Visits & medical services prices at University of Michigan Health - Sparrow Eaton
Charlotte, MI · every code in this section with a posted price and a Medicare benchmark.
381 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $26.75 | $107 | 0.3× |
| Ablate Heart Dysrhythm Focus (93650) range across 3 matching MRF lines |
$113.50–$567.50 | $227–$1,135 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$14.50–$15 | $29–$30 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) | $65 | $260 | 1.1× |
| Acupunct W/Stimul 15 Min (97813) | $7.25 | $29 | 0.3× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $7.25 | $29 | 0.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$9–$13.50 | $36–$54 | varies |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$7–$29.75 | $28–$119 | varies |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$98.75–$104.25 | $16–$417 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $5.50 | $11 | 0.0× |
| Analyze neurostim complex (95972) | $58.50 | $234 | 0.6× |
| Analyze neurostim no prog (95970) | $37.25 | $149 | 0.3× |
| Analyze Neurostim Simple (95971) | $218.75 | $875 | 2.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $37.75 | $151 | 2.6× |
| Application on-body injector (96377) | $29.75 | $119 | 0.6× |
| Arrhythmia Induction (93618) | $209 | $418 | 0.2× |
| Assessment of aphasia per hr (96105) | $142.75 | $571 | 1.5× |
| Assmt & care planning pt w/cognitive impairment (99483) | $26.75 | $107 | 0.3× |
| Behavral qualit analys voice (92524) | $115.25 | $461 | 1.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $46.75 | $187 | 0.6× |
| Bfb training ea addl 15 min (90913) | $19.75 | $79 | 0.6× |
| Biofeedback training any modality (90901) | $94.50 | $378 | 2.3× |
| Bis Xtracell Fluid Analysis (93702) | $45 | $180 | 0.4× |
| Blink reflex test (95933) range across 3 matching MRF lines |
$30.50–$80 | $61–$160 | varies |
| Breath hydrogen/methane test (91065) | $45 | $180 | 0.2× |
| Breathing response to hypoxia (94450) | $19.50 | $39 | 0.2× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$2.25–$23.25 | $9–$93 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$19.50–$127.25 | $78–$509 | varies |
| C motor evoked upr&lwr limbs (95939) | $116 | $232 | 0.1× |
| Canalith repositioning proc (95992) | $29.75 | $119 | 0.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $160.75 | $643 | 0.7× |
| Cardiopulmonary exercise testing (94621) | $89.75 | $359 | 0.2× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$159.50–$188.50 | $638–$754 | varies |
| Cardioversion (92960) | $181 | $724 | 0.3× |
| Cardioversion elective internal (92961) range across 3 matching MRF lines |
$45.50–$238.50 | $91–$477 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $8.75 | $35 | 0.2× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $8.75 | $35 | 0.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$363–$1,183.50 | $726–$2,367 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$285.50–$991 | $571–$1,982 | varies |
| Cbt 1st hour (94644) | $51.75 | $207 | 0.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $38 | $152 | 0.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $116.25 | $465 | 1.6× |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$28.50–$82 | $57–$164 | varies |
| Chemo IV infusion addl hr (96415) | $174.25 | $697 | 2.4× |
| Chemo IV push addl drug (96411) | $36.50 | $146 | 0.5× |
| Chemother Prolong Infuse W/Pump (96416) | $177 | $708 | 0.5× |
| Chemotherapy Into Cns (96450) | $95.50 | $382 | 0.3× |
| Chemotherapy Unspecified (96549) | $22.50 | $90 | 0.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $36.50 | $146 | 0.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $182.50 | $730 | 0.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $118.75 | $475 | 0.4× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $156.75 | $627 | 0.5× |
| Chest Wall Manipulation (94668) | $25.25 | $101 | 0.2× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) range across 2 matching MRF lines |
$14.50–$18.50 | $29–$37 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $63 | $126 | 0.6× |
| Cmptr ophth dx img ant segmt (92132) range across 3 matching MRF lines |
$14.50–$29.50 | $29–$59 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $8.50 | $17 | 0.1× |
| Color/duplex Doppler, complete (93975) | $203.75 | $815 | 0.9× |
| Color/duplex Doppler, limited (93976) | $137.50 | $550 | 1.3× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $8.50 | $34 | 0.0× |
| Comprehensive Hearing Test (92557) | $36.50 | $73 | 0.3× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$14.50–$30.50 | $29–$61 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 3 matching MRF lines |
$14.50–$32.50 | $29–$65 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $69 | $276 | 0.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $31.50 | $126 | 0.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$12.25–$245.50 | $49–$982 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$270.50–$960.50 | $541–$1,921 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$231.50–$860 | $463–$1,720 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $115.50 | $462 | 0.5× |
| Cpt initial (94667) | $25.25 | $101 | 0.2× |
| Critical care first hour (99291) | $320.50 | $1,282 | 0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$49.75–$71.75 | $199–$287 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $45 | $180 | 0.4× |
| Dialysis One Evaluation (90945) | $85.50 | $171 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $156.50 | $626 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$23–$116 | $46–$232 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $67.75 | $271 | 0.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $142.75 | $571 | 0.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $107.50 | $430 | 1.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $136.75 | $547 | 0.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $93.50 | $374 | 0.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 3 matching MRF lines |
$37.50–$245.50 | $75–$491 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $54.50 | $218 | 0.5× |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$22.50–$144.50 | $45–$289 | varies |
| Duplex up extrem art bilat (93930) | $137.25 | $549 | 0.6× |
| Duplex up extrem art unilat/ltd (93931) | $107.50 | $430 | 1.0× |
| Ear and throat examination (92502) | $95 | $190 | 0.2× |
| ECG/monitoring and analysis (93271) | $55.75 | $223 | 0.6× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$60–$214.50 | $120–$429 | varies |
| Echo Heart Xthoracic,Limited (93308) | $74.50 | $298 | 0.3× |
| Echo r-t 2d w/probe placement only (93313) | $11 | $22 | 0.0× |
| Echo transesophag montr cardiac pump functj (93318) range across 2 matching MRF lines |
$100–$328.50 | $200–$657 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$104–$232 | $208–$464 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$80.50–$229 | $161–$458 | varies |
| EEG awake and asleep (95819) | $144.25 | $577 | 0.7× |
| EEG awake drowsy (95816) | $149 | $596 | 0.7× |
| EEG cerebral death evaluation (95824) | $249.25 | $997 | 0.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $153 | $612 | 0.7× |
| EEG extended monitoring 61-119 minutes (95813) | $160 | $640 | 0.7× |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$55.50–$416.50 | $111–$833 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $153 | $612 | 0.7× |
| EEG w/o vid 2-12hr cont mntr (95707) | $153 | $612 | 0.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $293.50 | $1,174 | 0.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $293.50 | $1,174 | 0.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $153 | $612 | 0.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $293.50 | $1,174 | 0.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$49.50–$50.50 | $99–$101 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $41 | $164 | 2.8× |
| Electrocardiogram Tracing (93005) | $32.25 | $129 | 0.5× |
| Electroconvulsive Therapy (90870) | $85.75 | $343 | 0.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) range across 2 matching MRF lines |
$232.50–$4,447.50 | $465–$8,895 | varies |
| Electrophysiology Evaluation (93642) range across 5 matching MRF lines |
$73.50–$326 | $147–$652 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$20.75–$45.25 | $83–$181 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$35–$105.75 | $140–$423 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$60–$214.75 | $240–$859 | varies |
| Emg 3 Extremities (95863) range across 3 matching MRF lines |
$96.50–$209 | $193–$418 | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$102.50–$221 | $205–$442 | varies |
| Endomyocardial Biopsy (93505) | $221.50 | $443 | 0.1× |
| Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$814 | $1,628 | 0.0× |
| Ep & ablate ventric tachy (93654) likely a partial charge, not the full procedure |
$981.50 | $1,963 | 0.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 3 matching MRF lines |
$599.50–$4,447.50 | $1,199–$8,895 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 3 matching MRF lines |
$372–$4,447.50 | $744–$8,895 | varies |
| Er level 1 (99281) | $34.50 | $138 | 0.4× |
| Er level v (99285) range across 2 matching MRF lines |
$87–$251 | $348–$1,004 | varies |
| Esophageal Capsule Endoscopy (91111) | $413.50 | $1,654 | 0.5× |
| Esophagus acid perfusion test esophagitis (91030) range across 3 matching MRF lines |
$45–$143 | $90–$286 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 3 matching MRF lines |
$54.50–$386 | $109–$772 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$9–$98.75 | $36–$395 | varies |
| Evaluate Speech Production (92522) | $115.25 | $461 | 1.0× |
| Evaluate Swallowing Function (92610) | $115.25 | $461 | 1.4× |
| Evaluation of speech fluency (92521) | $56.75 | $227 | 0.4× |
| External Ecg Scanning Analysis Report (93226) | $119.50 | $478 | 2.0× |
| Extracranial Bilat Study (93880) | $166 | $664 | 0.7× |
| Extracranial Uni/Ltd Study (93882) | $55 | $220 | 0.5× |
| Eye exam w anesth; complete (92018) | $101.50 | $203 | 0.0× |
| Eye exam w anesth; limited (92019) | $52.50 | $105 | 0.0× |
| Eye Exam With Photos (92230) range across 2 matching MRF lines |
$31.50–$126 | $63–$252 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $147.50 | $590 | 0.7× |
| Fluorescein angiography (92235) range across 3 matching MRF lines |
$41.50–$157 | $83–$314 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 3 matching MRF lines |
$158–$327 | $316–$654 | varies |
| Fundus photography (92250) | $37.25 | $149 | 0.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 3 matching MRF lines |
$48.50–$186.50 | $97–$373 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $165 | $330 | 0.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $152.75 | $611 | 0.2× |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$110–$695.50 | $220–$1,391 | varies |
| Gi wireless capsule measure (91112) range across 3 matching MRF lines |
$103–$1,521 | $206–$3,042 | varies |
| Gonioscopy (92020) range across 2 matching MRF lines |
$14.50–$19.50 | $29–$39 | varies |
| Group Therapeutic Procedures (97150) | $39 | $156 | 2.2× |
| Health Behavior Assessment/Re-Assessment (96156) | $26.75 | $107 | 0.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $8.75 | $35 | 0.2× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $8.75 | $35 | 0.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $46.25 | $185 | 0.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $401 | $802 | 0.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $356.50 | $1,426 | 0.5× |
| Holter monitor recording (93225) | $85.50 | $342 | 0.6× |
| Hypnotherapy (90880) | $26.75 | $107 | 0.3× |
| Icd Device Interrogate (93289) | $35.25 | $141 | 0.9× |
| Icd device progr eval dual (93283) | $66.25 | $265 | 1.8× |
| Icd Device Progr Eval Mult (93284) | $32.75 | $131 | 0.9× |
| Ilr Device Eval Progr (93285) range across 3 matching MRF lines |
$24.50–$58.50 | $49–$117 | varies |
| Ilr Device Interrogate (93291) | $12 | $48 | 0.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $17 | $34 | 0.2× |
| Immunization administration (90471) range across 2 matching MRF lines |
$11.50–$12.25 | $46–$49 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $46.50 | $93 | 0.2× |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$73–$124.50 | $146–$249 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $193 | $772 | 0.5× |
| Inital newborn e/m (99460) | $91 | $182 | 0.7× |
| Insert/Place Heart Catheter (93503) range across 3 matching MRF lines |
$19.50–$86 | $39–$172 | varies |
| Interrogate Subq Defib (93261) | $18.25 | $73 | 0.5× |
| Interrogation vad in person (93750) | $25.75 | $103 | 0.3× |
| Intracranial Complete Study (93886) range across 3 matching MRF lines |
$44.50–$255.50 | $89–$511 | varies |
| Iontophoresis 15 min (97033) | $37.75 | $151 | 2.0× |
| Irrig Drug Delivery Device (96523) | $20.75 | $83 | 0.4× |
| Ischemic limb exercise test (95875) range across 3 matching MRF lines |
$57.50–$120 | $115–$240 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$6–$13.25 | $24–$53 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$15.50–$51.25 | $62–$205 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$13.75–$33.75 | $55–$135 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $53.25 | $213 | 1.1× |
| IV push initial (96374) range across 2 matching MRF lines |
$17.50–$33.50 | $70–$134 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$324–$1,067 | $648–$2,134 | varies |
| Liver Elastography W/O Imag W/I&R (91200) range across 3 matching MRF lines |
$10.50–$30.50 | $21–$61 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$2.50–$15 | $5–$30 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$23.50–$159 | $47–$318 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $13.25 | $53 | 0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $16.75 | $67 | 0.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $17 | $34 | 1.0× |
| Methacholine challenge (94070) | $96.25 | $385 | 0.3× |
| Motility study esophagus (91010) range across 3 matching MRF lines |
$63–$215.50 | $126–$431 | varies |
| Motion Fluoroscopy/Swallow (92611) | $56 | $224 | 0.6× |
| Multiple Sleep Latency Test (95805) | $369 | $1,476 | 0.4× |
| Muscle Test 2 Limbs (95861) | $62.75 | $251 | 0.5× |
| Muscle Test Hemidiaphragm (95866) | $64 | $128 | 0.5× |
| Muscle Test Nonparaspinal (95870) range across 3 matching MRF lines |
$19.50–$80 | $39–$160 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$49.50–$110 | $99–$220 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$30–$91 | $60–$182 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $145.25 | $581 | 0.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 3 matching MRF lines |
$41–$103.50 | $82–$207 | varies |
| Needle electromyography larynx (95865) | $80 | $160 | 0.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $19.50 | $39 | 0.1× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 3 matching MRF lines |
$37.50–$182.50 | $75–$365 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $332.50 | $665 | 0.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$24.50–$347 | $49–$694 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $57.25 | $229 | 0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $115 | $460 | 0.3× |
| Nerve Conduction Studies 1-2 Studies (95907) | $72.25 | $289 | 0.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $288 | $1,152 | 0.8× |
| Nerve conduction studies 13 or more studies (95913) | $216 | $864 | 0.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $126.50 | $506 | 0.6× |
| Nerve conduction studies 5-6 studies (95909) | $160 | $640 | 0.7× |
| Nerve conduction studies 7-8 studies (95910) | $100.50 | $402 | 0.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $288 | $1,152 | 0.8× |
| Neurobehavioral Status Exam (96116) | $45.50 | $182 | 0.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$33.50–$101 | $67–$202 | varies |
| Neuromuscular Reeducation (97112) | $43 | $172 | 1.3× |
| Newborn resuscitation (99465) | $139.50 | $279 | 0.2× |
| Nitric oxide expired gas determination (95012) | $18.50 | $37 | 0.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $23 | $46 | 0.9× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $35 | $70 | 1.0× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $11.50 | $23 | 0.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $86 | $344 | 0.2× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 3 matching MRF lines |
$17.50–$47 | $35–$94 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$67–$107.50 | $134–$215 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$54–$91 | $108–$182 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$36–$64 | $72–$128 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$32.50–$61 | $65–$122 | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) range across 2 matching MRF lines |
$11.50–$12 | $23–$24 | varies |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $17.25 | $69 | 0.3× |
| Oral Function Therapy (92526) | $55.50 | $222 | 0.7× |
| Oral Speech Device Eval (92597) | $59 | $236 | 0.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $39 | $156 | 0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $37.75 | $151 | 0.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$10.50–$19.75 | $42–$79 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$7.50–$15.25 | $30–$61 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$7.50–$19.75 | $30–$79 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$7.50–$24 | $30–$96 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$7.50–$28.25 | $30–$113 | varies |
| Ot eval high complexity (97167) | $87 | $348 | 0.9× |
| Ot Eval Low Complex (97165) | $58.25 | $233 | 0.6× |
| Ot Eval Moderate Complexity (97166) | $71.75 | $287 | 0.7× |
| Ot manual therapy 15 min (97140) | $43 | $172 | 1.6× |
| Ot paraffin bath (97018) | $37.75 | $151 | 6.3× |
| Ot Re-Eval Est Plan Care (97168) | $37.75 | $151 | 0.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $67.50 | $270 | 0.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $85 | $340 | 0.7× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $24 | $48 | 1.0× |
| Patient-initiated spirometric recording (94015) | $32 | $64 | 0.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $127 | $254 | 0.6× |
| Percutaneous tests w/allergenic extracts (95004) | $3.50 | $7 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $28.25 | $113 | 0.5× |
| Perq transcath closure pda (93582) range across 2 matching MRF lines |
$125.50–$644.50 | $251–$1,289 | varies |
| Perq Transcath Cls Aortic (93591) likely a partial charge, not the full procedure |
$865 | $1,730 | 0.0× |
| Perq Transcath Cls Mitral (93590) likely a partial charge, not the full procedure |
$1,043 | $2,086 | 0.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) likely a partial charge, not the full procedure |
$515.50 | $1,031 | 0.1× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) likely a partial charge, not the full procedure |
$644 | $1,288 | 0.1× |
| Phlebotomy therapeutic (99195) | $45.25 | $181 | 0.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $78.50 | $314 | 1.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $78.50 | $314 | 1.3× |
| Physical Performance Test (97750) | $39.75 | $159 | 1.2× |
| Plethysmography (94726) | $119.25 | $477 | 0.3× |
| Pm device eval in person (93288) | $18.25 | $73 | 0.5× |
| Pm device progr eval dual (93280) | $65.75 | $263 | 1.8× |
| Pm device progr eval multi (93281) | $66.75 | $267 | 1.8× |
| Pm Device Progr Eval Sngl (93279) | $56.75 | $227 | 1.5× |
| Pm/Icd Remote Tech Serv (93296) | $21.75 | $87 | 0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$258.50–$896.75 | $1,034–$3,587 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $782.75 | $3,131 | 0.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $623.25 | $2,493 | 0.7× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $193.25 | $773 | 0.2× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$2.50–$11.50 | $5–$23 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $27.50 | $55 | 0.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 3 matching MRF lines |
$34.50–$75 | $69–$150 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $60.50 | $242 | 1.6× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $63.50 | $127 | 0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $13.50 | $54 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $24 | $96 | 0.5× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) range across 2 matching MRF lines |
$2.50–$13 | $5–$26 | varies |
| Prq Card Angio/Athrect 1 Art (92924) likely a partial charge, not the full procedure |
$614 | $1,228 | 0.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) likely a partial charge, not the full procedure |
$573 | $1,146 | 0.0× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$643 | $1,286 | 0.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) likely a partial charge, not the full procedure |
$572.50 | $1,145 | 0.0× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$1,291 | $2,582 | 0.1× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$46.25–$76.25 | $185–$305 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$67.75–$74.25 | $271–$297 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $121 | $242 | 0.6× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $13 | $52 | 0.5× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $10.50 | $42 | 0.0× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $10.50 | $42 | 0.1× |
| Psytx Crisis Initial 60 Min (90839) | $74.25 | $297 | 0.4× |
| Pt Eval High Complex (97163) | $71.75 | $287 | 0.7× |
| Pt eval low complex 20 min (97161) | $71.75 | $287 | 0.7× |
| Pt Eval Mod Complex (97162) | $71.75 | $287 | 0.7× |
| Pt gait training 15 min (97116) | $37.75 | $151 | 1.3× |
| Pt mechanical traction (97012) | $37.75 | $151 | 2.6× |
| Pt Re-Eval Est Plan Care (97164) | $37.75 | $151 | 0.6× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $8.75 | $35 | 0.2× |
| Pulm function test by gas (94727) | $72.25 | $289 | 0.3× |
| Pulmonary service/procedure (94799) | $72.25 | $289 | 0.6× |
| Pulmonary Stress Testing (94618) | $47 | $188 | 0.4× |
| Pure Tone Audiometry Air (92552) | $37.25 | $149 | 0.3× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $22 | $44 | 1.0× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $33.50 | $67 | 1.0× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $11.50 | $23 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $340 | $680 | 0.1× |
| R hrt coronary artery angio (93456) | $302.50 | $605 | 0.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 3 matching MRF lines |
$306.50–$1,090 | $613–$2,180 | varies |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$101.50–$139.50 | $203–$279 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) | $30 | $120 | 0.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $64.25 | $257 | 1.7× |
| Rem Mntr Wrls P-Art Prs Snr (93264) range across 2 matching MRF lines |
$35–$51.50 | $70–$103 | varies |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $20.75 | $83 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $21.75 | $87 | 0.6× |
| Remote 30 Day Ecg Tech Supp (93229) | $739 | $2,956 | 2.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $65.75 | $263 | 0.5× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$14–$39 | $28–$78 | varies |
| Right Heart Cath (93451) range across 3 matching MRF lines |
$127.50–$815.50 | $255–$1,631 | varies |
| Right ventricular recording (93603) | $111 | $222 | 0.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$57.25–$62 | $229–$248 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) range across 3 matching MRF lines |
$109–$383 | $218–$766 | varies |
| Same day nb discharge (99463) | $107 | $214 | 0.8× |
| Sbsq Psyc Collab Care Mgmt (99493) | $26.75 | $107 | 0.3× |
| Self Care Mngment Training (97535) | $37.75 | $151 | 1.2× |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $14.50 | $29 | 0.5× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 3 matching MRF lines |
$26.50–$176 | $53–$352 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 3 matching MRF lines |
$27–$153 | $54–$306 | varies |
| Sleep study attended (95807) range across 3 matching MRF lines |
$45.50–$326 | $91–$652 | varies |
| Sleep study unattended (95806) | $137.50 | $550 | 0.6× |
| Slp Stdy Unatnd W/Anal (95801) | $40 | $80 | 0.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 3 matching MRF lines |
$38.50–$128 | $77–$256 | varies |
| Speech sound lang comprehen (92523) | $133.75 | $535 | 0.6× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$39–$109 | $78–$218 | varies |
| Spirometry (94010) | $71.50 | $286 | 0.3× |
| Ssep lower limbs (95926) range across 3 matching MRF lines |
$26–$140 | $52–$280 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$51.25–$91 | $205–$364 | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$67–$182 | $134–$364 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $115.50 | $462 | 0.5× |
| Temp transcutaneous pacing (92953) | $313.50 | $1,254 | 0.5× |
| Testing Autonomic Nervous System Function (95923) range across 3 matching MRF lines |
$43.50–$117.50 | $87–$235 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $39 | $156 | 1.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $14 | $56 | 0.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $43.25 | $173 | 1.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$5.25–$46.25 | $21–$185 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $22.50 | $90 | 0.5× |
| Ther/Proph/Diag Inj Ia (96373) | $33.25 | $133 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$4.75–$19 | $19–$76 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $79.25 | $317 | 0.4× |
| Therapeutic Activities (97530) | $37.75 | $151 | 1.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 5 matching MRF lines |
$29–$164 | $58–$328 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $13.75 | $55 | 0.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$5.25–$8.75 | $21–$35 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$17.25–$75.50 | $69–$302 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$24–$102.25 | $96–$409 | varies |
| Transcath Closure of Asd (93580) range across 3 matching MRF lines |
$186.50–$950.50 | $373–$1,901 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 3 matching MRF lines |
$13.50–$41.50 | $27–$83 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $45 | $180 | 0.4× |
| Tte w/doppler, complete (93306) | $337 | $1,348 | 0.6× |
| Tte W/O Doppler Complete (93307) | $149 | $596 | 0.6× |
| Tx atrial fib pulm vein isol (93656) likely a partial charge, not the full procedure |
$922.50 | $1,845 | 0.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $95.50 | $382 | 1.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $39 | $156 | 1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$7.25–$23 | $29–$92 | varies |
| Tympanometry (92567) | $11.50 | $46 | 0.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $113 | $452 | 0.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $21 | $42 | 0.1× |
| Valvuloplasty aortic valve (92986) range across 3 matching MRF lines |
$255–$1,301 | $510–$2,602 | varies |
| Valvuloplasty mitral valve (92987) range across 3 matching MRF lines |
$260.50–$1,341.50 | $521–$2,683 | varies |
| Valvuloplasty pulmonary valve (92990) likely a partial charge, not the full procedure |
$1,074.50 | $2,149 | 0.1× |
| Vasopneumatic device (97016) | $37.75 | $151 | 3.1× |
| Veeg 2-12 Hr Cont Mntr (95713) | $293.50 | $1,174 | 0.8× |
| Veeg 2-12 hr unmonitored (95711) | $153 | $612 | 0.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $293.50 | $1,174 | 0.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $293.50 | $1,174 | 0.8× |
| Veeg ea 12-26hr cont mntr (95716) | $549 | $2,196 | 0.6× |
| Vent Mgmt Inpat Init Day (94002) | $229.75 | $919 | 0.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $185 | $740 | 0.3× |
| Visual Evoked Potential Test (95930) | $89.75 | $359 | 0.4× |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$26.50–$63 | $53–$126 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 3 matching MRF lines |
$20.50–$46.50 | $41–$93 | varies |
| Vital capacity, total (94150) | $86 | $344 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $24.25 | $97 | 0.8× |
| Whirlpool Therapy (97022) | $37.75 | $151 | 2.4× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 3 matching MRF lines |
$3–$23 | $6–$46 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.