Visits & medical services prices at University of Michigan Health - West

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

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

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ProcedurePosted cashPosted gross× Medicare
1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) $42.50 $106.25 0.1×
Ablate Heart Dysrhythm Focus (93650) $6,075.20 $15,188 0.8×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $21.20 $53 0.2×
Admn Sarscov2 Vacc 1 Dose (90480) $19.20 $48 0.5×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$26.80–$50.80 $67–$127 varies
Airway resistance by oscillometry (94728)
range across 2 matching MRF lines
$17.60–$49.80 $44–$124.50 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $83.60 $209 0.6×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $83.60 $209 0.6×
Analyze neurostim no prog (95970) $30 $75 0.2×
Analyze Neurostim Simple (95971)
range across 2 matching MRF lines
$10.80–$248.10 $27–$620.25 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$7.20–$70 $18–$175 varies
Application Modality 1/> Areas Diathermy (97024) $70 $175 9.5×
Application on-body injector (96377) $44.10 $110.25 0.9×
Arrhythmia Induction (93618) $1,437.70 $3,594.25 1.2×
Assmt & care planning pt w/cognitive impairment (99483) $49.20 $123 0.5×
Audiometry Air & Bone (92553) $32.80 $82 0.3×
Basic vestibular evaluation (92540) $6.80 $17 0.0×
Behavral qualit analys voice (92524) $58.20 $145.50 0.5×
Bioimpedance Cv Analysis (93701) $14.40 $36 0.1×
Blink reflex test (95933) $98.20 $245.50 1.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$267.50–$295.30 $668.75–$738.25 varies
Bundle of his recording (93600) $9,877.20 $24,693 1.3×
C motor evoked uppr limbs (95928) $205.40 $513.50 0.2×
C motor evoked upr&lwr limbs (95939) $387 $967.50 0.5×
Caloric vestibular test w/rec bi monothermal (92538) $6 $15 0.0×
Caloric Vstblr Test W/Rec (92537) $6 $15 0.0×
Canalith repositioning proc (95992) $40.70 $101.75 1.0×
Car seat/bed test 60 min (94780) $70.60 $176.50 1.9×
Cardiac Stress Tst,Tracing Only (93017) $626.80 $1,567 2.9×
Cardiopulmonary exercise testing (94621) $939.40 $2,348.50 2.5×
Cardiopulmonary resuscitation (92950) $159.30 $398.25 0.7×
Cardioversion (92960)
range across 2 matching MRF lines
$370.30–$934.40 $925.75–$2,336 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $5,733.90 $14,334.75 1.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,932.70 $9,831.75 1.2×
Cbt 1st hour (94644) $111.10 $277.75 0.8×
Chemo Admin Peritoneal Cavity (96446)
range across 2 matching MRF lines
$118–$370 $295–$925 varies
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$76.20–$77.50 $190.50–$193.75 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$44.40–$77.50 $111–$193.75 varies
Chemo Ia Push (96420) $121.20 $303 0.4×
Chemo Intralesional Over 7 (96406)
range across 2 matching MRF lines
$97.90–$168.80 $244.75–$422 varies
Chemo intralesional up to 7 (96405)
range across 2 matching MRF lines
$65.10–$147 $162.75–$367.50 varies
Chemo IV infusion addl hr (96415)
range across 3 matching MRF lines
$20.40–$47.50 $51–$118.75 varies
Chemo IV push addl drug (96411)
range across 2 matching MRF lines
$72.60–$98 $181.50–$245 varies
Chemother Prolong Infuse W/Pump (96416)
range across 2 matching MRF lines
$210.70–$214 $526.75–$535 varies
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $214 $535 0.7×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $86.80 $217 1.9×
Chemotherapy Into Cns (96450) $309.40 $773.50 0.9×
Chemotherapy Intracavitary (96440) $723 $1,807.50 2.2×
Chemotherapy Unspecified (96549) $28.20 $70.50 0.6×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $214 $535 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 2 matching MRF lines
$75.50–$86.20 $188.75–$215.50 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines
$95.20–$221.30 $238–$553.25 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines
$121.80–$128.80 $304.50–$322 varies
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $192.40 $481 0.6×
Chest Wall Manipulation (94668) $37.90 $94.75 0.3×
Chron Care Mgmt Srvc 20 Min (99490) $9.20 $23 0.1×
Color/duplex Doppler, complete (93975) $715.70 $1,789.25 3.0×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$239.20–$486.50 $598–$1,216.25 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $70 $175 2.2×
Comprehensive Hearing Test (92557) $24.80 $62 0.2×
Conditioning Play Audiometry (92582) $56.80 $142 0.4×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$117.60–$215.30 $294–$538.25 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $130.90 $327.25 2.2×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$104.50–$220.70 $261.25–$551.75 varies
Coronary Art/Grft Angio S&I (93455) $3,588.90 $8,972.25 1.1×
Coronary Artery Angio S&I (93454) $2,990.20 $7,475.50 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $169.90 $424.75 0.8×
Cpt initial (94667) $46.20 $115.50 0.3×
Critical care first hour (99291) $1,224 $3,060 1.5×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $205.40 $513.50 0.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$41.60–$148.60 $104–$371.50 varies
Dialysis One Evaluation (90945) $584.50 $1,461.25 1.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $29.60 $74 0.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $559.80 $1,399.50 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $337.20 $843 3.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $606 $1,515 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $536.60 $1,341.50 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $727.10 $1,817.75 3.1×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$242.20–$359.50 $605.50–$898.75 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $568.60 $1,421.50 2.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $324.80 $812 3.1×
Duplex Scan Hemodialysis Access (93990) $322.20 $805.50 3.1×
Duplex up extrem art bilat (93930) $548.40 $1,371 2.3×
Duplex up extrem art unilat/ltd (93931) $606 $1,515 5.8×
Echo Congenital Complete (93303) $599.60 $1,499 1.1×
Echo Heart Xthoracic,Limited (93308) $265.70 $664.25 1.1×
Echo transesophageal (93312) $766.20 $1,915.50 1.4×
Echo Transesophageal - Congenital Tee Complete (93315) $599.60 $1,499 1.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $466.30 $1,165.75 0.9×
Eeg 41-60 Minutes (95812)
range across 4 matching MRF lines
$270–$436.20 $675–$1,090.50 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$269.40 $15–$673.50 1.3×
EEG awake drowsy (95816)
range across 2 matching MRF lines
$192–$269.40 $480–$673.50 varies
EEG cerebral death evaluation (95824) $303.30 $758.25 0.8×
EEG cont rec w/video by tech min 8 channels (95700) $241 $602.50 1.1×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$277.80–$292.40 $694.50–$731 varies
Eeg Sleep Only (95822) $172.80 $432 0.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $241 $602.50 1.1×
EEG w/o vid 2-12hr cont mntr (95707) $241 $602.50 1.1×
EEG w/o vid ea 12-26hr intmt (95709) $461.80 $1,154.50 1.2×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $461.80 $1,154.50 1.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $241 $602.50 1.1×
EEG wo vid ea 12-26hr unmntr (95708) $461.80 $1,154.50 1.2×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $23.80 $59.50 0.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $52.40 $131 0.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $34.40 $86 0.9×
Electrical Stimulation Ea 15 Min (97032) $70 $175 4.8×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$7.20–$34.30 $18–$85.75 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $4,034.10 $10,085.25 0.5×
Electrophysiology Evaluation (93642) $732.90 $1,832.25 0.6×
Emergency Dept Visit Level 2 (99282) $316.30 $790.75 2.1×
Emergency Dept Visit Level 3 (99283) $582 $1,455 2.1×
Emergency Dept Visit Level 4 (99284) $814.60 $2,036.50 2.0×
Emg 3 Extremities (95863)
range across 2 matching MRF lines
$82–$238.80 $205–$597 varies
Emg 4 Extremities (95864)
range across 2 matching MRF lines
$98.80–$256 $247–$640 varies
Endomyocardial Biopsy (93505) $2,974 $7,435 0.9×
Ep & ablate supravent arrhyt (93653) $21,188.50 $52,971.25 0.8×
Ep & ablate ventric tachy (93654) $21,188.50 $52,971.25 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,034.10 $10,085.25 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,034.10 $10,085.25 0.5×
Er level 1 (99281) $189.80 $474.50 2.3×
Er level v (99285) $936.20 $2,340.50 1.6×
Ergonovine provocation test (93024) $431.50 $1,078.75 1.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $364.40 $911 1.0×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$6–$108.10 $15–$270.25 varies
Evaluate Speech Production (92522) $55.70 $139.25 0.5×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$74.80–$138.60 $187–$346.50 varies
Evaluation of speech fluency (92521) $68.30 $170.75 0.5×
Evoked Auditory Test,Limited (92587) $22 $55 0.1×
Exercise test for bronchospasm (94617) $295.30 $738.25 2.2×
Exhaled Air Analysis O2 (94680) $105.40 $263.50 0.8×
External ECG rec>48hr<7d recording (93242) $49.30 $123.25 1.3×
External ECG rec>7d<15d recording (93246) $49.30 $123.25 1.3×
Extracranial Bilat Study (93880) $536.60 $1,341.50 2.3×
Extracranial Uni/Ltd Study (93882) $242.20 $605.50 2.3×
F-up/limited tthrc echo congenital car anomaly (93304) $453.50 $1,133.75 0.8×
Flexible endoscopic eval swallow c/v rec (92612) $147 $367.50 0.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $155.80 $389.50 0.7×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $928 $2,320 1.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $534.90 $1,337.25 1.4×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $178.50 $446.25 0.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,598.20 $3,995.50 1.9×
Gi tract capsule endoscopy (91110) $455.60 $1,139 0.5×
Group Therapeutic Procedures (97150)
range across 3 matching MRF lines
$26.30–$33.30 $65.75–$83.25 varies
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $6 $15 0.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,332.80 $15,832 2.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$634.30–$715.40 $1,585.75–$1,788.50 varies
Holter monitor recording (93225)
range across 4 matching MRF lines
$21.60–$164.50 $54–$411.25 varies
Icd Device Interrogate (93289) $42.50 $106.25 1.1×
Icd device progr eval dual (93283) $42.50 $106.25 1.1×
Icd Device Progr Eval Mult (93284) $42.50 $106.25 1.1×
Icm Device Eval (93290) $26.20 $65.50 0.7×
Ilr Device Eval Progr (93285) $26.20 $65.50 0.7×
Ilr Device Interrogate (93291) $26.20 $65.50 0.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $19.20 $48 0.3×
Immunization administration (90471) $19.20 $48 0.3×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $27.50 $68.75 0.1×
Insert/Place Heart Catheter (93503) $1,209.60 $3,024 0.8×
Interrogate Subq Defib (93261) $20 $50 0.5×
Interrogation eval in person wr defibrillator (93292) $42.50 $106.25 1.1×
Intra-atrial pacing (93610) $4,780.80 $11,952 0.6×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$2,158.10 $5,395.25 0.3×
Intracranial Complete Study (93886) $260.20 $650.50 1.1×
Intraventricular pacing (93612) $4,780.80 $11,952 0.6×
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$6–$76.40 $15–$191 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$39.80–$41.70 $99.50–$104.25 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$24.50–$34.90 $61.25–$87.25 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$72.60–$119.50 $181.50–$298.75 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$36–$73.20 $90–$183 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$15.60–$46.50 $39–$116.25 varies
IV push initial (96374)
range across 4 matching MRF lines
$38.40–$114.80 $96–$287 varies
L Hrt Art/Grft Angio (93459) $4,531.80 $11,329.50 1.4×
Laryngeal Function Studies (92520) $99.70 $249.25 0.8×
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$13.20–$76.40 $33–$191 varies
Lwr Xtr Vasc Stdy Bilat (93924) $343 $857.50 1.6×
Mechanical chest wall oscillation per session (94669) $44.40 $111 0.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $25.60 $64 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $31.20 $78 0.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $13 $32.50 0.8×
Methacholine challenge (94070)
range across 2 matching MRF lines
$20.40–$668.70 $51–$1,671.75 varies
Motility study esophagus (91010) $289.80 $724.50 0.8×
Motion Fluoroscopy/Swallow (92611) $216.60 $541.50 2.4×
Multiple Sleep Latency Test (95805)
range across 4 matching MRF lines
$1,040.40–$1,299.70 $2,601–$3,249.25 varies
Muscle Test 2 Limbs (95861)
range across 2 matching MRF lines
$68–$190.50 $170–$476.25 varies
Muscle Test Nonparaspinal (95870) $87.50 $218.75 0.7×
Muscle Test One Limb (95860)
range across 2 matching MRF lines
$56–$172.10 $140–$430.25 varies
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$53.20–$96.30 $133–$240.75 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $42.40 $106 0.2×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $183.10 $457.75 0.9×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $136.70 $341.75 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$291.20–$310.40 $728–$776 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $310.40 $776 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $139.80 $349.50 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $175.60 $439 0.4×
Nerve Conduction Studies 1-2 Studies (95907) $187.30 $468.25 0.9×
Nerve Conduction Studies 11-12 Studies (95912) $430.40 $1,076 1.2×
Nerve conduction studies 13 or more studies (95913) $478.90 $1,197.25 1.3×
Nerve Conduction Studies 3-4 Studies (95908) $236.10 $590.25 1.1×
Nerve conduction studies 5-6 studies (95909) $284.40 $711 1.3×
Nerve conduction studies 7-8 studies (95910) $333 $832.50 0.9×
Nerve Conduction Studies 9-10 Studies (95911) $381.70 $954.25 1.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $81.20 $203 0.6×
Neuromuscular Reeducation (97112) $70 $175 2.1×
Nitric oxide expired gas determination (95012)
range across 2 matching MRF lines
$7.20–$30.60 $18–$76.50 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $269.40 $673.50 0.7×
Optokinetic Nystagmus Test (92544) $6 $15 0.0×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$75.40–$110.90 $188.50–$277.25 varies
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$8.40–$310.50 $21–$776.25 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $39.40 $98.50 0.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $70 $175 1.5×
Oscillating Tracking Test (92545) $6 $15 0.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$26.60–$27 $66.50–$67.50 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$8.40–$26.60 $21–$66.50 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines
$11.60–$26.60 $29–$66.50 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 2 matching MRF lines
$7.20–$26.60 $18–$66.50 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 2 matching MRF lines
$11.20–$26.60 $28–$66.50 varies
Ot Contrast Bath Ea 15 Min (97034) $46.20 $115.50 3.3×
Ot eval high complexity (97167) $84.60 $211.50 0.8×
Ot Eval Low Complex (97165) $84.60 $211.50 0.8×
Ot Eval Moderate Complexity (97166) $84.60 $211.50 0.8×
Ot manual therapy 15 min (97140)
range across 7 matching MRF lines
$6–$80.10 $15–$200.25 varies
Ot paraffin bath (97018) $38.20 $95.50 6.4×
Ot Prosthetic Training, Each 15 Min (97761) $70 $175 1.7×
Ot Re-Eval Est Plan Care (97168) $84.60 $211.50 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $110.80 $277 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $110.80 $277 0.9×
Oxygen Uptake Rest Indirect (94690) $47.40 $118.50 0.8×
Patient-initiated spirometric phys/qhp r&i only (94016) $6 $15 0.2×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $6 $15 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $95.90 $239.75 0.4×
Peripheral arterial disease rehab per session (93668) $95.80 $239.50 1.6×
Perq transcath closure pda (93582) $19,104.80 $47,762 1.0×
Perq Transcath Cls Aortic (93591) $15,449.90 $38,624.75 0.8×
Perq Transcath Cls Mitral (93590) $15,449.90 $38,624.75 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $3,435.60 $8,589 0.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $9,707.70 $24,269.25 0.8×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$39.80–$72.50 $99.50–$181.25 varies
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $71.60 $179 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $51.30 $128.25 0.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $80.30 $200.75 1.4×
Physical Performance Test (97750) $41.50 $103.75 1.2×
Plethysmography (94726) $113.20 $283 0.3×
Pm device eval in person (93288) $26.20 $65.50 0.7×
Pm device progr eval dual (93280) $26.20 $65.50 0.7×
Pm device progr eval multi (93281) $26.20 $65.50 0.7×
Pm Device Progr Eval Sngl (93279) $26.20 $65.50 0.7×
Pm/Icd Remote Tech Serv (93296) $42.50 $106.25 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,531.90 $6,329.75 3.0×
Polysom <6 yrs 4/> paramtrs (95782) $855.90 $2,139.75 1.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $855.90 $2,139.75 1.0×
Positional nystagmus test (92542) $6 $15 0.0×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $20 $50 0.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $42.50 $106.25 1.1×
Prq Card Angio/Athrect 1 Art (92924) $6,326.30 $15,815.75 0.5×
Prq Card Stent W/Angio 1 Vsl (92928) $9,707.70 $24,269.25 0.8×
Prq Card Stent/Ath/Angio (92933) $14,714.20 $36,785.50 0.8×
Prq Revasc Byp Graft 1 Vsl (92937) $9,707.70 $24,269.25 0.8×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $14,678.60 $36,696.50 0.8×
Psych diag eval w/med srvcs (90792) $12.40 $31 0.1×
Psychiatric diagnostic evaluation (90791) $14.80 $37 0.1×
Pt Eval High Complex (97163) $97.10 $242.75 1.0×
Pt eval low complex 20 min (97161) $97.10 $242.75 1.0×
Pt Eval Mod Complex (97162) $97.10 $242.75 1.0×
Pt gait training 15 min (97116) $70 $175 2.4×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$70–$80.10 $175–$200.25 varies
Pt Re-Eval Est Plan Care (97164) $97.10 $242.75 1.4×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $8.40 $21 0.2×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$19.20–$127.70 $48–$319.25 varies
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$97.80–$138.10 $244.50–$345.25 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$36.80–$108.60 $92–$271.50 varies
Pure Tone Audiometry Air (92552) $27.60 $69 0.2×
R Hrt Art/Grft Angio (93457) $6,623.10 $16,557.75 2.1×
R hrt coronary artery angio (93456) $6,024.30 $15,060.75 1.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,766.20 $11,915.50 1.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $245.10 $612.75 0.7×
Refill/Maint Portable Pump (96521)
range across 3 matching MRF lines
$138.80–$193 $347–$482.50 varies
Refill/Maint Pump/Resvr Syst (96522)
range across 2 matching MRF lines
$121.80–$128.30 $304.50–$320.75 varies
Rem interrog icpms <30 d phys/qhp (93297) $16.60 $41.50 0.4×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $17.50 $43.75 0.5×
Remote 30 Day Ecg Rev/Report (93270) $219.50 $548.75 5.9×
Remote 30 Day Ecg Tech Supp (93229) $855.30 $2,138.25 2.3×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$16–$99.60 $40–$249 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $37.20 $93 0.6×
Right Heart Cath (93451) $3,034.10 $7,585.25 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $114.80 $287 0.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $182.10 $455.25 1.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $34.90 $87.25 0.7×
Self Care Mngment Training (97535)
range across 6 matching MRF lines
$31.30–$70 $78.25–$175 varies
Sensory Integration Ea 15 Min (97533) $75.40 $188.50 1.2×
Short-latency somatosens ep std upr limbs (95925)
range across 2 matching MRF lines
$288.10 $17–$720.25 1.3×
Sleep study attended (95807) $1,447.90 $3,619.75 3.9×
Sleep study unattended (95806) $272.70 $681.75 1.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $231.90 $579.75 1.1×
Speech Audiometry Complete (92556) $25.20 $63 0.4×
Speech audiometry threshold (92555) $22.40 $56 0.4×
Speech sound lang comprehen (92523) $115.90 $289.75 0.5×
Spin/Brain Pump Refil & Main (95991) $245.10 $612.75 0.8×
Spirometry (94010)
range across 2 matching MRF lines
$19.60–$197.30 $49–$493.25 varies
Spontaneous Nystagmus Test (92541) $6 $15 0.0×
Ssep lower limbs (95926)
range across 2 matching MRF lines
$288.10 $16–$720.25 1.3×
Standardized Cognitive Performance Testing (96125) $126 $315 1.2×
Stenger Test, Pure Tone (92565) $18.40 $46 0.3×
Stress Tte Only (93350) $466.30 $1,165.75 0.9×
Subcutaneous Infusion Each Additional Hour (96370) $11.60 $29 0.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $117.20 $293 0.6×
Subq Infusion Additional Pump Infusion Site (96371) $45.60 $114 0.6×
Temp transcutaneous pacing (92953) $230.30 $575.75 0.3×
Tensilon Test (95857)
range across 2 matching MRF lines
$16.40–$161 $41–$402.50 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $70 $175 1.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $216.40 $541 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $44.10 $110.25 0.6×
Ther/Proph/Diag Iv Inf Init (96365)
range across 5 matching MRF lines
$49.60–$145.50 $124–$363.75 varies
Therapeutic Activities (97530) $70 $175 2.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,208.50 $3,021.25 3.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $44.10 $110.25 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $44.10 $110.25 1.2×
Trans Care Mgmt 14 Day Disch (99495) $19.60 $49 0.1×
Trans Care Mgmt 7 Day Disch (99496) $22.40 $56 0.2×
Transcath Closure of Asd (93580) $19,246.20 $48,115.50 1.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $104.60 $261.50 1.0×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $42.50 $106.25 1.1×
Tte w/doppler, complete (93306) $925.10 $2,312.75 1.7×
Tx atrial fib pulm vein isol (93656) $21,188.50 $52,971.25 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $157.10 $392.75 2.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$15.20–$50.30 $38–$125.75 varies
Tympanometry (92567) $9.60 $24 0.3×
Tympanometry and reflex threshold measurements (92550) $20.40 $51 0.1×
Unlis neurological/neuromuscular dx px (95999) $131.60 $329 1.0×
Unlisted cardiovascular service/procedure (93799) $79.10 $197.75 0.6×
Unlisted noninvasive vascular diagnostic study (93998) $37.60 $94 1.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$55.20–$606 $138–$1,515 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$108.70–$769.50 $271.75–$1,923.75 varies
Valvuloplasty aortic valve (92986) $5,928 $14,820 1.0×
Valvuloplasty mitral valve (92987) $9,214.40 $23,036 0.8×
Valvuloplasty pulmonary valve (92990) $9,214.40 $23,036 0.8×
Veeg 2-12 Hr Cont Mntr (95713) $462.70 $1,156.75 1.2×
Veeg 2-12 hr intmt mntr (95712) $241 $602.50 0.6×
Veeg 2-12 hr unmonitored (95711) $241 $602.50 1.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $462.70 $1,156.75 1.2×
Veeg Ea 12-26 Hr Unmntr (95714) $462.70 $1,156.75 1.2×
Veeg ea 12-26hr cont mntr (95716) $864.20 $2,160.50 1.0×
Vent Mgmt Inpat Init Day (94002) $484.60 $1,211.50 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $436.20 $1,090.50 0.7×
Visual Evoked Potential Test (95930)
range across 2 matching MRF lines
$288.10 $17–$720.25 1.3×
Visual reinforcement audiometry (vra) (92579) $27.20 $68 0.1×
Vital capacity, total (94150)
range across 2 matching MRF lines
$17.60–$42.50 $44–$106.25 varies
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,014.10 $2,535.25 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $70 $175 2.3×
Whirlpool Therapy (97022)
range across 3 matching MRF lines
$7.20–$47.20 $18–$118 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.