Visits & medical services prices at University of Michigan Health - Sparrow Lansing

Lansing, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $43 $172 0.4×
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$3,326.50 $13,306 0.4×
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) $30.50 $122 1.1×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$9–$15 $36–$60 varies
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$26.75–$29.75 $107–$119 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $96.50 $386 0.4×
Aep neurodiagnostic i&r (92653) $221.50 $886 1.0×
Aep threshold estimation mlt frequencies i&r (92652) $221.50 $886 1.0×
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$122.50–$155.75 $16–$623 varies
Airway resistance by oscillometry (94728) $45 $180 0.4×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $5.50 $11 0.0×
Analyze neurostim complex (95972) $76.25 $305 0.8×
Analyze neurostim no prog (95970) $89 $356 0.7×
Analyze Neurostim Simple (95971) $101 $404 1.1×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $171 $684 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $53.25 $213 3.7×
Application on-body injector (96377) $38.25 $153 0.8×
Arrhythmia Induction (93618) $209 $418 0.2×
Assessment of aphasia per hr (96105) $245 $980 2.5×
Assmt & care planning pt w/cognitive impairment (99483) $71.25 $285 0.7×
Behavral qualit analys voice (92524) $65.50 $262 0.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $64 $256 0.8×
Bfb training ea addl 15 min (90913) $25.50 $102 0.8×
Biofeedback training any modality (90901) $88.50 $354 2.2×
Bis Xtracell Fluid Analysis (93702) $96.75 $387 0.8×
Blink reflex test (95933) $55.50 $222 0.9×
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–$28 $9–$112 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$19.50–$184.50 $78–$738 varies
Bundle of his recording (93600) $3,913.50 $15,654 0.5×
C motor evoked upr&lwr limbs (95939) $351.50 $1,406 0.4×
Canalith repositioning proc (95992) $42.75 $171 1.0×
Cardiac Stress Tst,Tracing Only (93017) $268.25 $1,073 1.2×
Cardiopulmonary exercise testing (94621)
range across 2 matching MRF lines
$77.50–$176.50 $310–$706 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$159.50–$202.50 $638–$810 varies
Cardioversion (92960) $731.50 $2,926 1.1×
Cardioversion elective internal (92961) $371.50 $1,486 0.6×
Care mgmt services behavioral hlth cond 20 mins (99484) $30.75 $123 0.8×
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) $2,772.75 $11,091 0.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,466 $13,864 1.1×
Cbt 1st hour (94644) $93.25 $373 0.7×
Chemo Admin Peritoneal Cavity (96446) $306.25 $1,225 0.9×
Chemo Anti-Neopl Sq/Im (96401) $141 $564 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $139.25 $557 1.9×
Chemo Ia Push (96420) $208.25 $833 0.6×
Chemo intralesional up to 7 (96405) $120 $480 1.7×
Chemo IV infusion addl hr (96415) $269 $1,076 3.7×
Chemo IV push addl drug (96411) $179 $716 2.5×
Chemother Prolong Infuse W/Pump (96416) $322.75 $1,291 1.0×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $136.25 $545 0.4×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $42.25 $169 0.9×
Chemotherapy Into Cns (96450) $306.25 $1,225 0.9×
Chemotherapy Intracavitary (96440) $435 $1,740 1.3×
Chemotherapy Unspecified (96549) $28.75 $115 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $269 $1,076 3.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $269 $1,076 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $179 $716 0.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $190 $760 0.6×
Chest Wall Manipulation (94668) $54 $216 0.4×
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) $52 $208 0.5×
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) $254 $1,016 1.1×
Color/duplex Doppler, limited (93976) $254 $1,016 2.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $48 $192 1.5×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $100.75 $403 0.6×
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) $229.25 $917 1.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $48 $192 0.8×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$12.25–$91.25 $49–$365 varies
Coronary Art/Grft Angio S&I (93455) $2,772.75 $11,091 0.9×
Coronary Artery Angio S&I (93454) $2,772.75 $11,091 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $558.25 $2,233 2.6×
Cpt initial (94667) $63 $252 0.5×
Critical care first hour (99291) $977.75 $3,911 1.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$49.75–$141.25 $199–$565 varies
Developmental tst admin phys/qhp 1st hour (96112) $131.25 $525 1.0×
Dialysis One Evaluation (90945) $591 $2,364 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $290.50 $1,162 1.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $290.50 $1,162 2.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $187.50 $750 1.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $372.25 $1,489 1.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $372.25 $1,489 3.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $251.75 $1,007 1.1×
Dup-scan xtr veins unilateral/limited study (93971) $251.75 $1,007 2.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $118.75 $475 0.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $118.75 $475 1.1×
Duplex Scan Hemodialysis Access (93990) $104.50 $418 1.0×
Duplex up extrem art bilat (93930) $333.25 $1,333 1.4×
Duplex up extrem art unilat/ltd (93931) $333.25 $1,333 3.2×
Ear and throat examination (92502) $346 $1,384 0.6×
ECG/monitoring and analysis (93271) $143.50 $574 1.5×
Echo Congenital Complete (93303) $585.50 $2,342 1.1×
Echo Heart Xthoracic,Limited (93308) $239.75 $959 1.0×
Echo r-t 2d w/probe placement only (93313) $388.25 $1,553 0.7×
Echo transesophag montr cardiac pump functj (93318) $555 $2,220 1.0×
Echo transesophageal (93312) $727 $2,908 1.3×
Echo Transesophageal - Congenital Tee Complete (93315) $778 $3,112 1.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $485.50 $1,942 0.9×
Eeg 41-60 Minutes (95812) $324.75 $1,299 1.5×
EEG awake and asleep (95819) $445.75 $1,783 2.1×
EEG awake drowsy (95816) $362.50 $1,450 1.7×
EEG cerebral death evaluation (95824) $304.75 $1,219 0.8×
EEG cont rec w/video by tech min 8 channels (95700) $183.50 $734 0.9×
EEG extended monitoring 61-119 minutes (95813) $556.50 $2,226 2.6×
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) $183.50 $734 0.9×
EEG w/o vid 2-12hr cont mntr (95707) $209.25 $837 1.0×
EEG w/o vid ea 12-26hr intmt (95709) $352.50 $1,410 0.9×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $352.50 $1,410 0.9×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $183.50 $734 0.9×
EEG wo vid ea 12-26hr unmntr (95708) $440.75 $1,763 1.2×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 2 matching MRF lines
$49.50–$50.50 $99–$101 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $23.25 $93 0.6×
Electrical Stimulation Ea 15 Min (97032) $48 $192 3.3×
Electrocardiogram Tracing (93005) $51 $204 0.9×
Electroconvulsive Therapy (90870)
range across 2 matching MRF lines
$85.75–$321.25 $343–$1,285 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $4,447.25 $17,789 0.6×
Electrophysiology Evaluation (93642) $772.75 $3,091 0.6×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$20.75–$143 $83–$572 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$35–$249.75 $140–$999 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$60–$392.75 $240–$1,571 varies
Emg 3 Extremities (95863) $178 $712 1.4×
Emg 4 Extremities (95864) $197 $788 1.5×
Endomyocardial Biopsy (93505) $221.50 $443 0.1×
Ep & ablate supravent arrhyt (93653) $14,143.25 $56,573 0.5×
Ep & ablate ventric tachy (93654) $14,143.25 $56,573 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,624.25 $18,497 0.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$3,582.25 $14,329 0.5×
Er level 1 (99281) $71.25 $285 0.8×
Er level v (99285)
range across 2 matching MRF lines
$87–$535 $348–$2,140 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) $391 $1,564 1.1×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $321.75 $1,287 2.5×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$9–$130.50 $36–$522 varies
Evaluate Speech Production (92522) $63 $252 0.6×
Evaluate Swallowing Function (92610) $196 $784 2.3×
Evaluation of speech fluency (92521) $77.25 $309 0.6×
Exercise test for bronchospasm (94617) $79.75 $319 0.6×
External ECG rec>48hr<7d recording (93242) $28.75 $115 0.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $140 $560 1.1×
External ECG rec>7d<15d recording (93246) $47.50 $190 1.3×
External ECG rec>7d<15d scanning alys w/report (93247) $147 $588 1.1×
External Ecg Scanning Analysis Report (93226) $143.50 $574 2.4×
Extracranial Bilat Study (93880) $353.75 $1,415 1.5×
Extracranial Uni/Ltd Study (93882) $180 $720 1.7×
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
F-up/limited tthrc echo congenital car anomaly (93304) $379.50 $1,518 0.7×
Flexible endoscopic eval swallow c/v rec (92612) $88.25 $353 0.4×
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) $540 $2,160 0.6×
Fundus photography (92250) $96.50 $386 0.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $325.75 $1,303 0.9×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $211.75 $847 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $152.75 $611 0.2×
Gi tract capsule endoscopy (91110) $958 $3,832 1.1×
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) $74.50 $298 4.1×
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) $2,772.75 $11,091 0.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $428.50 $1,714 0.6×
Holter monitor recording (93225) $153.75 $615 1.2×
Hubbard tank 15 min (97036) $22.25 $89 0.6×
Hypnotherapy (90880) $137 $548 1.4×
Icd Device Interrogate (93289)
range across 2 matching MRF lines
$35.25–$35.50 $141–$142 varies
Icd device progr eval dual (93283) $39.50 $158 1.1×
Icd Device Progr Eval Mult (93284) $39.50 $158 1.1×
Icm Device Eval (93290) $30 $120 0.8×
Ilr Device Eval Progr (93285) $29.25 $117 0.8×
Ilr Device Interrogate (93291) $26.25 $105 0.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $17 $34 0.2×
Immunization administration (90471)
range across 2 matching MRF lines
$11.50–$26.75 $46–$107 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) $244 $976 0.7×
Inital newborn e/m (99460) $91 $182 0.7×
Insert/Place Heart Catheter (93503) $691.50 $2,766 0.4×
Interrogate Subq Defib (93261) $35.25 $141 0.9×
Interrogation vad in person (93750) $25.75 $103 0.3×
Intra-atrial recording (93602) $3,913.50 $15,654 0.5×
Intracranial Complete Study (93886) $298.25 $1,193 1.3×
Iontophoresis 15 min (97033) $72.50 $290 3.8×
Irrig Drug Delivery Device (96523) $46.25 $185 0.8×
Ischemic limb exercise test (95875) $115.75 $463 0.9×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$6–$74.50 $24–$298 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$15.50–$100.50 $62–$402 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$13.75–$107.75 $55–$431 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $85.25 $341 1.8×
IV push initial (96374)
range across 2 matching MRF lines
$17.50–$96.50 $70–$386 varies
L Hrt Art/Grft Angio (93459) $2,772.75 $11,091 0.9×
Liver Elastography W/O Imag W/I&R (91200) $88.50 $354 0.7×
Lung Function Test (Mbc/Mvv) (94200) $57.25 $229 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $411.50 $1,646 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $14 $56 0.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $21.25 $85 0.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $9.50 $38 0.6×
Methacholine challenge (94070) $144.50 $578 0.4×
Motility study esophagus (91010) $407.25 $1,629 1.1×
Motion Fluoroscopy/Swallow (92611) $205.25 $821 2.2×
Multiple Sleep Latency Test (95805) $957 $3,828 1.1×
Muscle Test 2 Limbs (95861) $148 $592 1.1×
Muscle Test Hemidiaphragm (95866) $77.75 $311 0.6×
Muscle Test Nonparaspinal (95870) $61 $244 0.5×
Muscle Test One Limb (95860) $96.75 $387 0.7×
Nasopharyngoscopy (92511) $136 $544 0.7×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $93.75 $375 0.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $72 $288 0.3×
Needle electromyography larynx (95865) $77.75 $311 0.6×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $86.75 $347 0.4×
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) $231.25 $925 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $134.50 $538 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $239 $956 0.6×
Nerve Conduction Studies 1-2 Studies (95907) $39.75 $159 0.2×
Nerve Conduction Studies 11-12 Studies (95912) $346.50 $1,386 0.9×
Nerve conduction studies 13 or more studies (95913) $259.75 $1,039 0.7×
Nerve Conduction Studies 3-4 Studies (95908) $152.25 $609 0.7×
Nerve conduction studies 5-6 studies (95909) $259.75 $1,039 1.2×
Nerve conduction studies 7-8 studies (95910) $121 $484 0.3×
Nerve Conduction Studies 9-10 Studies (95911) $346.50 $1,386 0.9×
Neurobehavioral Status Exam (96116)
range across 2 matching MRF lines
$45.50–$196 $182–$784 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $77.25 $309 0.6×
Neuromuscular Reeducation (97112) $48 $192 1.5×
Newborn resuscitation (99465) $238.25 $953 0.4×
Nitric oxide expired gas determination (95012) $28.25 $113 0.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $19.75 $79 0.8×
Nonphysician Telephone Assessment 21-30 Min (98968) $29 $116 0.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $10.50 $42 0.8×
Nrpsyc tst eval phys/qhp 1st (96132) $112.25 $449 0.3×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $74.25 $297 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) $196 $784 2.3×
Oral Speech Device Eval (92597) $196 $784 2.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $48 $192 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $48 $192 1.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$10.50–$21.75 $42–$87 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$15.25–$27 $61–$108 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines
$19.75–$33.50 $79–$134 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 2 matching MRF lines
$24–$39 $96–$156 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 2 matching MRF lines
$28.25–$44.50 $113–$178 varies
Ot Contrast Bath Ea 15 Min (97034) $48 $192 3.4×
Ot eval high complexity (97167) $134.25 $537 1.3×
Ot Eval Low Complex (97165) $74.25 $297 0.7×
Ot Eval Moderate Complexity (97166) $92.75 $371 0.9×
Ot manual therapy 15 min (97140) $48 $192 1.7×
Ot paraffin bath (97018) $48 $192 8.0×
Ot Prosthetic Training, Each 15 Min (97761) $48 $192 1.2×
Ot Re-Eval Est Plan Care (97168) $98.25 $393 1.4×
Ot rom hand (95852) $41.50 $166 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $101.50 $406 0.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $101.75 $407 0.8×
Oxygen Uptake Rest Indirect (94690) $37.75 $151 0.6×
Patient-initiated spirometric phys/qhp r&i only (94016) $24 $48 1.0×
Patient-initiated spirometric recording (94015) $32 $64 0.1×
Pediatric apnea monitor analyses computer (94776) $75.75 $303 0.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $158.50 $634 0.7×
Percutaneous tests w/allergenic extracts (95004) $3.50 $7 0.0×
Peripheral arterial disease rehab per session (93668) $36.50 $146 0.6×
Perq transcath closure pda (93582) $11,712.25 $46,849 0.6×
Perq Transcath Cls Aortic (93591) $17,636 $70,544 1.0×
Perq Transcath Cls Mitral (93590) $14,108.75 $56,435 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
unusually low: confirm this is the full procedure
$2,800.50 $11,202 0.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure
$5,671 $22,684 0.5×
Phlebotomy therapeutic (99195) $133.75 $535 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $80 $320 1.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $81.25 $325 1.4×
Physical Performance Test (97750) $46.25 $185 1.4×
Plethysmography (94726) $143.25 $573 0.4×
Pm device eval in person (93288) $30 $120 0.8×
Pm device progr eval dual (93280) $42.75 $171 1.1×
Pm device progr eval multi (93281) $36 $144 1.0×
Pm Device Progr Eval Sngl (93279) $30.50 $122 0.8×
Pm/Icd Remote Tech Serv (93296) $39.50 $158 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$258.50–$1,399.50 $1,034–$5,598 varies
Polysom <6 yrs 4/> paramtrs (95782) $1,438.25 $5,753 1.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $741.25 $2,965 0.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808)
range across 2 matching MRF lines
$193.25–$686.25 $773–$2,745 varies
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) $35.25 $141 0.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $39.50 $158 1.1×
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) $13.50 $54 0.3×
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) $6,551.25 $26,205 0.6×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure
$4,624 $18,496 0.4×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$8,980 $35,920 0.5×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure
$5,671 $22,684 0.5×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $10,000.25 $40,001 0.5×
Psych diag eval w/med srvcs (90792) $210.75 $843 1.2×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$67.75–$117 $271–$468 varies
Psychological tst eval svc phys/qhp first hour (96130) $121 $242 0.6×
Psycl/Nrpsyc Tst Auto Result (96146) $16.75 $67 0.6×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $14.25 $57 0.0×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $14.25 $57 0.1×
Psytx Crisis Initial 60 Min (90839) $46.25 $185 0.3×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $33.25 $133 0.9×
Pt Eval High Complex (97163) $129.25 $517 1.3×
Pt eval low complex 20 min (97161) $74.25 $297 0.8×
Pt Eval Mod Complex (97162) $92.75 $371 0.9×
Pt gait training 15 min (97116) $48 $192 1.7×
Pt mechanical traction (97012) $57 $228 4.0×
Pt Re-Eval Est Plan Care (97164) $98.25 $393 1.5×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $8.75 $35 0.2×
Pulm function test by gas (94727) $92 $368 0.4×
Pulmonary service/procedure (94799) $100.50 $402 0.8×
Pulmonary Stress Testing (94618) $85.50 $342 0.6×
Pure Tone Audiometry Air (92552) $37.25 $149 0.3×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $18.25 $73 0.8×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $29 $116 0.8×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $10.25 $41 0.8×
R Hrt Art/Grft Angio (93457) $2,772.75 $11,091 0.9×
R hrt coronary artery angio (93456) $3,466 $13,864 1.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $1,831.25 $7,325 0.6×
Rapid Desensitization Procedure Each Hour (95180)
range across 2 matching MRF lines
$101.50–$139.50 $203–$279 varies
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $157.75 $631 0.5×
Refill/Maint Portable Pump (96521) $223 $892 1.1×
Refill/Maint Pump/Resvr Syst (96522) $183 $732 0.9×
Rem interrog icpms <30 d phys/qhp (93297) $30 $120 0.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $77.25 $309 2.1×
Rem Mntr Wrls P-Art Prs Snr (93264) $27.50 $110 0.7×
Rem Ther Mntr Dev Sply Cbt (98978) $25.75 $103 0.7×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $30 $120 0.8×
Rem ther mntr dev sply resp (98976) $25.75 $103 0.7×
Remote 30 Day Ecg Rev/Report (93270) $192.25 $769 5.2×
Remote 30 Day Ecg Tech Supp (93229) $888.25 $3,553 2.4×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $95 $380 0.7×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $21.25 $85 0.5×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $32 $128 0.6×
Respiratory flow volume loop (94375) $194.75 $779 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $63.75 $255 1.1×
Right Heart Cath (93451) $1,812.50 $7,250 0.6×
Right ventricular recording (93603) $670.25 $2,681 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$62–$134.50 $248–$538 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $166.25 $665 6.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $169.50 $678 1.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $72 $288 1.5×
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) $61.50 $246 0.6×
Self Care Mngment Training (97535) $48 $192 1.5×
Self-meas bp pt educaj/traing & dev calibration (99473) $14.50 $29 0.5×
Sensory Integration Ea 15 Min (97533) $41.75 $167 0.7×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $123.75 $495 0.6×
Short-latency somatosens ep std upr limbs (95925) $197.25 $789 0.9×
Sleep study attended (95807) $401.50 $1,606 1.1×
Sleep study unattended (95806) $199.50 $798 0.9×
Slp Stdy Unatnd W/Anal (95801) $188.25 $753 3.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $188.25 $753 0.9×
Somatosensory Testing (95938) $262.75 $1,051 0.3×
Speech sound lang comprehen (92523) $129.75 $519 0.6×
Spin/Brain Pump Refil & Main (95991) $173.50 $694 0.6×
Spirometry (94010) $46.25 $185 0.2×
Ssep lower limbs (95926) $197.25 $789 0.9×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$51.25–$177.25 $205–$709 varies
Stress Tte Only (93350) $232.75 $931 0.4×
Subcutaneous Infusion Each Additional Hour (96370) $31.25 $125 0.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $334.50 $1,338 1.6×
Subq Infusion Additional Pump Infusion Site (96371) $162.50 $650 2.3×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $273.75 $1,095 2.6×
Temp transcutaneous pacing (92953) $197.25 $789 0.3×
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) $48 $192 2.1×
Ther Ivntj Ea Addl 15 Min (97130) $16.50 $66 0.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $48 $192 1.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$4.25–$48 $17–$192 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $196 $784 1.9×
Ther/Prop/Diag Inj/Inf Proc (96379) $35.50 $142 0.8×
Ther/Proph/Diag Inj Ia (96373) $63.25 $253 0.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$4.75–$38.25 $19–$153 varies
Ther/Proph/Diag Iv Inf Init (96365) $127.75 $511 0.6×
Therapeutic Activities (97530) $48 $192 1.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $596.25 $2,385 1.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $29.75 $119 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$5.25–$25.50 $21–$102 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$37.25–$75.50 $149–$302 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines
$37.25–$102.25 $149–$409 varies
Transcath Closure of Asd (93580) $10,926 $43,704 0.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $290.50 $1,162 2.8×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $47.50 $190 1.3×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $86.75 $347 0.7×
Tte w/doppler, complete (93306) $607.25 $2,429 1.1×
Tte W/O Doppler Complete (93307) $232.75 $931 1.0×
Tx atrial fib pulm vein isol (93656) $14,143.25 $56,573 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $156.50 $626 2.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $64.75 $259 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$7.25–$81 $29–$324 varies
Tympanometry (92567) $11.50 $46 0.3×
Unlisted cardiovascular service/procedure (93799) $77.75 $311 0.6×
Unlisted Diagnostic Gastroenterology Procedure (91299) $95.75 $383 0.7×
Upr/L Xtremity Art 2 Levels (93922) $81 $324 0.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $103.50 $414 0.5×
Valvuloplasty aortic valve (92986) $4,548.75 $18,195 0.8×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure
$5,634 $22,536 0.5×
Valvuloplasty pulmonary valve (92990) $7,900 $31,600 0.7×
Vasopneumatic device (97016) $41.75 $167 3.5×
Veeg 2-12 Hr Cont Mntr (95713) $352.50 $1,410 0.9×
Veeg 2-12 hr unmonitored (95711) $183.50 $734 0.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $352.50 $1,410 0.9×
Veeg Ea 12-26 Hr Unmntr (95714) $352.50 $1,410 0.9×
Veeg ea 12-26hr cont mntr (95716) $660.25 $2,641 0.8×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$754.50–$804.50 $3,018–$3,218 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$640.25–$690.25 $2,561–$2,761 varies
Visual Evoked Potential Test (95930) $197.25 $789 0.9×
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) $112.25 $449 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $48 $192 1.5×
Whirlpool Therapy (97022) $48 $192 3.1×
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.