 4.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $288 $384 3.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $108 $144 4.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $510 $680 11.2×
Unlisted cardiovascular service/procedure (93799) $573.75 $765 4.6×
Unlisted Diagnostic Gastroenterology Procedure (91299) $2,463 $3,284 19.7×
Unlisted otorhinolaryngological service (92700) $121.50 $162 4.3×
Upr/L Xtremity Art 2 Levels (93922) $358.50 $478 2.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $591 $788 2.8×
Valvuloplasty pulmonary valve (92990) $12,754.50 $17,006 1.1×
Vasopneumatic device (97016) $106.50 $142 8.9×
Veeg 2-12 Hr Cont Mntr (95713) $2,361.75 $3,149 6.5×
Veeg 2-12 hr intmt mntr (95712) $1,329 $1,772 3.7×
Veeg 2-12 hr unmonitored (95711) $728.25 $971 3.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,699.25 $3,599 7.5×
Veeg Ea 12-26 Hr Unmntr (95714) $1,527.75 $2,037 4.2×
Veeg ea 12-26hr cont mntr (95716) $4,640.25 $6,187 5.6×
Vent Mgmt Inpat Init Day (94002) $864 $1,152 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $532.50 $710 0.9×
Visual Evoked Potential Test (95930) $1,685.25 $2,247 8.0×
Vital capacity, total (94150) $119.25 $159 1.0×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,440.50 $3,254 2.9×
Wheelchair Mgmt Ea 15 Min (97542) $72.75 $97 2.3×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$120–$121.50 $160–$162 varies

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.