Visits & medical services prices at University of Iowa Health Care Medical Center Downtown

Iowa City, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $9,207.10 $13,153 1.2×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $226.10 $323 1.8×
Acoustic Reflex Testing (92568) $171.50 $245 4.8×
Actigraphy Testing Recording Analysis I&R (95803) $354.20 $506 6.2×
Actinotherapy Ultraviolet Light (96900) $214.20 $306 6.0×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155)
range across 2 matching MRF lines
$23.10–$67.90 $33–$97 varies
Adaptive behavior tx by protocol tech ea 15 min (97153) $66.50 $95 0.7×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$13.78–$61.60 $19.68–$88 varies
Advncd Care Plan 30 Min (99497) $172.90 $247 1.8×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $1,089.20 $1,556 5.2×
Aep neurodiagnostic i&r (92653) $1,574.30 $2,249 7.6×
Aep threshold estimation mlt frequencies i&r (92652) $1,574.30 $2,249 7.6×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$156.10–$252.70 $223–$361 varies
Airway resistance by oscillometry (94728) $337.40 $482 2.7×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $112.70 $161 3.1×
Allg tstg perq & ic venoms immed react w/i&r (95017) $79.10 $113 2.8×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $330.40 $472 2.6×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $471.80 $674 3.7×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $996.80 $1,424 8.1×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $248.50 $355 2.0×
Analyze neurostim complex (95972) $957.60 $1,368 10.5×
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$564.90–$620.20 $807–$886 varies
Analyze Neurostim Simple (95971) $896 $1,280 9.8×
Analyze Pacemaker System (93724) $427.70 $611 1.4×
Ant sgm imaging w/microscopy endothelial analy (92286) $608.30 $869 4.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $156.10 $223 10.9×
Application on-body injector (96377) $119 $170 2.6×
Arrhythmia Induction (93618) $6,107.50 $8,725 5.2×
Assessment of aphasia per hr (96105) $517.30 $739 5.3×
Assessment of tinnitus (92625) $371 $530 3.0×
Audiometry Air & Bone (92553) $294 $420 2.4×
Basic vestibular evaluation (92540) $524.30 $749 2.5×
Behavior id assessment by phys/qhp ea 15 min (97151)
range across 2 matching MRF lines
$23.80–$68.60 $34–$98 varies
Behavior id support assmt by 1 tech ea 15 min (97152) $66.50 $95 0.7×
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$324.10–$452.90 $463–$647 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $175.70 $251 2.1×
Bfb training ea addl 15 min (90913)
range across 2 matching MRF lines
$61.60–$88.20 $88–$126 varies
Bioimpedance Cv Analysis (93701) $344.40 $492 2.7×
Bis Xtracell Fluid Analysis (93702) $480.20 $686 3.9×
Blink reflex test (95933)
range across 2 matching MRF lines
$296.10–$527.10 $423–$753 varies
Breath hydrogen/methane test (91065)
range across 7 matching MRF lines
$604.80–$863.80 $864–$1,234 varies
Brief Emotional/Behav Assmt (96127) $64.40 $92 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $713.30 $1,019 2.0×
Bundle of his recording (93600) $5,923.40 $8,462 0.8×
C motor evoked uppr limbs (95928) $898.10 $1,283 1.1×
C motor evoked upr&lwr limbs (95939) $1,267 $1,810 1.5×
Caloric vestibular test w/rec bi monothermal (92538) $527.10 $753 2.5×
Canalith repositioning proc (95992) $187.60 $268 4.6×
Car seat/bed test 60 min (94780) $169.40 $242 4.7×
Cardiac Stress Tst,Tracing Only (93017)
range across 11 matching MRF lines
$440.30–$975.10 $629–$1,393 varies
Cardiopulmonary exercise testing (94621) $1,574.30 $2,249 4.4×
Cardiopulmonary resuscitation (92950) $1,713.60 $2,448 8.3×
Cardioversion (92960) $1,659.70 $2,371 2.6×
Cardioversion elective internal (92961) $2,134.30 $3,049 3.4×
Caregiver hlth risk assmt score doc stnd instrm (96161) $60.20 $86 1.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $15,039.50 $21,485 4.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $10,917.90 $15,597 3.5×
Cbt 1st hour (94644) $185.50 $265 1.5×
Cervical & Ocular Vemp Testing W/I&R (92519) $1,569.40 $2,242 7.6×
Cervical Vemp Testing W/I&R (92517) $1,550.50 $2,215 12.5×
Chemo Admin Peritoneal Cavity (96446) $821.80 $1,174 2.6×
Chemo Anti-Neopl Sq/Im (96401) $482.30 $689 7.0×
Chemo Hormon Antineopl Sq/Im (96402) $482.30 $689 7.0×
Chemo Ia Push (96420) $433.30 $619 1.4×
Chemo Intralesional Over 7 (96406) $261.10 $373 1.3×
Chemo intralesional up to 7 (96405) $393.40 $562 5.7×
Chemo IV infusion addl hr (96415) $372.40 $532 5.4×
Chemo IV push addl drug (96411) $526.40 $752 7.6×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $555.80 $794 1.8×
Chemotherapy Into Cns (96450) $1,474.20 $2,106 4.6×
Chemotherapy Unspecified (96549)
range across 3 matching MRF lines
$247.10–$831.60 $353–$1,188 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $446.60 $638 6.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $906.50 $1,295 2.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $641.20 $916 2.0×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $1,381.10 $1,973 4.3×
Chest Wall Manipulation (94668) $162.40 $232 1.3×
Chron Care Mgmt Srvc 20 Min (99490)
range across 2 matching MRF lines
$162.40–$248.50 $232–$355 varies
Cmptr ophth dx img ant segmt (92132) $297.50 $425 5.2×
Colon Motility 6 Hr Study (91117) $2,146.20 $3,066 10.3×
Color/duplex Doppler, complete (93975) $1,324.40 $1,892 5.8×
Color/duplex Doppler, limited (93976) $941.50 $1,345 9.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $164.50 $235 5.1×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $706.30 $1,009 4.1×
Comprehensive Hearing Test (92557) $372.40 $532 3.0×
Computerized dynamic posturography (92548) $681.10 $973 5.3×
Computerized Ophthalmic Imaging Optic Nerve (92133) $297.50 $425 5.2×
Computerized Ophthalmic Imaging Retina (92134) $297.50 $425 5.2×
Conditioning Play Audiometry (92582) $427 $610 3.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $707 $1,010 5.5×
Cont Gluc Mntr Pt Prov Eqp (95249) $112 $160 2.0×
Continuous Pulse Ox (94762) $508.90 $727 4.1×
Corneal Topography (92025) $156.10 $223 2.8×
Coronary Art/Grft Angio S&I (93455) $12,117 $17,310 3.9×
Coronary Artery Angio S&I (93454) $10,849.30 $15,499 3.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$1,222.90–$1,463 $1,747–$2,090 varies
Cpt initial (94667) $202.30 $289 1.6×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $297.50 $425 1.4×
Critical care first hour (99291) $3,701.60 $5,288 4.7×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $898.10 $1,283 2.5×
Dark Adaptation Eye Exam (92284) $467.60 $668 1.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$374.50–$400.40 $535–$572 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $305.20 $436 1.6×
Developmental tst admin phys/qhp 1st hour (96112)
range across 2 matching MRF lines
$78.40–$513.10 $112–$733 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $765.80 $1,094 6.2×
Dialysis One Evaluation (90945)
range across 20 matching MRF lines
$126.70–$7,583.80 $181–$10,834 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $730.80 $1,044 2.0×
Duodenal motility study (91022) $2,126.60 $3,038 5.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,215.20 $1,736 5.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $917.70 $1,311 9.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,196.30 $1,709 11.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,241.80 $1,774 5.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$975.80–$1,953 $1,394–$2,790 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,401.40 $2,002 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,010.10 $1,443 10.1×
Duplex Scan Hemodialysis Access (93990) $1,073.10 $1,533 10.7×
Duplex up extrem art bilat (93930) $1,257.20 $1,796 5.5×
Duplex up extrem art unilat/ltd (93931) $896 $1,280 8.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $446.60 $638 3.6×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $639.10 $913 5.2×
ECG/monitoring and analysis (93271) $580.30 $829 6.3×
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$2,176.30–$2,687.30 $3,109–$3,839 varies
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$548.80–$927.50 $784–$1,325 varies
Echo transesophag montr cardiac pump functj (93318) $2,590 $3,700 4.9×
Echo transesophageal (93312)
range across 3 matching MRF lines
$1,683.50–$2,404.50 $2,405–$3,435 varies
Echo Transesophageal - Congenital Tee Complete (93315) $2,590 $3,700 4.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$1,876.70–$2,576.70 $2,681–$3,681 varies
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$1,464.40–$1,605.80 $2,092–$2,294 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$1,362.20–$1,605.80 $1,946–$2,294 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$914.20–$1,605.80 $1,306–$2,294 varies
EEG cerebral death evaluation (95824) $2,734.90 $3,907 7.6×
EEG cont rec w/video by tech min 8 channels (95700)
range across 3 matching MRF lines
$936.60–$1,404.90 $1,338–$2,007 varies
EEG extended monitoring 61-119 minutes (95813)
range across 3 matching MRF lines
$1,179.50–$2,467.50 $1,685–$3,525 varies
Eeg Sleep Only (95822)
range across 2 matching MRF lines
$914.20–$1,605.80 $1,306–$2,294 varies
EKG signal averaged (93278) $639.10 $913 11.3×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $310.10 $443 3.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $904.40 $1,292 9.9×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $848.40 $1,212 23.6×
Electrical Stimulation Ea 15 Min (97032) $156.10 $223 10.6×
Electro-Oculography (92270)
range across 2 matching MRF lines
$502.60–$998.20 $718–$1,426 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$259–$310.80 $370–$444 varies
Electrocochleography (92584) $953.40 $1,362 7.7×
Electroconvulsive Therapy (90870) $1,026.20 $1,466 1.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $12,390.70 $17,701 1.7×
Electrophysiology Evaluation (93642) $5,944.40 $8,492 5.1×
Emergency Dept Visit Level 2 (99282) $543.20 $776 3.7×
Emergency Dept Visit Level 3 (99283) $1,017.10 $1,453 3.9×
Emergency Dept Visit Level 4 (99284) $1,736 $2,480 4.3×
Emg 3 Extremities (95863) $372.40 $532 3.0×
Emg 4 Extremities (95864) $667.80 $954 5.4×
Endomyocardial Biopsy (93505) $5,792.50 $8,275 1.9×
Ep & ablate supravent arrhyt (93653) $33,256.30 $47,509 1.3×
Ep & ablate ventric tachy (93654) $49,970.20 $71,386 2.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $14,161 $20,230 1.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $10,714.90 $15,307 1.4×
Ep Esophageal Recording Atria+Pacing (93616) $3,075.80 $4,394 2.6×
Er level 1 (99281) $297.50 $425 3.7×
Er level v (99285) $2,945.60 $4,208 5.1×
Ergonovine provocation test (93024) $2,013.20 $2,876 4.7×
Esoph Atrial Electrogram (93615) $2,755.90 $3,937 2.4×
Esophagus acid perfusion test esophagitis (91030) $789.60 $1,128 2.2×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,470 $2,100 4.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,251.60 $1,788 3.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines
$88.20–$311.50 $126–$445 varies
Evaluate pt use of inhaler (94664) $214.20 $306 1.0×
Evaluate Speech Production (92522)
range across 4 matching MRF lines
$283.50–$513.80 $405–$734 varies
Evaluate Swallowing Function (92610) $497 $710 5.9×
Evaluation of speech fluency (92521) $316.40 $452 2.4×
Evoked Auditory Test,Limited (92587) $333.20 $476 1.6×
Exercise test for bronchospasm (94617) $1,065.40 $1,522 8.3×
External ECG rec>48hr<7d recording (93242) $1,948.80 $2,784 54.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $695.80 $994 5.4×
External ECG rec>7d<15d recording (93246) $2,211.30 $3,159 61.6×
External ECG rec>7d<15d scanning alys w/report (93247) $658 $940 5.1×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$954.10–$1,315.30 $1,363–$1,879 varies
Extracranial Bilat Study (93880) $1,423.10 $2,033 6.2×
Extracranial Uni/Ltd Study (93882) $991.20 $1,416 9.9×
Eye exam w anesth; complete (92018) $3,448.90 $4,927 1.5×
Eye exam w anesth; limited (92019) $2,085.30 $2,979 0.9×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines
$1,152.20–$1,862 $1,646–$2,660 varies
Family adapt bhv tx gdn phys/qhp ea 15 min (97156)
range across 2 matching MRF lines
$23.10–$94.50 $33–$135 varies
Filtered Speech Test (92571) $210.70 $301 5.9×
Flexible endoscopic eval swallow c/v rec (92612) $851.90 $1,217 4.3×
Fluorescein angiography (92235) $733.60 $1,048 3.5×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $564.90 $807 2.7×
Full Field Electroretinography W/I&R (92273) $1,525.30 $2,179 7.3×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,145.20 $1,636 1.4×
Fundus photography (92250) $247.80 $354 1.9×
Gastric motility studies (91020) $2,126.60 $3,038 5.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,337.70 $1,911 3.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,047.20 $1,496 5.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,065.70 $2,951 2.5×
Gi tract capsule endoscopy (91110) $3,560.90 $5,087 4.1×
Gi wireless capsule measure (91112) $1,188.60 $1,698 1.4×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $66.50 $95 1.8×
Group Therapeutic Procedures (97150)
range across 7 matching MRF lines
$185.50–$307.30 $265–$439 varies
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158)
range across 2 matching MRF lines
$23.10–$38.50 $33–$55 varies
Health Behavior Assessment/Re-Assessment (96156)
range across 2 matching MRF lines
$82.60–$327.60 $118–$468 varies
Health behavior ivntj fam w/pt f2f 1st 30 min (96167)
range across 2 matching MRF lines
$75.60–$254.80 $108–$364 varies
Health behavior ivntj group f2f 1st 30 min (96164) $22.40 $32 0.6×
Health behavior ivntj indiv f2f 1st 30 min (96158)
range across 2 matching MRF lines
$82.60–$249.20 $118–$356 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $12,290.60 $17,558 3.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 5 matching MRF lines
$1,817.90–$5,028.80 $2,597–$7,184 varies
High altitude simulation test (94452) $376.60 $538 2.9×
Holter monitor recording (93225) $499.10 $713 3.9×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $67.20 $96 1.9×
Icd Device Interrogate (93289) $375.20 $536 10.5×
Icd device progr eval dual (93283) $403.20 $576 11.2×
Icd Device Progr Eval Mult (93284) $403.20 $576 11.2×
Icm Device Eval (93290) $355.60 $508 9.9×
Ilr Device Eval Progr (93285) $403.20 $576 11.2×
Ilr Device Interrogate (93291) $375.20 $536 13.5×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 3 matching MRF lines
$13.78–$61.60 $19.68–$88 varies
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $250.60 $358 4.4×
Immunization administration (90471)
range across 5 matching MRF lines
$13.78–$61.60 $19.68–$88 varies
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $806.40 $1,152 3.9×
Ingestion challenge test initial 120 minutes (95076) $781.20 $1,116 2.2×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $476.70 $681 1.3×
Insert/Place Heart Catheter (93503) $2,524.90 $3,607 1.7×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $404.60 $578 4.4×
Interrog&prgrmg ipnss during polysomnography (93152) $959 $1,370 3.2×
Interrogate Subq Defib (93261) $376.60 $538 10.5×
Interrogation eval in person wr defibrillator (93292) $394.80 $564 11.0×
Interrogation vad in person (93750) $239.40 $342 2.6×
Interrogation without programming ipnss (93153) $376.60 $538 4.1×
Intra-atrial pacing (93610) $6,516.30 $9,309 0.9×
Intra-atrial recording (93602) $4,016.60 $5,738 0.5×
Intracranial Complete Study (93886) $1,464.40 $2,092 6.4×
Intracutaneous tests w/allergenic extracts (95024) $83.30 $119 1.5×
Intraventricular pacing (93612) $6,803.30 $9,719 0.9×
Io anal gast n-stim subsq (95981) $276.50 $395 4.9×
Io ga n-stim subsq w/reprog (95982) $460.60 $658 12.8×
Iontophoresis 15 min (97033) $181.30 $259 9.5×
Irrig Drug Delivery Device (96523) $168.70 $241 3.0×
Ischemic limb exercise test (95875) $1,269.10 $1,813 10.3×
IV infusion hydration each additional hour (96361) $180.60 $258 4.0×
IV infusion hydration initial 31 min-1 hour (96360) $681.10 $973 3.3×
IV infusion ther proph addl sequential to 1 hr (96367) $195.30 $279 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$184.80–$254.80 $264–$364 varies
IV push initial (96374)
range across 2 matching MRF lines
$232.40–$245.70 $332–$351 varies
L Hrt Art/Grft Angio (93459) $11,317.60 $16,168 3.6×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $14,167.30 $20,239 4.5×
Laryngeal Function Studies (92520) $396.20 $566 3.1×
Liver Elastography W/O Imag W/I&R (91200) $385.70 $551 3.1×
Lung Function Test (Mbc/Mvv) (94200) $263.90 $377 4.7×
Lwr Xtr Vasc Stdy Bilat (93924) $1,116.50 $1,595 5.4×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $1,103.20 $1,576 5.3×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $3,372.60 $4,818 9.4×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $573.30 $819 4.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 3 matching MRF lines
$44.10–$69.30 $63–$99 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $73.50 $105 2.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $41.30 $59 2.4×
Methacholine challenge (94070) $1,228.50 $1,755 3.4×
Microvolt T-Wave Assess (93025) $1,176 $1,680 9.5×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $104.30 $149 5.2×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $25.90 $37 4.9×
Motility study esophagus (91010) $1,642.90 $2,347 4.6×
Motion Fluoroscopy/Swallow (92611) $763 $1,090 8.3×
Multifocal Electroretinography W/I&R (92274) $763 $1,090 6.2×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157)
range across 2 matching MRF lines
$23.10–$38.50 $33–$55 varies
Multiple Family Group Psychotherapy (90849)
range across 8 matching MRF lines
$93.10–$93.80 $133–$134 varies
Multiple Sleep Latency Test (95805) $4,011 $5,730 4.9×
Muscle Test 2 Limbs (95861)
range across 2 matching MRF lines
$365.40–$561.40 $522–$802 varies
Muscle Test Hemidiaphragm (95866) $434 $620 3.5×
Muscle Test Nonparaspinal (95870)
range across 2 matching MRF lines
$196.70–$329 $281–$470 varies
Muscle Test One Limb (95860)
range across 2 matching MRF lines
$352.80–$503.30 $504–$719 varies
Nasal function studies (92512)
range across 2 matching MRF lines
$359.10–$523.60 $513–$748 varies
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$274.40–$484.40 $392–$692 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868)
range across 2 matching MRF lines
$280.70–$509.60 $401–$728 varies
Needle Electromyography Cranial Nrv Muscle Uni (95867) $219.10 $313 1.1×
Needle electromyography larynx (95865) $347.90 $497 2.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $179.20 $256 0.9×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $630.70 $901 3.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $415.80 $594 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $499.80 $714 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $415.80 $594 2.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $499.80 $714 1.3×
Nerve Conduction Studies 1-2 Studies (95907) $506.10 $723 2.4×
Nerve Conduction Studies 11-12 Studies (95912) $3,117.80 $4,454 8.7×
Nerve conduction studies 13 or more studies (95913) $3,636.50 $5,195 10.1×
Nerve Conduction Studies 3-4 Studies (95908) $973.70 $1,391 4.7×
Nerve conduction studies 5-6 studies (95909) $1,409.80 $2,014 6.8×
Nerve conduction studies 7-8 studies (95910) $1,732.50 $2,475 4.8×
Nerve Conduction Studies 9-10 Studies (95911) $2,597.70 $3,711 7.2×
Neurobehavioral Status Exam (96116)
range across 2 matching MRF lines
$78.40–$268.80 $112–$384 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $405.30 $579 3.3×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$156.10–$164.50 $223–$235 varies
Nitric oxide expired gas determination (95012) $190.40 $272 5.3×
Nrpsyc tst eval phys/qhp 1st (96132) $455 $650 1.3×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $580.30 $829 1.6×
Ocular Vemp Testing W/I&R (92518) $1,550.50 $2,215 12.5×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $222.60 $318 1.7×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $233.10 $333 1.8×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $233.10 $333 1.8×
Ophth medical xm&eval intermediate estab pt (92012) $233.10 $333 1.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $233.10 $333 1.8×
Optokinetic Nystagmus Test (92544) $568.40 $812 4.6×
Oral Function Therapy (92526)
range across 3 matching MRF lines
$310.80–$435.40 $444–$622 varies
Oral Speech Device Eval (92597) $464.80 $664 6.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $156.10 $223 3.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $164.50 $235 3.6×
Oscillating Tracking Test (92545) $473.20 $676 2.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $257.60 $368 12.4×
Osteopathic manipulative tx 3-4 body regions (98926) $253.40 $362 12.2×
Ot eval high complexity (97167) $374.50 $535 3.7×
Ot Eval Low Complex (97165) $247.80 $354 2.5×
Ot Eval Moderate Complexity (97166) $309.40 $442 3.1×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$56.70–$156.10 $81–$223 varies
Ot paraffin bath (97018) $69.30 $99 11.5×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$109.20–$186.20 $156–$266 varies
Ot Re-Eval Est Plan Care (97168) $205.10 $293 3.0×
Ot rom hand (95852) $142.80 $204 6.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 4 matching MRF lines
$392–$890.40 $560–$1,272 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $285.60 $408 2.3×
Oxygen Uptake Rest Indirect (94690) $423.50 $605 7.5×
Patch/Application Test Specify Number Tests (95044)
range across 2 matching MRF lines
$83.30–$297.50 $119–$425 varies
Pdt dstr prmlg les phys/qhp (96573) $305.20 $436 1.6×
Pdt dstr prmlg les skn illum/activj per day (96567) $1,826.30 $2,609 9.5×
Penile Vascular Study,Ltd or F/U (93981) $658 $940 6.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $391.30 $559 1.9×
Percutaneous tests w/allergenic extracts (95004) $98.70 $141 0.1×
Peripheral arterial disease rehab per session (93668) $413 $590 7.3×
Perq transcath closure pda (93582) $20,628.30 $29,469 1.2×
Perq Transcath Cls Aortic (93591) $26,920.60 $38,458 1.5×
Perq Transcath Cls Mitral (93590) $40,381.60 $57,688 2.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $12,404.70 $17,721 2.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,430.20 $19,186 1.2×
Phlebotomy therapeutic (99195) $657.30 $939 5.1×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910)
range across 4 matching MRF lines
$122.50–$226.80 $175–$324 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $544.60 $778 9.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $544.60 $778 9.6×
Physical Performance Test (97750)
range across 4 matching MRF lines
$109.20–$156.10 $156–$223 varies
Plethysmography (94726) $492.10 $703 1.4×
Pm device eval in person (93288) $262.50 $375 7.3×
Pm device progr eval dual (93280) $403.20 $576 11.2×
Pm device progr eval multi (93281) $403.20 $576 11.2×
Pm Device Progr Eval Sngl (93279) $403.20 $576 11.2×
Pm/Icd Remote Tech Serv (93296) $310.80 $444 8.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$3,959.20–$5,278.70 $5,656–$7,541 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines
$5,257.70–$7,313.60 $7,511–$10,448 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 2 matching MRF lines
$5,936.70–$7,925.40 $8,481–$11,322 varies
Positional nystagmus test (92542) $331.80 $474 2.6×
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 2 matching MRF lines
$347.90–$508.90 $497–$727 varies
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $480.20 $686 10.7×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $541.80 $774 7.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $382.90 $547 10.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $403.20 $576 11.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $75.60 $108 1.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $86.80 $124 1.9×
Prq Card Angio/Athrect 1 Art (92924) $20,428.10 $29,183 1.8×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$11,769.10–$21,855.40 $16,813–$31,222 varies
Prq Card Stent/Ath/Angio (92933) $21,788.20 $31,126 1.2×
Prq Revasc Byp Graft 1 Vsl (92937) $11,769.10 $16,813 1.1×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $12,033 $17,190 0.7×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $17,896.20 $25,566 1.6×
Psych diag eval w/med srvcs (90792) $198.80 $284 1.2×
Psychiatric diagnostic evaluation (90791)
range across 14 matching MRF lines
$47.60–$352.10 $68–$503 varies
Psychoanalysis (90845) $172.90 $247 1.0×
Psychological tst eval svc phys/qhp first hour (96130) $408.10 $583 2.0×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $176.40 $252 0.4×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 2 matching MRF lines
$50.40–$191.10 $72–$273 varies
Psytx Crisis Initial 60 Min (90839) $153.30 $219 0.9×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $164.50 $235 4.4×
Pt Eval High Complex (97163) $374.50 $535 3.8×
Pt eval low complex 20 min (97161)
range across 3 matching MRF lines
$234.50–$247.80 $335–$354 varies
Pt Eval Mod Complex (97162)
range across 3 matching MRF lines
$196.70–$319.20 $281–$456 varies
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$109.20–$156.10 $156–$223 varies
Pt mechanical traction (97012) $156.10 $223 10.9×
Pt Re-Eval Est Plan Care (97164)
range across 3 matching MRF lines
$208.60–$220.50 $298–$315 varies
Pt-focused hlth risk assmt score doc stnd instrm (96160) $60.20 $86 1.7×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines
$201.60–$508.90 $288–$727 varies
Pulmonary Stress Testing (94618)
range across 5 matching MRF lines
$170.80–$808.50 $244–$1,155 varies
Pure Tone Audiometry Air (92552) $175.70 $251 1.4×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $114.10 $163 5.0×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $172.90 $247 5.0×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $57.40 $82 4.6×
R Hrt Art/Grft Angio (93457) $15,425.20 $22,036 4.9×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $14,167.30 $20,239 4.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $10,953.60 $15,648 3.5×
R hrt coronary artery angio (93456) $19,514.60 $27,878 6.3×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $14,167.30 $20,239 4.5×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $10,953.60 $15,648 3.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,930.90 $14,187 3.2×
Rapid Desensitization Procedure Each Hour (95180) $429.80 $614 1.0×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $682.50 $975 2.1×
Refill/Maint Portable Pump (96521) $309.40 $442 1.5×
Rem interrog icpms <30 d phys/qhp (93297) $310.80 $444 8.7×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $310.80 $444 8.7×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $199.50 $285 5.6×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $63 $90 0.5×
Rem Mntr Wrls P-Art Prs Snr (93264) $277.20 $396 7.7×
Remote 30 Day Ecg Rev/Report (93270) $492.10 $703 13.7×
Remote 30 Day Ecg Tech Supp (93229) $2,337.30 $3,339 6.5×
Repet tms tx initial w/map/motr threshld/del&m (90867) $315.70 $451 1.5×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $339.50 $485 1.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$126.70–$134.40 $181–$192 varies
Right Heart Cath (93451) $9,040.50 $12,915 2.9×
Right ventricular recording (93603) $4,589.90 $6,557 3.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $261.10 $373 1.4×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $164.50 $235 6.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $599.90 $857 4.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $307.30 $439 6.4×
Select picture audiometry (92583) $275.80 $394 4.9×
Self Care Mngment Training (97535) $156.10 $223 4.8×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $140.70 $201 2.5×
Short-latency somatosens ep std upr limbs (95925) $925.40 $1,322 4.5×
Sinusoidal Vertical Axis Rotational Testing (92546) $572.60 $818 4.6×
Sleep study unattended (95806) $1,585.50 $2,265 7.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,585.50 $2,265 7.6×
Somatosensory Testing (95938) $1,843.10 $2,633 2.2×
Speech Audiometry Complete (92556) $165.90 $237 2.9×
Speech audiometry threshold (92555) $168 $240 3.0×
Speech sound lang comprehen (92523) $522.20 $746 2.3×
Spin/Brain Pump Refil & Main (95991) $736.40 $1,052 2.5×
Spirometry (94010)
range across 2 matching MRF lines
$387.10–$410.20 $553–$586 varies
Spontaneous Nystagmus Test (92541) $473.20 $676 3.7×
Ssep lower limbs (95926) $925.40 $1,322 4.5×
Standardized Cognitive Performance Testing (96125) $494.20 $706 4.8×
Stenger Test Speech (92577) $470.40 $672 1.3×
Stenger Test, Pure Tone (92565) $165.90 $237 2.9×
Stress Tte Only (93350)
range across 6 matching MRF lines
$1,208.90–$2,002 $1,727–$2,860 varies
Subcutaneous Infusion Each Additional Hour (96370) $149.10 $213 3.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $763 $1,090 3.7×
Subq Infusion Additional Pump Infusion Site (96371) $44.10 $63 0.6×
Temp transcutaneous pacing (92953) $1,732.50 $2,475 2.7×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $382.90 $547 4.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $188.30 $269 8.4×
Ther Ivntj Ea Addl 15 Min (97130) $131.60 $188 6.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $156.10 $223 4.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $156.10 $223 5.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $586.60 $838 5.7×
Ther/Prop/Diag Inj/Inf Proc (96379)
range across 3 matching MRF lines
$1,131.90–$3,627.40 $1,617–$5,182 varies
Ther/Proph/Diag Inj Ia (96373) $221.20 $316 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $100.10 $143 1.4×
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$617.40–$763 $882–$1,090 varies
Therap repetitive tms tx subseq delivery & mng (90868) $296.10 $423 1.4×
Therapeutic Activities (97530)
range across 6 matching MRF lines
$156.10–$171.50 $223–$245 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,500.40 $3,572 7.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $178.50 $255 5.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $59.50 $85 1.7×
Tone Decay Test (92563) $180.60 $258 5.0×
Trans Care Mgmt 14 Day Disch (99495) $182 $260 1.4×
Trans Care Mgmt 7 Day Disch (99496) $182 $260 1.4×
Transcath Closure of Asd (93580) $12,714.10 $18,163 0.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $679.70 $971 6.8×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $206.50 $295 5.8×
Tte w/doppler, complete (93306)
range across 4 matching MRF lines
$1,821.40–$3,122 $2,602–$4,460 varies
Tte W/O Doppler Complete (93307) $1,001 $1,430 4.4×
Tx atrial fib pulm vein isol (93656) $44,719.50 $63,885 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$301–$470.40 $430–$672 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 2 matching MRF lines
$175.70–$185.50 $251–$265 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $227.50 $325 5.1×
Tympanometry (92567) $165.90 $237 4.6×
Tympanometry and reflex threshold measurements (92550) $262.50 $375 1.3×
Unlis neurological/neuromuscular dx px (95999) $1,992.20 $2,846 16.1×
Unlisted allergy/clinical immunologic srvc/px (95199)
range across 7 matching MRF lines
$86.10–$1,080.10 $123–$1,543 varies
Unlisted cardiovascular service/procedure (93799)
range across 56 matching MRF lines
$135.10–$44,719.50 $193–$63,885 varies
Unlisted Diagnostic Gastroenterology Procedure (91299)
range across 3 matching MRF lines
$1,150.80–$1,642.90 $1,644–$2,347 varies
Unlisted noninvasive vascular diagnostic study (93998)
range across 2 matching MRF lines
$841.40–$1,381.80 $1,202–$1,974 varies
Unlisted ophthalmological service/procedure (92499)
range across 12 matching MRF lines
$126.70–$588.70 $181–$841 varies
Unlisted otorhinolaryngological service (92700)
range across 4 matching MRF lines
$116.90–$1,308.30 $167–$1,869 varies
Unlisted Psychiatric Service/Procedure (90899)
range across 10 matching MRF lines
$31.50–$125.30 $45–$179 varies
Unlisted Special Dermatological Service/Px (96999)
range across 4 matching MRF lines
$49–$2,781.10 $70–$3,973 varies
Upr/L Xtremity Art 2 Levels (93922) $641.90 $917 5.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,088.50 $1,555 5.2×
Valvuloplasty aortic valve (92986) $13,201.30 $18,859 2.4×
Valvuloplasty mitral valve (92987) $13,816.60 $19,738 1.2×
Valvuloplasty pulmonary valve (92990) $16,517.90 $23,597 1.5×
Veeg 2-12 Hr Cont Mntr (95713) $2,118.20 $3,026 5.9×
Veeg 2-12 hr intmt mntr (95712)
range across 3 matching MRF lines
$2,191.70–$2,557.10 $3,131–$3,653 varies
Veeg 2-12 hr unmonitored (95711)
range across 3 matching MRF lines
$2,023–$4,382.70 $2,890–$6,261 varies
Veeg by tech ea incr 12-26 hr intermittent mntr (95715)
range across 3 matching MRF lines
$2,107.70–$4,591.30 $3,011–$6,559 varies
Veeg Ea 12-26 Hr Unmntr (95714)
range across 3 matching MRF lines
$1,475.60–$4,589.90 $2,108–$6,557 varies
Veeg ea 12-26hr cont mntr (95716) $3,288.60 $4,698 4.0×
Vent Mgmt Inpat Init Day (94002) $2,230.20 $3,186 3.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,755.60 $2,508 3.0×
Visual Evoked Potential Test (95930)
range across 3 matching MRF lines
$359.10–$1,294.30 $513–$1,849 varies
Visual Field Exam Extended (92083)
range across 2 matching MRF lines
$300.30–$352.80 $429–$504 varies
Visual field xm uni/bi w/interp intermed exam (92082) $231.70 $331 4.1×
Visual field xm uni/bi w/interpretj limited exam (92081) $209.30 $299 3.7×
Visual reinforcement audiometry (vra) (92579) $458.50 $655 2.2×
Vital capacity, total (94150) $232.40 $332 1.9×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,284.10 $3,263 2.8×
Wheelchair Mgmt Ea 15 Min (97542) $164.50 $235 5.3×
Whirlpool Therapy (97022) $246.40 $352 15.7×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $893.90 $1,277 15.8×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $244.30 $349 6.8×

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.