Visits & medical services prices at University of California Davis Medical Center

Sacramento, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $220 $550 1.7×
Ablate Heart Dysrhythm Focus (93650) $16,028.20 $40,070.49 1.6×
Acoustic Reflex Testing (92568) $98.80 $247 2.0×
Actinotherapy Ultraviolet Light (96900) $127.05 $317.63 2.6×
Acupunct W/Stimul 15 Min (97813) $75.31 $188.28 2.0×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $69.57 $173.93 1.9×
Admn Sarscov2 Vacc 1 Dose (90480) $104.40 $261 2.0×
Advncd Care Plan 30 Min (99497) $219.64 $549.11 1.7×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $616.80 $1,542 2.2×
Aep neurodiagnostic i&r (92653) $713.46 $1,783.64 2.5×
Aep threshold estimation mlt frequencies i&r (92652) $713.46 $1,783.64 2.5×
Airway Inhalation Treatment (94640) $456.80 $1,142 1.6×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $104.15 $260.38 2.1×
Allg tstg perq & ic venoms immed react w/i&r (95017) $83.94 $209.84 2.2×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $513.08 $1,282.71 3.0×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $375.10 $937.75 2.2×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $353.78 $884.46 2.1×
Analyze neurostim complex (95972) $275.94 $689.86 2.2×
Analyze neurostim no prog (95970) $196.15 $490.37 1.1×
Analyze Neurostim Simple (95971) $218.40 $546 1.8×
Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) $300.30 $750.75 1.7×
Ant sgm imaging w/microscopy endothelial analy (92286) $306.40 $766 1.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $109.30 $273.26 7.6×
Application on-body injector (96377) $130.89 $327.23 2.2×
Arrhythmia Induction (93618) $4,317.92 $10,794.79 2.7×
Assessment of aphasia per hr (96105) $464.50 $1,161.25 4.8×
Assessment of tinnitus (92625) $360.51 $901.27 2.2×
Audiometry Air & Bone (92553) $260.17 $650.42 1.6×
Basic vestibular evaluation (92540) $351.20 $878 1.3×
Behavral qualit analys voice (92524) $329.67 $824.18 3.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $111.50 $278.75 1.4×
Bfb training ea addl 15 min (90913) $111.50 $278.75 3.4×
Blink reflex test (95933) $149.20 $373 1.9×
Breath hydrogen/methane test (91065) $351.20 $878 1.3×
Brief Emotional/Behav Assmt (96127) $112.42 $281.05 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $876.64 $2,191.59 1.8×
Bundle of his recording (93600) $6,745.64 $16,864.09 0.7×
C motor evoked uppr limbs (95928) $1,392.95 $3,482.37 1.2×
C motor evoked upr&lwr limbs (95939) $1,700.34 $4,250.86 1.5×
Caloric vestibular test w/rec bi monothermal (92538) $360.51 $901.27 1.3×
Caloric Vstblr Test W/Rec (92537) $623.47 $1,558.68 3.7×
Canalith repositioning proc (95992) $151.77 $379.42 3.7×
Cardiac Stress Tst,Tracing Only (93017) $1,449.28 $3,623.20 5.2×
Cardiopulmonary exercise testing (94621) $1,647.93 $4,119.82 3.4×
Cardiopulmonary resuscitation (92950) $966.66 $2,416.65 3.4×
Cardioversion (92960) $2,744.18 $6,860.46 3.2×
Caregiver hlth risk assmt score doc stnd instrm (96161) $78.80 $197 1.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $12,001.64 $30,004.11 2.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,937.05 $22,342.62 2.1×
Cbt 1st hour (94644) $486.54 $1,216.34 2.8×
Cervical & Ocular Vemp Testing W/I&R (92519) $758.64 $1,896.59 2.7×
Cervical Vemp Testing W/I&R (92517) $423.56 $1,058.89 2.5×
Chemo Anti-Neopl Sq/Im (96401) $225.84 $564.60 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $228.04 $570.10 2.4×
Chemo intralesional up to 7 (96405) $176.38 $440.96 1.9×
Chemo IV infusion addl hr (96415) $420.58 $1,051.44 4.5×
Chemo IV push addl drug (96411) $471.75 $1,179.37 5.0×
Chemother Prolong Infuse W/Pump (96416) $845.42 $2,113.54 2.0×
Chemotherapy Into Cns (96450) $1,573.59 $3,933.98 3.7×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $786.45 $1,966.12 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $320.16 $800.39 3.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $870.77 $2,176.93 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $657.20 $1,643 1.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $559.62 $1,399.06 1.3×
Chest Wall Manipulation (94668) $306.40 $766 1.8×
Cmptr ophth dx img ant segmt (92132) $149.20 $373 1.9×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $170.45 $426.12 2.2×
Color/duplex Doppler, complete (93975) $1,808.86 $4,522.14 5.8×
Color/duplex Doppler, limited (93976) $1,223.34 $3,058.36 9.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $94.32 $235.79 2.9×
Comprehensive Hearing Test (92557) $351.20 $878 2.1×
Computerized Ophthalmic Imaging Optic Nerve (92133) $149.20 $373 1.9×
Computerized Ophthalmic Imaging Retina (92134) $149.20 $373 1.9×
Conditioning Play Audiometry (92582) $351.20 $878 2.1×
Cont gluc mntr physician/qhp provided equiptment (95250) $518.54 $1,296.35 3.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $187.89 $469.73 2.5×
Continuous Pulse Ox (94762) $351.20 $878 2.1×
Corneal Topography (92025) $149.20 $373 1.9×
Coronary Art/Grft Angio S&I (93455) $8,445.14 $21,112.84 2.0×
Coronary Artery Angio S&I (93454) $6,498.92 $16,247.29 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $700.03 $1,750.08 2.5×
Cpt initial (94667) $306.40 $766 1.8×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $616.62 $1,541.55 2.2×
Critical care first hour (99291) $6,735.20 $16,837.99 6.3×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $980.80 $2,452 2.0×
Dark Adaptation Eye Exam (92284) $737.60 $1,844 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $446 $1,115 1.7×
Developmental tst admin phys/qhp 1st hour (96112) $418.01 $1,045.02 2.5×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $183.48 $458.69 1.1×
Dialysis One Evaluation (90945) $1,070.56 $2,676.41 2.0×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $519.70 $1,299.24 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,290.32 $3,225.80 4.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,066.40 $2,666.01 7.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $736.64 $1,841.60 5.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,665.14 $4,162.84 5.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $944.28 $2,360.69 7.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,679.23 $4,198.07 5.4×
Dup-scan xtr veins unilateral/limited study (93971) $933.32 $2,333.30 6.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $627.81 $1,569.53 2.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $322.67 $806.68 2.4×
Duplex Scan Hemodialysis Access (93990) $645.59 $1,613.98 4.8×
Duplex up extrem art bilat (93930) $1,554.48 $3,886.19 5.0×
Duplex up extrem art unilat/ltd (93931) $1,162.41 $2,906.03 8.6×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $360.51 $901.27 2.2×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $91.80 $229.50 0.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $85.68 $214.20 0.5×
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) $616.80 $1,542 2.2×
Ear and throat examination (92502) $941.20 $2,353 1.3×
Ear Protector Evaluation (92596) $98.80 $247 2.0×
ECG/monitoring and analysis (93271) $845.65 $2,114.13 6.9×
Echo Congenital Complete (93303) $1,930.20 $4,825.49 2.7×
Echo Heart Xthoracic,Limited (93308) $853.26 $2,133.15 2.8×
Echo r-t 2d w/probe placement only (93313) $1,013.34 $2,533.36 1.4×
Echo transesophag montr cardiac pump functj (93318) $2,723.80 $6,809.51 3.8×
Echo transesophageal (93312) $2,982.92 $7,457.30 4.2×
Echo Transesophageal - Congenital Tee Complete (93315) $1,555.13 $3,887.82 2.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines
$625.20–$2,399.90 $1,563–$5,999.76 varies
Eeg 41-60 Minutes (95812) $1,392.94 $3,482.34 5.0×
EEG awake and asleep (95819) $1,312.63 $3,281.58 4.7×
EEG awake drowsy (95816) $1,078.48 $2,696.19 3.8×
EEG cerebral death evaluation (95824) $1,263.59 $3,158.97 2.6×
EEG cont rec w/video by tech min 8 channels (95700) $702.23 $1,755.58 2.5×
EEG extended monitoring 61-119 minutes (95813) $1,717.16 $4,292.91 6.1×
Eeg Sleep Only (95822) $1,113.54 $2,783.86 4.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $702.23 $1,755.58 2.5×
EEG w/o vid 2-12hr cont mntr (95707) $702.23 $1,755.58 2.5×
EEG w/o vid ea 12-26hr intmt (95709) $1,178.90 $2,947.25 2.4×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,178.90 $2,947.25 2.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $702.23 $1,755.58 2.5×
EEG wo vid ea 12-26hr unmntr (95708) $1,395.26 $3,488.16 2.9×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $218.40 $546 1.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $424.38 $1,060.96 3.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $120.60 $301.51 2.5×
Electrical Stimulation Ea 15 Min (97032) $76.47 $191.18 5.2×
Electro-Oculography (92270) $306.40 $766 1.8×
Electrocardiogram Tracing (93005) $276.52 $691.30 3.6×
Electroconvulsive Therapy (90870) $1,070.73 $2,676.83 1.0×
Electrophysiology Evaluation (93642) $6,527.17 $16,317.93 4.1×
Emergency Dept Visit Level 2 (99282) $970.35 $2,425.88 4.9×
Emergency Dept Visit Level 3 (99283) $2,206.81 $5,517.02 6.2×
Emergency Dept Visit Level 4 (99284) $4,590.61 $11,476.53 8.5×
Emg 3 Extremities (95863) $409.60 $1,024 2.5×
Emg 4 Extremities (95864) $584.06 $1,460.16 3.5×
Endomyocardial Biopsy (93505) $3,495.60 $8,739 0.9×
Ep & ablate supravent arrhyt (93653) $27,243.60 $68,109 0.8×
Ep & ablate ventric tachy (93654) $27,243.60 $68,109 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,327.34 $28,318.36 1.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $10,616.26 $26,540.64 1.0×
Ep Esophageal Recording Atria+Pacing (93616) $2,077.04 $5,192.59 1.3×
Er level 1 (99281) $293.33 $733.33 2.7×
Er level v (99285) $4,745.34 $11,863.34 6.1×
Esoph Atrial Electrogram (93615) $1,593.60 $3,984 1.0×
Esophageal Capsule Endoscopy (91111) $1,609.20 $4,023 1.4×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,123.38 $2,808.45 2.3×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,342.05 $3,355.13 2.8×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $369.53 $923.83 2.2×
Evaluate pt use of inhaler (94664) $422.44 $1,056.10 1.5×
Evaluate Speech Production (92522) $410.58 $1,026.44 3.7×
Evaluate Swallowing Function (92610) $526.02 $1,315.04 6.2×
Evaluation of speech fluency (92521) $387.65 $969.12 2.9×
Evoked Auditory Test,Limited (92587) $436.64 $1,091.59 1.6×
Excimer laser tx psoriasis 250-500 sq cm (96921) $446 $1,115 1.7×
Excimer laser tx psoriasis >500 sq cm (96922) $688.70 $1,721.76 1.3×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $446 $1,115 1.7×
Exercise test for bronchospasm (94617) $340.85 $852.12 2.0×
External ECG rec>48hr<7d recording (93242) $134.27 $335.67 2.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $306.40 $766 1.8×
External ECG rec>7d<15d recording (93246) $209.79 $524.48 4.3×
External ECG rec>7d<15d scanning alys w/report (93247) $399.73 $999.33 2.3×
External Ecg Scanning Analysis Report (93226) $769.48 $1,923.69 10.1×
Extracranial Bilat Study (93880) $1,399.54 $3,498.86 4.5×
Extracranial Uni/Ltd Study (93882) $1,399.54 $3,498.86 10.3×
Eye exam w anesth; complete (92018) $2,590.80 $6,477 0.8×
Eye exam w anesth; limited (92019) $2,590.80 $6,477 0.8×
F-up/limited tthrc echo congenital car anomaly (93304) $1,013.60 $2,534 1.4×
Flexible endoscopic eval swallow c/v rec (92612) $540.96 $1,352.41 2.7×
Fluorescein angiography (92235) $632.52 $1,581.30 2.3×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $703.64 $1,759.11 2.5×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,392.95 $3,482.37 1.2×
Fundus photography (92250) $306.40 $766 1.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,289.92 $3,224.80 2.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $618 $1,545 2.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,387.76 $5,969.39 2.1×
Gi tract capsule endoscopy (91110) $3,533.50 $8,833.74 3.0×
Gi tract imaging intraluminal colon i&r (91113) $1,743.62 $4,359.06 1.4×
Gi wireless capsule measure (91112) $1,609.20 $4,023 1.4×
Gonioscopy (92020) $176.52 $441.30 1.0×
Group Therapeutic Procedures (97150) $141.69 $354.23 7.9×
Health Behavior Assessment/Re-Assessment (96156) $258.75 $646.88 2.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $111.50 $278.76 2.3×
Health behavior ivntj group f2f 1st 30 min (96164) $94.78 $236.95 1.9×
Health behavior ivntj indiv f2f 1st 30 min (96158) $360.80 $902 1.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $13,767.05 $34,417.63 3.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,493.48 $3,733.69 1.7×
High altitude simulation test (94452) $306.40 $766 1.8×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $306.40 $766 1.8×
Holter monitor recording (93225) $545.85 $1,364.63 3.2×
Icd Device Interrogate (93289) $151.42 $378.56 3.1×
Icd device progr eval dual (93283) $190.39 $475.97 3.9×
Icd Device Progr Eval Mult (93284) $217.11 $542.78 4.5×
Ilr Device Eval Progr (93285) $98.80 $247 2.0×
Ilr Device Interrogate (93291) $109.51 $273.78 2.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $85.10 $212.74 0.9×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $178.32 $445.81 2.3×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $149.20 $373 1.9×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $98.82 $247.06 2.0×
Immunization administration (90471) $159.21 $398.03 1.7×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $891.06 $2,227.66 3.2×
Ingestion challenge test initial 120 minutes (95076) $980.80 $2,452 2.0×
Insert/Place Heart Catheter (93503) $1,830.93 $4,577.33 0.9×
Interrogate Subq Defib (93261) $104.49 $261.23 2.2×
Interrogation vad in person (93750) $263.58 $658.95 2.1×
Intra-atrial pacing (93610) $6,104.70 $15,261.75 0.6×
Intra-atrial recording (93602) $6,481.76 $16,204.40 0.6×
Intracranial Complete Study (93886) $1,367.35 $3,418.37 4.4×
Intracutaneous tests w/allergenic extracts (95024) $98.88 $247.21 1.3×
Intraventricular pacing (93612) $6,104.70 $15,261.75 0.6×
Io anal gast n-stim subsq (95981) $166.72 $416.80 2.2×
Io ga n-stim subsq w/reprog (95982) $251.22 $628.06 5.2×
Iontophoresis 15 min (97033) $180.22 $450.54 9.5×
Irrig Drug Delivery Device (96523) $243.48 $608.71 3.2×
Ischemic limb exercise test (95875) $351.20 $878 2.1×
IV infusion hydration each additional hour (96361) $304.69 $761.72 5.0×
IV infusion hydration initial 31 min-1 hour (96360) $575.46 $1,438.64 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $300.08 $750.21 3.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $398.46 $996.16 6.6×
IV push initial (96374) $473.20 $1,183 1.7×
L Hrt Art/Grft Angio (93459) $10,636.89 $26,592.22 2.5×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $3,899.18 $9,747.95 0.9×
Laryngeal Function Studies (92520) $306.40 $766 1.8×
Liver Elastography W/O Imag W/I&R (91200) $451.24 $1,128.11 2.7×
Lung Function Test (Mbc/Mvv) (94200) $194.78 $486.96 2.5×
Lwr Xtr Vasc Stdy Bilat (93924) $1,048.65 $2,621.62 3.7×
Mechanical chest wall oscillation per session (94669) $456.80 $1,142 1.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40 $100.01 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $98.94 $247.34 2.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $39.90 $99.76 2.3×
Methacholine challenge (94070) $1,178.08 $2,945.20 2.4×
Microvolt T-Wave Assess (93025) $462.21 $1,155.52 2.8×
Motility study esophagus (91010) $2,842.20 $7,105.50 5.9×
Motion Fluoroscopy/Swallow (92611) $674.91 $1,687.28 7.4×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $1,989.57 $4,973.92 3.4×
Multifocal Electroretinography W/I&R (92274) $413.45 $1,033.63 2.5×
Multiple Sleep Latency Test (95805) $2,133.35 $5,333.37 1.9×
Muscle Test 2 Limbs (95861) $338.90 $847.25 2.0×
Muscle Test Hemidiaphragm (95866) $351.20 $878 2.1×
Muscle Test Nonparaspinal (95870) $306.40 $766 1.8×
Muscle Test One Limb (95860) $306.40 $766 1.8×
Nasopharyngoscopy (92511) $321.94 $804.84 1.2×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $603.06 $1,507.65 2.2×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $537.51 $1,343.77 1.9×
Needle electromyography larynx (95865) $306.40 $766 1.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $411.04 $1,027.61 1.5×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $468.82 $1,172.04 1.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $788.05 $1,970.13 1.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $738.40 $1,846 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $446 $1,115 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $738.40 $1,846 1.4×
Nerve Conduction Studies 1-2 Studies (95907) $351.20 $878 1.3×
Nerve Conduction Studies 11-12 Studies (95912) $769.14 $1,922.84 1.6×
Nerve conduction studies 13 or more studies (95913) $863.68 $2,159.19 1.8×
Nerve Conduction Studies 3-4 Studies (95908) $428.80 $1,072.01 1.5×
Nerve conduction studies 5-6 studies (95909) $583 $1,457.50 2.1×
Nerve conduction studies 7-8 studies (95910) $583 $1,457.50 1.2×
Nerve Conduction Studies 9-10 Studies (95911) $769.14 $1,922.84 1.6×
Neurobehavioral Status Exam (96116) $616.80 $1,542 2.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $394.57 $986.42 2.4×
Neuromuscular Reeducation (97112) $189.06 $472.66 5.8×
Newborn resuscitation (99465) $1,236.97 $3,092.43 1.4×
Nitric oxide expired gas determination (95012) $193.15 $482.88 4.0×
Nrpsyc tst eval phys/qhp 1st (96132) $980.80 $2,452 2.0×
Ocular Vemp Testing W/I&R (92518) $423.56 $1,058.89 2.5×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $341.47 $853.68 2.0×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004)
range across 2 matching MRF lines
$55–$306.40 $137.50–$766 varies
Ophth medical xm&eval comprhnsv estab pt 1/> (92014)
range across 2 matching MRF lines
$55–$301.65 $137.50–$754.13 varies
Ophth medical xm&eval intermediate estab pt (92012)
range across 2 matching MRF lines
$55–$263.77 $137.50–$659.43 varies
Ophth Medical Xm&Eval Intermediate New Pt (92002)
range across 2 matching MRF lines
$55–$258.72 $137.50–$646.80 varies
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $181.24 $453.11 2.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $181.24 $453.11 2.4×
Optokinetic Nystagmus Test (92544) $290.42 $726.04 1.7×
Oral Function Therapy (92526) $375.40 $938.50 4.5×
Oral Speech Device Eval (92597) $457.60 $1,144 6.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $178.11 $445.27 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $215.89 $539.72 4.7×
Oscillating Tracking Test (92545) $671.84 $1,679.59 2.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $66.80 $167 2.4×
Osteopathic manipulative tx 3-4 body regions (98926) $75.88 $189.71 2.7×
Osteopathic manipulative tx 5-6 body regions (98927) $99.46 $248.65 3.5×
Osteopathic manipulative tx 7-8 body regions (98928) $127.05 $317.63 4.5×
Osteopathic manipulative tx 9-10 body regions (98929) $152.35 $380.87 5.4×
Ot Contrast Bath Ea 15 Min (97034) $76.07 $190.17 5.4×
Ot eval high complexity (97167) $359.84 $899.60 3.6×
Ot Eval Low Complex (97165) $359.84 $899.60 3.6×
Ot Eval Moderate Complexity (97166) $359.84 $899.60 3.6×
Ot manual therapy 15 min (97140) $176.52 $441.30 6.4×
Ot paraffin bath (97018) $92.95 $232.37 15.5×
Ot Prosthetic Training, Each 15 Min (97761) $128.26 $320.64 3.2×
Ot Re-Eval Est Plan Care (97168) $228.46 $571.15 3.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $299.20 $748 1.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $316.57 $791.43 1.9×
Oxygen Uptake Rest Indirect (94690) $287.97 $719.92 3.8×
Patch/Application Test Specify Number Tests (95044) $836.82 $2,092.04 0.8×
Pdt dstr prmlg les phys/qhp (96573) $517.75 $1,294.37 2.0×
Pdt dstr prmlg les skn illum/activj per day (96567) $473.70 $1,184.26 1.8×
Percutaneous tests w/allergenic extracts (95004) $836.82 $2,092.04 0.8×
Perq transcath closure pda (93582) $23,374.34 $58,435.86 1.0×
Perq Transcath Cls Aortic (93591) $23,103.65 $57,759.12 1.0×
Perq Transcath Cls Mitral (93590) $23,103.65 $57,759.12 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $9,018.13 $22,545.33 1.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,556.39 $36,390.98 1.0×
Phlebotomy therapeutic (99195) $306.40 $766 1.8×
Photo patch test(s) (95052) $74.56 $186.40 1.0×
Photo Tests (95056) $151.02 $377.55 0.9×
Photochemotx Psoralens&Ultraviolet Puva (96912) $246.62 $616.55 3.2×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $215 $537.51 2.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $178.75 $446.88 2.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $178.75 $446.88 2.3×
Physical Performance Test (97750) $176.48 $441.20 5.2×
Plethysmography (94726) $616.80 $1,542 1.3×
Pm device eval in person (93288) $130.50 $326.25 2.7×
Pm device progr eval dual (93280) $158.26 $395.66 3.3×
Pm device progr eval multi (93281) $157.24 $393.09 3.2×
Pm Device Progr Eval Sngl (93279) $118.54 $296.36 2.4×
Pm/Icd Remote Tech Serv (93296) $210 $525 4.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,942.24 $12,355.61 4.4×
Polysom <6 yrs 4/> paramtrs (95782) $1,788.45 $4,471.13 1.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,788.45 $4,471.13 1.6×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,262.15 $5,655.38 2.0×
Positional nystagmus test (92542) $306.40 $766 1.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $142.71 $356.78 2.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $163.68 $409.19 3.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $105.50 $263.76 1.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $104.64 $261.59 1.7×
Prq Card Angio/Athrect 1 Art (92924) $20,789 $51,972.51 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $13,118.99 $32,797.47 0.9×
Prq Card Stent/Ath/Angio (92933) $19,941.20 $49,853 0.8×
Prq Revasc Byp Graft 1 Vsl (92937) $13,189.09 $32,972.73 0.9×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $16,841.19 $42,102.97 0.7×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $14,052.85 $35,132.13 0.9×
Psych diag eval w/med srvcs (90792) $419.66 $1,049.16 1.8×
Psychiatric diagnostic evaluation (90791) $419.66 $1,049.16 1.8×
Psychological tst eval svc phys/qhp first hour (96130) $616.80 $1,542 2.2×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $531.22 $1,328.04 0.9×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $203.05 $507.63 1.2×
Pt Eval High Complex (97163) $313.45 $783.63 3.2×
Pt eval low complex 20 min (97161) $205.94 $514.85 2.1×
Pt Eval Mod Complex (97162) $241.85 $604.62 2.5×
Pt gait training 15 min (97116) $161.49 $403.73 5.6×
Pt mechanical traction (97012) $147.99 $369.97 10.3×
Pt Re-Eval Est Plan Care (97164) $180.41 $451.03 2.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $99.46 $248.65 2.0×
Pulm function test by gas (94727) $351.20 $878 1.3×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$204.08–$22,650.63 $510.21–$56,626.58 varies
Pulmonary Stress Testing (94618) $410.58 $1,026.44 2.4×
Pure Tone Audiometry Air (92552) $177.67 $444.17 1.0×
R Hrt Art/Grft Angio (93457) $7,467.93 $18,669.83 1.8×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $3,899.18 $9,747.95 0.9×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $3,899.18 $9,747.95 0.9×
R hrt coronary artery angio (93456) $8,940.94 $22,352.35 2.1×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $3,899.18 $9,747.95 0.9×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $3,899.18 $9,747.95 0.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $11,153.89 $27,884.73 2.7×
Refill/Maint Portable Pump (96521) $494.68 $1,236.69 1.8×
Refill/Maint Pump/Resvr Syst (96522) $473.20 $1,183 1.7×
Rem interrog icpms <30 d phys/qhp (93297) $124.12 $310.31 2.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $124.12 $310.31 2.6×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $160.84 $402.10 3.3×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $159.14 $397.85 0.9×
Rem Mntr Wrls P-Art Prs Snr (93264) $886.24 $2,215.60 18.3×
Remote 30 Day Ecg Rev/Report (93270) $458.18 $1,145.45 9.5×
Repet tms tx initial w/map/motr threshld/del&m (90867) $667.84 $1,669.60 2.4×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $667.84 $1,669.60 2.4×
Respiratory flow volume loop (94375) $616.80 $1,542 2.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $149.20 $373 1.9×
Right Heart Cath (93451) $5,086.34 $12,715.84 1.2×
Right ventricular recording (93603) $1,593.60 $3,984 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $335.30 $838.24 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $405.80 $1,014.50 3.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $214.74 $536.85 4.5×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $1,276.81 $3,192.02 2.6×
Sbsq Psyc Collab Care Mgmt (99493) $367.95 $919.88 2.8×
Self Care Mngment Training (97535) $106.56 $266.41 3.3×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $182.24 $455.61 2.4×
Sensory Integration Ea 15 Min (97533) $87.24 $218.09 1.4×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $616.80 $1,542 2.2×
Short-latency somatosens ep std upr limbs (95925) $717.24 $1,793.09 2.6×
Sleep study attended (95807) $1,040.20 $2,600.51 2.1×
Sleep study unattended (95806) $1,262.44 $3,156.09 4.5×
Slp Stdy Unatnd W/Anal (95801) $308.93 $772.32 4.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $368.46 $921.16 1.3×
Somatosensory Testing (95938) $980.80 $2,452 0.9×
Speech Audiometry Complete (92556) $149.20 $373 1.9×
Speech audiometry threshold (92555) $126.92 $317.29 1.7×
Speech sound lang comprehen (92523) $584.08 $1,460.21 2.6×
Spirometry (94010) $377.58 $943.95 1.3×
Spontaneous Nystagmus Test (92541) $306.40 $766 1.8×
Ssep lower limbs (95926) $635.54 $1,588.84 2.3×
Standardized Cognitive Performance Testing (96125) $273.65 $684.12 2.7×
Stenger Test, Pure Tone (92565) $72.80 $182.01 1.0×
Stress Tte Only (93350) $1,887.18 $4,717.94 2.7×
Subcutaneous Infusion Each Additional Hour (96370) $494.68 $1,236.69 8.1×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $288.28 $720.70 1.0×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,036.47 $2,591.18 7.6×
Temp transcutaneous pacing (92953) $753.10 $1,882.74 0.9×
Tensilon Test (95857) $364.48 $911.21 1.3×
Testing Autonomic Nervous System Function (95923) $306.40 $766 1.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $62.08 $155.21 2.8×
Ther Ivntj Ea Addl 15 Min (97130) $73.55 $183.88 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $181.38 $453.45 1.8×
Ther/Prop/Diag Inj/Inf Proc (96379) $108.08 $270.20 1.8×
Ther/Proph/Diag Inj Ia (96373) $331.41 $828.53 1.2×
Ther/Proph/Diag Inj Sc/Im (96372) $178.80 $447 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $518.54 $1,296.35 1.9×
Therap repetitive tms tx subseq delivery & mng (90868) $667.84 $1,669.60 2.4×
Therapeutic Activities (97530) $161.35 $403.37 4.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $4,022.95 $10,057.38 8.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $78.80 $197 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $69.01 $172.52 1.4×
Tone Decay Test (92563) $98.80 $247 2.0×
Transcath Closure of Asd (93580) $21,354.68 $53,386.70 0.9×
Transcranial Doppler Intracran Art Emboli Detect (93892) $1,022.94 $2,557.36 7.5×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $679.25 $1,698.12 5.0×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $99.46 $248.65 2.1×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $246.05 $615.13 1.5×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $300.08 $750.21 1.7×
Tte w/doppler, complete (93306) $2,470.02 $6,175.04 3.5×
Tte W/O Doppler Complete (93307) $990.75 $2,476.88 3.2×
Tx atrial fib pulm vein isol (93656) $27,243.60 $68,109 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $228.42 $571.06 3.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $138.26 $345.65 5.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $365.60 $914 6.0×
Tympanometry (92567) $138.55 $346.38 2.9×
Tympanometry and reflex threshold measurements (92550) $378.90 $947.26 1.4×
Unlisted cardiovascular service/procedure (93799)
range across 10 matching MRF lines
$553.52–$17,944.74 $1,383.80–$44,861.86 varies
Unlisted Diagnostic Gastroenterology Procedure (91299)
range across 2 matching MRF lines
$2,984.31–$3,464.20 $7,460.77–$8,660.51 varies
Unlisted noninvasive vascular diagnostic study (93998) $380.16 $950.40 10.1×
Unlisted ophthalmological service/procedure (92499) $237.53 $593.82 6.3×
Unlisted otorhinolaryngological service (92700)
range across 8 matching MRF lines
$64.67–$1,705.03 $161.68–$4,262.58 varies
Unlisted Special Dermatological Service/Px (96999) $446 $1,115 1.7×
Upr/L Xtremity Art 2 Levels (93922) $440.07 $1,100.18 2.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $860.31 $2,150.77 3.1×
Valvuloplasty aortic valve (92986) $13,998.08 $34,995.20 1.9×
Valvuloplasty mitral valve (92987) $19,822.99 $49,557.47 1.3×
Valvuloplasty pulmonary valve (92990) $12,594 $31,485 0.8×
Veeg 2-12 Hr Cont Mntr (95713) $1,178.90 $2,947.25 2.4×
Veeg 2-12 hr intmt mntr (95712) $772.26 $1,930.66 1.6×
Veeg 2-12 hr unmonitored (95711) $944.18 $2,360.44 3.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,178.90 $2,947.25 2.4×
Veeg Ea 12-26 Hr Unmntr (95714) $1,585.08 $3,962.69 3.3×
Veeg ea 12-26hr cont mntr (95716) $2,754.98 $6,887.44 2.5×
Vent Mgmt Inpat Init Day (94002)
range across 3 matching MRF lines
$2,634.80–$6,700.19 $6,587–$16,750.47 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,760.38 $9,400.95 4.7×
Visual Evoked Potential Test (95930) $849.68 $2,124.19 3.0×
Visual Field Exam Extended (92083) $306.40 $766 1.8×
Visual field xm uni/bi w/interp intermed exam (92082) $157.78 $394.44 2.1×
Visual field xm uni/bi w/interpretj limited exam (92081) $178.32 $445.81 2.3×
Visual reinforcement audiometry (vra) (92579) $351.20 $878 1.3×
Vital capacity, total (94150) $381.72 $954.30 2.3×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,746 $4,365 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $111.36 $278.40 3.6×
Whirlpool Therapy (97022) $50.11 $125.27 3.2×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $178.32 $445.81 2.3×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $248.35 $620.87 5.1×

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.