Visits & medical services prices at University of Illinois Hospital and Clinics

Chicago, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $5,489.10 $18,297 0.7×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $128.40 $428 0.9×
Acoustic Reflex Testing (92568) $55.50 $185 1.4×
Actigraphy Testing Recording Analysis I&R (95803) $56.70 $189 0.9×
Actinotherapy Ultraviolet Light (96900) $96 $320 2.4×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $36.60 $122 0.2×
Adaptive behavior tx by protocol tech ea 15 min (97153) $36.60 $122 0.3×
Admn Sarscov2 Vacc 1 Dose (90480) $35.40 $118 0.8×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $137.10 $457 0.6×
Aep neurodiagnostic i&r (92653) $259.20 $864 1.1×
Aep threshold estimation mlt frequencies i&r (92652) $259.20 $864 1.1×
Airway Inhalation Treatment (94640)
range across 13 matching MRF lines
$46.20–$215.70 $154–$719 varies
Airway resistance by oscillometry (94728) $81.60 $272 0.6×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $27.60 $92 0.7×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $131.40 $438 1.0×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $94.80 $316 0.7×
Analyze neurostim complex (95972) $184.20 $614 1.8×
Analyze neurostim no prog (95970) $94.20 $314 0.7×
Analyze Neurostim Simple (95971) $188.10 $627 1.8×
Anrct mano rct sensation&rct balo expulsion test (91125) $300 $1,000 0.8×
Ant sgm imaging w/microscopy endothelial analy (92286) $119.70 $399 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $61.50 $205 4.3×
Application on-body injector (96377) $39 $130 0.8×
Arrhythmia Induction (93618) $1,397.70 $4,659 1.1×
Assessment of aphasia per hr (96105) $276.90 $923 2.8×
Assessment of tinnitus (92625) $94.80 $316 0.7×
Audiometry Air & Bone (92553) $147.30 $491 1.1×
Auditory Function, 60 Min (92620) $94.80 $316 0.7×
Basic vestibular evaluation (92540) $225 $750 1.0×
Behavior id assessment by phys/qhp ea 15 min (97151) $36.60 $122 0.3×
Behavior id support assmt by 1 tech ea 15 min (97152) $36.60 $122 0.3×
Behavral qualit analys voice (92524) $276 $920 2.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $71.70 $239 0.9×
Bfb training ea addl 15 min (90913) $71.70 $239 2.2×
Biofeedback training any modality (90901) $46.80 $156 1.1×
Blink reflex test (95933) $184.50 $615 2.9×
Breath hydrogen/methane test (91065) $153.60 $512 0.7×
Brief Emotional/Behav Assmt (96127) $30.90 $103 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $279.90 $933 0.7×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,135.80 $3,786 0.1×
C motor evoked upr&lwr limbs (95939) $1,015.80 $3,386 1.1×
Caloric vestibular test w/rec bi monothermal (92538) $273.60 $912 1.2×
Caloric Vstblr Test W/Rec (92537) $273.60 $912 2.0×
Canalith repositioning proc (95992) $64.50 $215 1.6×
Car seat/bed test 60 min (94780) $34.80 $116 0.9×
Cardiac Stress Tst,Tracing Only (93017) $272.70 $909 1.2×
Cardiopulmonary exercise testing (94621) $664.20 $2,214 1.7×
Cardiopulmonary resuscitation (92950) $262.50 $875 1.1×
Cardioversion (92960) $1,230.30 $4,101 1.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) $30.30 $101 0.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $21.30 $71 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,815.10 $32,717 2.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,244.30 $17,481 1.5×
Cbt 1st hour (94644) $93.90 $313 0.7×
Cervical & Ocular Vemp Testing W/I&R (92519) $259.20 $864 1.1×
Cervical Vemp Testing W/I&R (92517) $137.10 $457 1.0×
Chemo Admin Peritoneal Cavity (96446) $161.70 $539 0.5×
Chemo Anti-Neopl Sq/Im (96401) $138 $460 1.8×
Chemo Hormon Antineopl Sq/Im (96402) $297.60 $992 3.9×
Chemo Ia Push (96420) $736.20 $2,454 2.1×
Chemo intralesional up to 7 (96405) $60.60 $202 0.8×
Chemo IV infusion addl hr (96415) $231.30 $771 3.0×
Chemo IV push addl drug (96411) $186.90 $623 2.4×
Chemother Prolong Infuse W/Pump (96416) $360 $1,200 1.0×
Chemotherapy Into Cns (96450) $401.40 $1,338 1.1×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $272.10 $907 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $315 $1,050 4.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $508.20 $1,694 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $266.40 $888 0.8×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $230.70 $769 0.7×
Chest Wall Manipulation (94668) $39.30 $131 0.3×
Cmptr ophth dx img ant segmt (92132) $65.10 $217 1.0×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $54.30 $181 0.9×
Color/duplex Doppler, complete (93975) $742.80 $2,476 2.9×
Color/duplex Doppler, limited (93976) $135.90 $453 1.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $43.50 $145 1.4×
Comprehensive Hearing Test (92557) $117.60 $392 0.9×
Computerized Ophthalmic Imaging Optic Nerve (92133) $65.10 $217 1.0×
Computerized Ophthalmic Imaging Retina (92134) $65.10 $217 1.0×
Conditioning Play Audiometry (92582) $138 $460 1.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $533.10 $1,777 3.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $63.90 $213 1.0×
Contact Lens Fit,Corneoscleral Lens (92313) $65.10 $217 0.5×
Continuous Pulse Ox (94762) $160.20 $534 1.2×
Corneal Topography (92025) $65.10 $217 1.0×
Coronary Art/Grft Angio S&I (93455) $4,005 $13,350 1.2×
Coronary Artery Angio S&I (93454) $3,671.40 $12,238 1.1×
Cpt initial (94667) $50.40 $168 0.4×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $243.60 $812 1.1×
Critical care first hour (99291) $850.20 $2,834 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $191.70 $639 0.9×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $193.50 $645 0.9×
Developmental tst admin phys/qhp 1st hour (96112) $59.10 $197 0.4×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $131.40 $438 1.0×
Dialysis One Evaluation (90945)
range across 5 matching MRF lines
$287.10–$964.80 $957–$3,216 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $111.90 $373 0.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $467.10 $1,557 1.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $579 $1,930 5.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $863.40 $2,878 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $495.30 $1,651 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $398.10 $1,327 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $482.40 $1,608 4.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $239.70 $799 0.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $115.20 $384 1.0×
Duplex up extrem art bilat (93930) $370.80 $1,236 1.5×
Duplex up extrem art unilat/ltd (93931) $374.40 $1,248 3.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $127.50 $425 0.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $191.70 $639 1.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $191.70 $639 1.4×
Echo Congenital Complete (93303) $524.70 $1,749 0.9×
Echo Heart Xthoracic,Limited (93308) $252.60 $842 1.0×
Echo transesophag congen probe plcmt only (93316) $375 $1,250 0.6×
Echo transesophageal (93312) $851.10 $2,837 1.5×
Echo Transesophageal - Congenital Tee Complete (93315) $851.10 $2,837 1.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $538.80 $1,796 0.9×
Eeg 41-60 Minutes (95812) $407.10 $1,357 1.8×
EEG awake and asleep (95819) $255.30 $851 1.1×
EEG awake drowsy (95816) $247.20 $824 1.1×
EEG cerebral death evaluation (95824) $499.80 $1,666 1.2×
EEG cont rec w/video by tech min 8 channels (95700) $260.40 $868 1.1×
EEG extended monitoring 61-119 minutes (95813) $573.30 $1,911 2.5×
Eeg Sleep Only (95822) $390.30 $1,301 1.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $260.40 $868 1.1×
EEG w/o vid 2-12hr cont mntr (95707) $260.40 $868 1.1×
EEG w/o vid ea 12-26hr intmt (95709) $499.80 $1,666 1.2×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $499.80 $1,666 1.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $260.40 $868 1.1×
EEG wo vid ea 12-26hr unmntr (95708) $499.80 $1,666 1.2×
EKG signal averaged (93278) $211.20 $704 3.3×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $40.20 $134 0.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $126.90 $423 1.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $40.20 $134 1.0×
Electrical Stimulation Ea 15 Min (97032) $87.30 $291 5.9×
Electrocardiogram Tracing (93005) $136.50 $455 2.2×
Electrocochleography (92584) $387.60 $1,292 2.8×
Electroconvulsive Therapy (90870) $492.30 $1,641 0.5×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$3,056.40 $10,188 0.4×
Electrophysiology Evaluation (93642) $954.60 $3,182 0.7×
Emergency Dept Visit Level 2 (99282) $256.20 $854 1.6×
Emergency Dept Visit Level 3 (99283) $329.10 $1,097 1.1×
Emergency Dept Visit Level 4 (99284) $638.40 $2,128 1.4×
Emg 3 Extremities (95863) $146.70 $489 1.1×
Emg 4 Extremities (95864) $146.70 $489 1.1×
Endomyocardial Biopsy (93505) $2,054.10 $6,847 0.6×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$11,684.10 $38,947 0.4×
Ep & ablate ventric tachy (93654) $15,851.40 $52,838 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,656.10 $22,187 0.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,533.30 $15,111 0.5×
Ep Esophageal Recording Atria+Pacing (93616) $1,317.60 $4,392 1.0×
Er level 1 (99281) $90 $300 1.0×
Er level v (99285) $1,036.50 $3,455 1.6×
Esoph Atrial Electrogram (93615) $1,317.60 $4,392 1.0×
Esophgl Balo Distension Dx Std W/Provocation (91040) $468.90 $1,563 1.2×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $660.60 $2,202 1.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $131.40 $438 1.0×
Evaluate pt use of inhaler (94664)
range across 13 matching MRF lines
$30.60–$164.40 $102–$548 varies
Evaluate Speech Production (92522) $276 $920 2.5×
Evaluate Swallowing Function (92610) $152.70 $509 1.8×
Evaluation of speech fluency (92521) $276 $920 2.1×
Evoked Auditory Test,Limited (92587) $111.90 $373 0.5×
Exercise test for bronchospasm (94617) $120.30 $401 0.8×
Exhaled Air Analysis O2 (94680) $334.80 $1,116 2.4×
External ECG rec>48hr<7d recording (93242) $33.30 $111 0.8×
External ECG rec>7d<15d recording (93246) $54.30 $181 1.4×
External Ecg Scanning Analysis Report (93226) $550.80 $1,836 8.7×
Extracranial Bilat Study (93880) $1,003.80 $3,346 3.9×
Extracranial Uni/Ltd Study (93882) $327 $1,090 2.9×
F-up/limited tthrc echo congenital car anomaly (93304) $416.10 $1,387 0.7×
Facial nerve function studies (92516) $119.10 $397 0.5×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $36.60 $122 0.9×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $167.40 $558 1.1×
Flexible endoscopic eval swallow c/v rec (92612) $208.80 $696 1.0×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $256.80 $856 1.1×
Fluorescein angiography (92235) $277.50 $925 1.2×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $272.70 $909 1.2×
Full Field Electroretinography W/I&R (92273) $259.20 $864 1.1×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $404.10 $1,347 0.4×
Fundus photography (92250) $119.70 $399 0.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $319.50 $1,065 0.8×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $188.10 $627 0.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $337.50 $1,125 0.4×
Gi tract capsule endoscopy (91110) $1,526.70 $5,089 1.6×
Gonioscopy (92020) $119.70 $399 0.8×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $36.60 $122 0.9×
Group Therapeutic Procedures (97150) $67.80 $226 3.8×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $36.60 $122 0.9×
Health Behavior Assessment/Re-Assessment (96156) $81 $270 0.7×
Health behavior ivntj indiv f2f 1st 30 min (96158) $81 $270 0.4×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,430.40 $24,768 2.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 3 matching MRF lines
$304.20–$950.70 $1,014–$3,169 varies
Holter monitor recording (93225) $399.30 $1,331 2.8×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $34.80 $116 0.9×
Icd Device Interrogate (93289) $90.60 $302 2.3×
Icd device progr eval dual (93283) $57.90 $193 1.4×
Icd Device Progr Eval Mult (93284) $64.50 $215 1.6×
Icm Device Eval (93290) $21.30 $71 0.5×
Ilr Device Eval Progr (93285) $46.80 $156 1.2×
Ilr Device Interrogate (93291) $74.70 $249 2.4×
Im Adm Intransl/Oral 1 Vaccine (90473) $46.80 $156 0.6×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $47.70 $159 0.8×
Immunization administration (90471) $41.10 $137 0.5×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $277.50 $925 1.2×
Ingestion challenge test initial 120 minutes (95076) $445.50 $1,485 1.1×
Insert/Place Heart Catheter (93503) $1,556.10 $5,187 0.9×
Interrogate Subq Defib (93261) $30.30 $101 0.8×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$1,135.80 $3,786 0.1×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$1,135.80 $3,786 0.1×
Intracranial Complete Study (93886) $384.60 $1,282 1.5×
Intracutaneous tests w/allergenic extracts (95024) $44.40 $148 0.7×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$387.90 $1,293 0.0×
Io anal gast n-stim subsq (95981) $47.40 $158 0.7×
Io ga n-stim subsq w/reprog (95982) $170.70 $569 4.3×
Irrig Drug Delivery Device (96523) $58.50 $195 0.9×
IV infusion hydration each additional hour (96361) $39.30 $131 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $204 $680 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $144.90 $483 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $39.30 $131 0.8×
IV push initial (96374) $167.40 $558 0.7×
L Hrt Art/Grft Angio (93459) $8,285.40 $27,618 2.4×
Laryngeal Function Studies (92520) $145.50 $485 1.0×
Liver Elastography W/O Imag W/I&R (91200) $176.10 $587 1.3×
Loudness balance test (92562) $99.90 $333 0.4×
Low frequency non-thermal us (97610) $191.70 $639 0.9×
Lung Function Test (Mbc/Mvv) (94200) $92.10 $307 1.5×
Lwr Xtr Vasc Stdy Bilat (93924) $501.90 $1,673 2.2×
Mechanical chest wall oscillation per session (94669)
range across 6 matching MRF lines
$19.80–$192.90 $66–$643 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $26.40 $88 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42.60 $142 1.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $27.30 $91 1.6×
Methacholine challenge (94070) $485.40 $1,618 1.2×
Motility study esophagus (91010) $417.90 $1,393 1.0×
Motion Fluoroscopy/Swallow (92611) $316.80 $1,056 3.5×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $48 $160 0.1×
Multifocal Electroretinography W/I&R (92274) $137.10 $457 1.0×
Multiple Family Group Psychotherapy (90849) $135.90 $453 0.7×
Multiple Sleep Latency Test (95805) $617.40 $2,058 0.7×
Muscle Test 2 Limbs (95861) $115.20 $384 0.8×
Muscle Test Hemidiaphragm (95866) $85.20 $284 0.6×
Muscle Test Nonparaspinal (95870) $124.20 $414 0.9×
Muscle Test One Limb (95860) $115.20 $384 0.8×
Nasal function studies (92512) $77.40 $258 0.3×
Nasopharyngoscopy (92511) $118.20 $394 0.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $94.20 $314 0.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $203.40 $678 0.9×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $217.80 $726 0.9×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $135.90 $453 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $332.70 $1,109 0.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $332.70 $1,109 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $183.30 $611 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $349.20 $1,164 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $146.70 $489 0.6×
Nerve Conduction Studies 11-12 Studies (95912) $492.30 $1,641 1.2×
Nerve conduction studies 13 or more studies (95913) $492.30 $1,641 1.2×
Nerve Conduction Studies 3-4 Studies (95908) $282.60 $942 1.2×
Nerve conduction studies 5-6 studies (95909) $282.60 $942 1.2×
Nerve conduction studies 7-8 studies (95910) $282.60 $942 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $492.30 $1,641 1.2×
Neurobehavioral Status Exam (96116) $107.10 $357 0.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $151.20 $504 1.1×
Neuromuscular Reeducation (97112) $56.70 $189 1.7×
Nitric oxide expired gas determination (95012) $83.10 $277 2.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $29.40 $98 1.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $58.20 $194 1.7×
Nonphysician Telephone Assessment 5-10 Min (98966) $14.70 $49 1.1×
Nrpsyc tst eval phys/qhp 1st (96132) $59.10 $197 0.1×
Ocular Vemp Testing W/I&R (92518) $137.10 $457 1.0×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $119.70 $399 0.8×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $127.50 $425 0.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $127.50 $425 0.9×
Ophth medical xm&eval intermediate estab pt (92012) $127.50 $425 0.9×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $127.50 $425 0.9×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $56.70 $189 0.9×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $56.70 $189 0.9×
Optokinetic Nystagmus Test (92544) $121.50 $405 0.9×
Oral Function Therapy (92526) $50.70 $169 0.6×
Oral Speech Device Eval (92597) $193.80 $646 2.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $66.30 $221 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $70.80 $236 1.5×
Oscillating Tracking Test (92545) $244.50 $815 1.1×
Ot eval high complexity (97167) $96.30 $321 1.0×
Ot Eval Low Complex (97165) $96.30 $321 1.0×
Ot Eval Moderate Complexity (97166) $96.30 $321 1.0×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$58.50–$87.30 $195–$291 varies
Ot paraffin bath (97018) $48 $160 8.0×
Ot Prosthetic Training, Each 15 Min (97761) $81.90 $273 2.0×
Ot Re-Eval Est Plan Care (97168) $51.60 $172 0.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $123.60 $412 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $123.60 $412 0.9×
Oxygen Uptake Rest Indirect (94690) $193.80 $646 3.1×
Patch/Application Test Specify Number Tests (95044) $34.80 $116 0.0×
Pdt dstr prmlg les phys/qhp (96573) $193.50 $645 0.9×
Pdt dstr prmlg les skn illum/activj per day (96567) $188.70 $629 0.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $139.20 $464 0.6×
Percutaneous tests w/allergenic extracts (95004) $44.40 $148 0.0×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $14,733.30 $49,111 0.7×
Perq transcath closure pda (93582) $17,482.80 $58,276 0.9×
Perq Transcath Cls Aortic (93591) $14,331.60 $47,772 0.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $4,485.90 $14,953 0.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $6,813.90 $22,713 0.6×
Phlebotomy therapeutic (99195) $161.10 $537 1.1×
Photochemotx Psoralens&Ultraviolet Puva (96912) $120.30 $401 1.9×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $65.10 $217 1.0×
Physical Performance Test (97750) $33.60 $112 1.0×
Plethysmography (94726) $613.50 $2,045 1.5×
Pm device eval in person (93288) $64.50 $215 1.6×
Pm device progr eval dual (93280) $59.40 $198 1.5×
Pm device progr eval multi (93281) $64.50 $215 1.6×
Pm Device Progr Eval Sngl (93279) $59.40 $198 1.5×
Pm/Icd Remote Tech Serv (93296) $62.10 $207 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,130.10 $3,767 1.2×
Polysom <6 yrs 4/> paramtrs (95782) $602.40 $2,008 0.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $602.40 $2,008 0.7×
Positional nystagmus test (92542) $77.40 $258 0.5×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $40.20 $134 0.8×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $39 $130 0.8×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $315 $1,050 0.7×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $30.30 $101 0.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $90.60 $302 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $40.20 $134 0.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $28.50 $95 0.6×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $39 $130 0.5×
Prq Card Angio/Athrect 1 Art (92924) $8,554.80 $28,516 0.7×
Prq Card Stent W/Angio 1 Vsl (92928) $6,813.90 $22,713 0.6×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$6,813.90 $22,713 0.3×
Prq Revasc Byp Graft 1 Vsl (92937) $6,813.90 $22,713 0.6×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$6,667.80 $22,226 0.3×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure
$3,272.40 $10,908 0.3×
Psych diag eval w/med srvcs (90792) $150.60 $502 0.8×
Psychiatric diagnostic evaluation (90791) $150.60 $502 0.8×
Psychoanalysis (90845) $150.60 $502 0.8×
Psychological tst eval svc phys/qhp first hour (96130) $59.10 $197 0.3×
Psycl/Nrpsyc Tst Auto Result (96146) $7.50 $25 0.2×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $7.50 $25 0.0×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $7.50 $25 0.1×
Psytx Crisis Initial 60 Min (90839) $150.60 $502 0.8×
Pt Eval High Complex (97163) $106.20 $354 1.1×
Pt eval low complex 20 min (97161) $106.20 $354 1.1×
Pt Eval Mod Complex (97162) $106.20 $354 1.1×
Pt gait training 15 min (97116) $73.80 $246 2.5×
Pt group caregiver training (97552) $18.30 $61 0.8×
Pt mechanical traction (97012) $78 $260 5.4×
Pt Re-Eval Est Plan Care (97164) $86.10 $287 1.3×
Pt ultraviolet (97028) $36.90 $123 4.4×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $30.30 $101 0.8×
Pulm function test by gas (94727) $159.30 $531 0.7×
Pulmonary service/procedure (94799)
range across 41 matching MRF lines
$30–$884.40 $100–$2,948 varies
Pulmonary Stress Testing (94618) $293.70 $979 2.1×
Pure Tone Audiometry Air (92552) $57.90 $193 0.4×
Quan puplmtry phy/qhp uni/bi (95919) $99.60 $332 0.7×
R Hrt Art/Grft Angio (93457) $5,641.20 $18,804 1.6×
R hrt coronary artery angio (93456) $7,315.50 $24,385 2.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,908.90 $26,363 2.3×
Rectal sensation tone&compliance study (91124) $173.40 $578 0.7×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $158.10 $527 0.4×
Refill/Maint Portable Pump (96521) $142.80 $476 0.6×
Refill/Maint Pump/Resvr Syst (96522) $284.70 $949 1.2×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $35.70 $119 0.9×
Rem ther mntr dev sply resp (98976) $35.70 $119 0.9×
Remote 30 Day Ecg Rev/Report (93270) $265.20 $884 6.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $114 $380 0.8×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $36 $120 0.9×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $48 $160 0.9×
Repet tms tx initial w/map/motr threshld/del&m (90867) $251.70 $839 1.1×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $251.70 $839 1.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $54 $180 0.9×
Right Heart Cath (93451) $2,505 $8,350 0.7×
Right ventricular recording (93603) $1,135.80 $3,786 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $174.60 $582 0.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $212.10 $707 1.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $100.80 $336 2.1×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $114.60 $382 0.8×
Select picture audiometry (92583) $55.50 $185 0.9×
Self Care Mngment Training (97535) $50.70 $169 1.6×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $65.10 $217 1.0×
Sensory Integration Ea 15 Min (97533) $39 $130 0.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $326.40 $1,088 1.4×
Short-latency somatosens ep std upr limbs (95925) $460.80 $1,536 2.0×
Sleep study unattended (95806) $238.20 $794 1.0×
Slp caregiver training 1st 30 min (97550) $43.20 $144 0.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $465.60 $1,552 2.0×
Somatosensory Testing (95938) $225.30 $751 0.2×
Speech Audiometry Complete (92556) $63.90 $213 1.0×
Speech audiometry threshold (92555) $63.90 $213 1.0×
Speech sound lang comprehen (92523) $276 $920 1.2×
Spin/Brain Pump Refil & Main (95991) $202.20 $674 0.6×
Spirometry (94010)
range across 2 matching MRF lines
$92.10–$182.70 $307–$609 varies
Spontaneous Nystagmus Test (92541) $77.40 $258 0.5×
Ssep lower limbs (95926) $242.10 $807 1.0×
Standardized Cognitive Performance Testing (96125) $276.90 $923 2.7×
Stenger Test Speech (92577) $191.70 $639 0.5×
Stenger Test, Pure Tone (92565) $55.50 $185 0.9×
Stress Tte Only (93350) $438.90 $1,463 0.7×
Subcutaneous Infusion Each Additional Hour (96370) $39.30 $131 0.8×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $204 $680 0.9×
Surfactant Admin Thru Tube (94610) $53.10 $177 0.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $442.80 $1,476 4.0×
Temperature Gradient Studies (93740) $344.70 $1,149 2.5×
Testing Autonomic Nervous System Function (95923) $109.80 $366 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $49.20 $164 2.2×
Ther Ivntj Ea Addl 15 Min (97130) $49.20 $164 2.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $68.40 $228 2.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $129.30 $431 1.3×
Ther/Proph/Diag Inj Ia (96373) $186.90 $623 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $60.60 $202 0.8×
Ther/Proph/Diag Iv Inf Init (96365) $183.60 $612 0.8×
Therap repetitive tms tx subseq delivery & mng (90868) $251.70 $839 1.1×
Therapeutic Activities (97530) $77.70 $259 2.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,361.70 $4,539 3.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $26.10 $87 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22.80 $76 0.6×
Trans Care Mgmt 14 Day Disch (99495) $119.10 $397 0.8×
Trans Care Mgmt 7 Day Disch (99496) $125.10 $417 0.9×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$6,667.80 $22,226 0.3×
Transcranial Doppler Intracran Art Emboli Detect (93892) $407.70 $1,359 3.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $282 $940 2.5×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $66.30 $221 1.7×
Tte w/doppler, complete (93306) $467.40 $1,558 0.8×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$12,892.50 $42,975 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $139.20 $464 1.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $115.80 $386 4.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $87.60 $292 1.7×
Tympanometry (92567) $55.50 $185 1.4×
Tympanometry and reflex threshold measurements (92550) $61.50 $205 0.3×
Unlis neurological/neuromuscular dx px (95999) $143.10 $477 1.0×
Unlisted cardiovascular service/procedure (93799) $2,285.10 $7,617 16.6×
Unlisted otorhinolaryngological service (92700)
range across 5 matching MRF lines
$22.80–$132.60 $76–$442 varies
Upr/L Xtremity Art 2 Levels (93922) $273.30 $911 1.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $495.90 $1,653 2.1×
Valvuloplasty aortic valve (92986) $4,343.10 $14,477 0.7×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure
$4,343.10 $14,477 0.4×
Veeg 2-12 Hr Cont Mntr (95713) $499.80 $1,666 1.2×
Veeg 2-12 hr intmt mntr (95712) $260.40 $868 0.7×
Veeg 2-12 hr unmonitored (95711) $260.40 $868 1.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $499.80 $1,666 1.2×
Veeg Ea 12-26 Hr Unmntr (95714) $499.80 $1,666 1.2×
Veeg ea 12-26hr cont mntr (95716) $934.80 $3,116 1.0×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$1,397.70–$1,592.10 $4,659–$5,307 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$1,115.40–$1,283.10 $3,718–$4,277 varies
Visual Evoked Potential Test (95930) $266.70 $889 1.2×
Visual Field Exam Extended (92083) $119.70 $399 0.8×
Visual field xm uni/bi w/interp intermed exam (92082) $65.10 $217 1.0×
Visual field xm uni/bi w/interpretj limited exam (92081) $78 $260 1.2×
Visual reinforcement audiometry (vra) (92579) $138 $460 0.6×
Vital capacity, total (94150) $57.90 $193 0.4×
Wada Activation Test Hemispheric Function W/Eeg (95958) $934.80 $3,116 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $40.50 $135 1.3×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $65.10 $217 1.6×

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.