Visits & medical services prices at University of Michigan Health
Ann Arbor, MI · every code in this section with a posted price and a Medicare benchmark.
461 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $4,885.60 | $12,214 | 0.6× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $153.60 | $384 | 1.2× |
| Acoustic Reflex Testing (92568) | $61.20 | $153 | 1.6× |
| Actigraphy Testing Recording Analysis I&R (95803) | $189.60 | $474 | 3.2× |
| Actinotherapy Ultraviolet Light (96900) | $71.20 | $178 | 1.9× |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$13.20–$41.20 | $33–$103 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 5 matching MRF lines |
$6–$62.80 | $15–$157 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $31.20 | $78 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $496.40 | $1,241 | 2.3× |
| Aep neurodiagnostic i&r (92653) | $860.40 | $2,151 | 4.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $508.80 | $1,272 | 2.4× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$86.40–$110 | $216–$275 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $44 | $110 | 1.2× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $18.40 | $46 | 0.6× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $116 | $290 | 0.9× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 4 matching MRF lines |
$233.60–$619.20 | $584–$1,548 | varies |
| Analyze neurostim complex (95972) | $350.80 | $877 | 3.7× |
| Analyze neurostim no prog (95970) | $194.80 | $487 | 1.5× |
| Analyze Neurostim Simple (95971) | $258 | $645 | 2.7× |
| Analyze Pacemaker System (93724) | $190 | $475 | 0.6× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $90.80 | $227 | 0.5× |
| Ans parasymp & symp w/tilt (95924) | $262 | $655 | 1.2× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $275.20 | $688 | 2.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$68.40–$74.80 | $171–$187 | varies |
| Application on-body injector (96377) | $60.40 | $151 | 1.3× |
| Arrhythmia Induction (93618) | $2,108 | $5,270 | 1.7× |
| Assessment of tinnitus (92625) | $264.40 | $661 | 2.1× |
| Assmt & care planning pt w/cognitive impairment (99483) | $39.20 | $98 | 0.4× |
| Audiometry Air & Bone (92553) | $151.60 | $379 | 1.2× |
| Auditory Function, 60 Min (92620) | $105.60 | $264 | 0.8× |
| Basic vestibular evaluation (92540) | $498.80 | $1,247 | 2.3× |
| Behavral qualit analys voice (92524) | $321.20 | $803 | 2.9× |
| Biofeedback training any modality (90901) | $71.60 | $179 | 1.7× |
| Bis Xtracell Fluid Analysis (93702) | $200.80 | $502 | 1.6× |
| Blink reflex test (95933) | $96.40 | $241 | 1.6× |
| Breath hydrogen/methane test (91065) | $410.80 | $1,027 | 1.9× |
| Breathing response to hypoxia (94450) | $134.80 | $337 | 1.1× |
| Brief Emotional/Behav Assmt (96127) | $29.20 | $73 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $306 | $765 | 0.8× |
| Bundle of his recording (93600) | $13,031.60 | $32,579 | 1.7× |
| C motor evoked uppr limbs (95928) | $810 | $2,025 | 0.9× |
| C motor evoked upr&lwr limbs (95939) | $1,230.80 | $3,077 | 1.4× |
| Caloric vestibular test w/rec bi monothermal (92538) | $266 | $665 | 1.2× |
| Caloric Vstblr Test W/Rec (92537) | $300.40 | $751 | 2.3× |
| Canalith repositioning proc (95992) | $128 | $320 | 3.1× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$122.40–$454.40 | $306–$1,136 | varies |
| Cardiopulmonary exercise testing (94621) | $810 | $2,025 | 2.2× |
| Cardiopulmonary resuscitation (92950) | $434.80 | $1,087 | 2.0× |
| Cardioversion (92960) | $1,057.60 | $2,644 | 1.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $23.20 | $58 | 0.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $9,254 | $23,135 | 2.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,132.40 | $20,331 | 2.5× |
| Cbt 1st hour (94644) | $198.80 | $497 | 1.5× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $246 | $615 | 1.1× |
| Cervical Vemp Testing W/I&R (92517) | $289.60 | $724 | 2.3× |
| Chemo Admin Peritoneal Cavity (96446) | $608.80 | $1,522 | 1.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $153.20 | $383 | 2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $145.60 | $364 | 2.0× |
| Chemo intralesional up to 7 (96405) | $241.20 | $603 | 3.4× |
| Chemo IV infusion addl hr (96415) | $190.80 | $477 | 2.7× |
| Chemo IV push addl drug (96411) | $237.60 | $594 | 3.3× |
| Chemother Prolong Infuse W/Pump (96416) | $393.20 | $983 | 1.2× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $565.60 | $1,414 | 1.7× |
| Chemotherapy Into Cns (96450) | $344 | $860 | 1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $204.80 | $512 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$177.60–$404.80 | $444–$1,012 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $281.20 | $703 | 0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $264 | $660 | 0.8× |
| Chest Wall Manipulation (94668) | $114.40 | $286 | 0.9× |
| Cmptr ophth dx img ant segmt (92132) | $48 | $120 | 0.8× |
| Colon Motility 6 Hr Study (91117) | $551.20 | $1,378 | 2.6× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $151.20 | $378 | 2.6× |
| Color/duplex Doppler, complete (93975) | $736.40 | $1,841 | 3.1× |
| Color/duplex Doppler, limited (93976) | $431.20 | $1,078 | 4.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$84.80–$93.20 | $212–$233 | varies |
| Comprehensive Hearing Test (92557) | $142 | $355 | 1.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $143.60 | $359 | 2.4× |
| Computerized Ophthalmic Imaging Retina (92134) | $138.80 | $347 | 2.4× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$230.40–$250.40 | $576–$626 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $381.60 | $954 | 2.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $173.60 | $434 | 3.0× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $62.40 | $156 | 0.5× |
| Continuous Pulse Ox (94762) | $159.20 | $398 | 1.2× |
| Corneal Topography (92025) | $133.20 | $333 | 2.3× |
| Coronary Art/Grft Angio S&I (93455) | $6,624 | $16,560 | 2.1× |
| Coronary Artery Angio S&I (93454) | $5,495.20 | $13,738 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$173.20–$348 | $433–$870 | varies |
| Cpt initial (94667) | $152.80 | $382 | 1.2× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $138.80 | $347 | 0.6× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,554–$1,776.80 | $3,885–$4,442 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $654 | $1,635 | 1.8× |
| Dark Adaptation Eye Exam (92284) | $210 | $525 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$262.80–$265.60 | $657–$664 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $130.40 | $326 | 1.0× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 5 matching MRF lines |
$290.80–$561.20 | $727–$1,403 | varies |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$318.80–$343.60 | $797–$859 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $253.20 | $633 | 0.7× |
| Duodenal motility study (91022) | $325.20 | $813 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $512.80 | $1,282 | 2.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $646 | $1,615 | 6.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $713.20 | $1,783 | 3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $426.40 | $1,066 | 4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$213.60–$658 | $534–$1,645 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $436 | $1,090 | 4.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $565.60 | $1,414 | 2.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $185.60 | $464 | 1.8× |
| Duplex Scan Hemodialysis Access (93990) | $375.60 | $939 | 3.6× |
| Duplex up extrem art bilat (93930) | $691.20 | $1,728 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) | $452 | $1,130 | 4.3× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $253.60 | $634 | 2.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 4 matching MRF lines |
$205.60–$346.80 | $514–$867 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 2 matching MRF lines |
$456.40–$2,834.40 | $1,141–$7,086 | varies |
| Ear and throat examination (92502) | $752.40 | $1,881 | 1.4× |
| Echo Congenital Complete (93303) | $1,592 | $3,980 | 2.9× |
| Echo Heart Xthoracic,Limited (93308) | $260.80 | $652 | 1.1× |
| Echo r-t 2d w/probe placement only (93313) | $984 | $2,460 | 1.8× |
| Echo transesophag congen probe plcmt only (93316) | $966 | $2,415 | 1.8× |
| Echo transesophag montr cardiac pump functj (93318) | $1,264.40 | $3,161 | 2.3× |
| Echo transesophageal (93312) | $781.60 | $1,954 | 1.4× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,187.60 | $5,469 | 4.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,085.60 | $2,714 | 2.0× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $34.40 | $86 | 0.9× |
| Eeg 41-60 Minutes (95812) | $792.80 | $1,982 | 3.7× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$618.80–$798 | $1,547–$1,995 | varies |
| EEG awake drowsy (95816) | $791.60 | $1,979 | 3.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $602 | $1,505 | 2.8× |
| EEG extended monitoring 61-119 minutes (95813) | $902 | $2,255 | 4.2× |
| Eeg Sleep Only (95822) | $751.20 | $1,878 | 3.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $523.60 | $1,309 | 2.4× |
| EEG wo vid ea 12-26hr unmntr (95708) | $762 | $1,905 | 2.0× |
| EKG signal averaged (93278) | $164 | $410 | 2.8× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $52 | $130 | 0.5× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $176.80 | $442 | 1.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $146.80 | $367 | 3.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$72.80–$79.20 | $182–$198 | varies |
| Electro-Oculography (92270) | $228.80 | $572 | 1.7× |
| Electrocardiogram Tracing (93005) | $73.20 | $183 | 1.2× |
| Electrocochleography (92584) | $494 | $1,235 | 3.9× |
| Electroconvulsive Therapy (90870) | $966.40 | $2,416 | 1.1× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $107.60 | $269 | 0.5× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $13,031.60 | $32,579 | 1.7× |
| Electrophysiology Evaluation (93642) | $2,011.60 | $5,029 | 1.7× |
| Emergency Dept Visit Level 2 (99282) | $353.60 | $884 | 2.3× |
| Emergency Dept Visit Level 3 (99283) | $599.20 | $1,498 | 2.2× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$880.80–$888.80 | $2,202–$2,222 | varies |
| Emg 3 Extremities (95863) | $327.60 | $819 | 2.6× |
| Emg 4 Extremities (95864) | $230 | $575 | 1.8× |
| Endomyocardial Biopsy (93505) | $3,256 | $8,140 | 1.0× |
| Ep & ablate supravent arrhyt (93653) | $19,926 | $49,815 | 0.8× |
| Ep & ablate ventric tachy (93654) | $17,956 | $44,890 | 0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $12,977.20 | $32,443 | 1.7× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $13,031.60 | $32,579 | 1.7× |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,324 | $5,810 | 1.9× |
| Er level 1 (99281) | $220.80 | $552 | 2.6× |
| Er level v (99285) | $1,333.20 | $3,333 | 2.2× |
| Ergonovine provocation test (93024) | $190 | $475 | 0.4× |
| Esoph Atrial Electrogram (93615) | $2,818 | $7,045 | 2.3× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $1,461.20 | $3,653 | 3.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,333.60 | $3,334 | 3.6× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 3 matching MRF lines |
$172.80–$320 | $432–$800 | varies |
| Evaluate pt use of inhaler (94664) | $95.60 | $239 | 0.4× |
| Evaluate Speech Production (92522) | $290 | $725 | 2.6× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$365.60–$372 | $914–$930 | varies |
| Evaluation of speech fluency (92521) | $242.40 | $606 | 1.8× |
| Evoked Auditory Test,Limited (92587) | $180 | $450 | 0.8× |
| Exercise test for bronchospasm (94617) | $393.20 | $983 | 3.0× |
| Exhaled Air Analysis O2 (94680) | $265.60 | $664 | 2.1× |
| External ECG rec>48hr<7d recording (93242) | $67.60 | $169 | 1.8× |
| External ECG rec>7d<15d recording (93246) | $67.60 | $169 | 1.8× |
| External Ecg Scanning Analysis Report (93226) | $508.40 | $1,271 | 8.6× |
| Extracranial Bilat Study (93880) | $491.20 | $1,228 | 2.1× |
| Extracranial Uni/Ltd Study (93882) | $280.40 | $701 | 2.7× |
| Eye Exam With Photos (92230) | $258.80 | $647 | 0.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $883.60 | $2,209 | 1.6× |
| Facial nerve function studies (92516) | $212.40 | $531 | 1.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $550 | $1,375 | 2.8× |
| Fluorescein angiography (92235) | $393.20 | $983 | 1.8× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $400.40 | $1,001 | 1.9× |
| Full Field Electroretinography W/I&R (92273) | $264.40 | $661 | 1.2× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,230.40 | $3,076 | 1.4× |
| Fundus photography (92250) | $172.80 | $432 | 1.3× |
| Gastric motility studies (91020) | $1,033.60 | $2,584 | 2.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $814.40 | $2,036 | 2.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $557.20 | $1,393 | 2.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,510.80 | $3,777 | 1.8× |
| Gi tract capsule endoscopy (91110) | $2,016.80 | $5,042 | 2.2× |
| Gi wireless capsule measure (91112) | $1,085.60 | $2,714 | 1.2× |
| Gonioscopy (92020) | $64.40 | $161 | 0.5× |
| Group Therapeutic Procedures (97150) range across 6 matching MRF lines |
$36–$88 | $90–$220 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $124.80 | $312 | 1.2× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 5 matching MRF lines |
$38.40–$124.80 | $96–$312 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) | $124.80 | $312 | 3.3× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $124.80 | $312 | 0.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $10,871.20 | $27,178 | 3.4× |
| High altitude simulation test (94452) | $182.80 | $457 | 1.4× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $252.40 | $631 | 1.9× |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$226–$343.20 | $565–$858 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $38.80 | $97 | 1.0× |
| Icd Device Interrogate (93289) | $109.60 | $274 | 2.9× |
| Icd device progr eval dual (93283) | $135.20 | $338 | 3.6× |
| Icd Device Progr Eval Mult (93284) | $145.60 | $364 | 3.9× |
| Icm Device Eval (93290) | $90 | $225 | 2.4× |
| Ilr Device Eval Progr (93285) | $156.80 | $392 | 4.2× |
| Ilr Device Interrogate (93291) | $116.40 | $291 | 4.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $29.20 | $73 | 0.4× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $22 | $55 | 0.4× |
| Immunization administration (90471) | $29.20 | $73 | 0.4× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $558.40 | $1,396 | 2.6× |
| Ingestion challenge test initial 120 minutes (95076) | $274 | $685 | 0.7× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $496 | $1,240 | 1.3× |
| Insert/Place Heart Catheter (93503) | $1,420.80 | $3,552 | 0.9× |
| Interrogate Subq Defib (93261) | $110.40 | $276 | 3.0× |
| Interrogation eval in person wr defibrillator (93292) | $107.20 | $268 | 2.9× |
| Interrogation vad in person (93750) | $255.60 | $639 | 2.7× |
| Intra-atrial pacing (93610) | $13,031.60 | $32,579 | 1.7× |
| Intra-atrial recording (93602) | $13,031.60 | $32,579 | 1.7× |
| Intracranial Complete Study (93886) | $634.80 | $1,587 | 2.7× |
| Intracutaneous tests w/allergenic extracts (95024) | $17.60 | $44 | 0.3× |
| Intraventricular pacing (93612) | $13,031.60 | $32,579 | 1.7× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$68.80–$83.60 | $172–$209 | varies |
| Irrig Drug Delivery Device (96523) | $112 | $280 | 1.9× |
| IV infusion hydration each additional hour (96361) | $110.80 | $277 | 2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $241.20 | $603 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $146.80 | $367 | 2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$115.20–$124.80 | $288–$312 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$123.60–$134 | $309–$335 | varies |
| L Hrt Art/Grft Angio (93459) | $8,534.80 | $21,337 | 2.6× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $5,702.40 | $14,256 | 1.8× |
| Laryngeal Function Studies (92520) | $246.40 | $616 | 1.9× |
| Liver Elastography W/O Imag W/I&R (91200) | $199.20 | $498 | 1.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $639.20 | $1,598 | 3.0× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$147.20–$165.60 | $368–$414 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$18–$41.60 | $45–$104 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$39.20–$52.80 | $98–$132 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$18–$24.40 | $45–$61 | varies |
| Methacholine challenge (94070) | $513.20 | $1,283 | 1.4× |
| Motility study esophagus (91010) | $880.40 | $2,201 | 2.4× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$345.60–$360 | $864–$900 | varies |
| Multifocal Electroretinography W/I&R (92274) | $184.40 | $461 | 1.4× |
| Multiple Family Group Psychotherapy (90849) | $66 | $165 | 0.4× |
| Multiple Sleep Latency Test (95805) | $1,875.20 | $4,688 | 2.2× |
| Muscle Test 2 Limbs (95861) | $308 | $770 | 2.3× |
| Muscle Test Hemidiaphragm (95866) | $228.80 | $572 | 1.8× |
| Muscle Test Nonparaspinal (95870) | $192.80 | $482 | 1.5× |
| Muscle Test One Limb (95860) | $236 | $590 | 1.8× |
| Nasopharyngoscopy (92511) | $244.80 | $612 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $327.20 | $818 | 1.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$243.60–$327.20 | $609–$818 | varies |
| Needle electromyography larynx (95865) | $289.60 | $724 | 2.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $175.60 | $439 | 0.8× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $237.20 | $593 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$281.60–$1,094.80 | $704–$2,737 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$1,018.40–$1,026.40 | $2,546–$2,566 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$100.40–$142.40 | $251–$356 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $289.20 | $723 | 0.7× |
| Nerve Conduction Studies 1-2 Studies (95907) | $244 | $610 | 1.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,065.60 | $2,664 | 2.9× |
| Nerve conduction studies 13 or more studies (95913) | $1,499.60 | $3,749 | 4.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $457.60 | $1,144 | 2.1× |
| Nerve conduction studies 5-6 studies (95909) | $603.60 | $1,509 | 2.8× |
| Nerve conduction studies 7-8 studies (95910) | $732 | $1,830 | 2.0× |
| Nerve Conduction Studies 9-10 Studies (95911) | $875.20 | $2,188 | 2.4× |
| Neurobehavioral Status Exam (96116) | $123.20 | $308 | 0.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $234 | $585 | 1.8× |
| Neuromuscular Reeducation (97112) | $84 | $210 | 2.6× |
| Newborn resuscitation (99465) | $630 | $1,575 | 1.0× |
| Nitric oxide expired gas determination (95012) | $124 | $310 | 3.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $30 | $75 | 1.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $210.80 | $527 | 0.6× |
| Ocular Vemp Testing W/I&R (92518) | $246.80 | $617 | 1.9× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $90 | $225 | 0.7× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $53.20 | $133 | 0.4× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $53.20 | $133 | 0.4× |
| Ophth medical xm&eval intermediate estab pt (92012) | $53.20 | $133 | 0.4× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $31.20 | $78 | 0.5× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $35.60 | $89 | 0.6× |
| Optokinetic Nystagmus Test (92544) | $95.20 | $238 | 0.7× |
| Oral Function Therapy (92526) | $164.40 | $411 | 2.0× |
| Oral Speech Device Eval (92597) | $214.80 | $537 | 3.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$92–$101.20 | $230–$253 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$85.60–$87.20 | $214–$218 | varies |
| Oscillating Tracking Test (92545) | $132 | $330 | 0.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $34 | $85 | 1.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $51.20 | $128 | 2.4× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $62 | $155 | 2.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $68.80 | $172 | 3.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $82.40 | $206 | 3.8× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$54.40–$60 | $136–$150 | varies |
| Ot eval high complexity (97167) | $176.80 | $442 | 1.8× |
| Ot Eval Low Complex (97165) | $158.40 | $396 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $168 | $420 | 1.7× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$81.20–$81.60 | $203–$204 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$38.80–$47.20 | $97–$118 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$90.80–$101.60 | $227–$254 | varies |
| Ot Re-Eval Est Plan Care (97168) | $125.20 | $313 | 1.8× |
| Ot rom hand (95852) | $88.80 | $222 | 4.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$6.40–$75.60 | $16–$189 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $113.20 | $283 | 0.9× |
| Oxygen Uptake Rest Indirect (94690) | $304.40 | $761 | 5.2× |
| Patch/Application Test Specify Number Tests (95044) | $19.60 | $49 | 0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $289.60 | $724 | 1.3× |
| Percutaneous tests w/allergenic extracts (95004) | $21.20 | $53 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $47.60 | $119 | 0.8× |
| Perq transcath closure pda (93582) | $23,971.20 | $59,928 | 1.3× |
| Perq Transcath Cls Aortic (93591) | $12,980.80 | $32,452 | 0.7× |
| Perq Transcath Cls Mitral (93590) | $12,980.80 | $32,452 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,244.80 | $20,612 | 1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $15,549.60 | $38,874 | 1.4× |
| Phlebotomy therapeutic (99195) | $238.80 | $597 | 1.8× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) | $463.20 | $1,158 | 1.1× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) range across 2 matching MRF lines |
$96–$174 | $240–$435 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $146.80 | $367 | 2.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $164.40 | $411 | 2.8× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$64.40–$71.20 | $161–$178 | varies |
| Plethysmography (94726) | $302.40 | $756 | 0.8× |
| Pm device eval in person (93288) | $105.20 | $263 | 2.8× |
| Pm device progr eval dual (93280) | $175.20 | $438 | 4.7× |
| Pm device progr eval multi (93281) | $177.60 | $444 | 4.8× |
| Pm Device Progr Eval Sngl (93279) | $151.60 | $379 | 4.1× |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$102–$143.20 | $255–$358 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,457.20 | $6,143 | 2.9× |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,156.80 | $7,892 | 3.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,403.60 | $8,509 | 4.0× |
| Positional nystagmus test (92542) | $134.80 | $337 | 1.0× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $284.80 | $712 | 0.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $138 | $345 | 3.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $125.20 | $313 | 3.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22.80 | $57 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $32.40 | $81 | 0.7× |
| Prq Card Angio/Athrect 1 Art (92924) | $7,546 | $18,865 | 0.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $16,396 | $40,990 | 1.4× |
| Prq Card Stent/Ath/Angio (92933) | $10,456.80 | $26,142 | 0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $6,214.40 | $15,536 | 0.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $10,694 | $26,735 | 0.6× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $14,136 | $35,340 | 1.2× |
| Psych diag eval w/med srvcs (90792) | $66 | $165 | 0.4× |
| Psychiatric diagnostic evaluation (90791) | $66 | $165 | 0.4× |
| Psychoanalysis (90845) | $297.20 | $743 | 1.7× |
| Psychological tst eval svc phys/qhp first hour (96130) | $123.20 | $308 | 0.6× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $122.80 | $307 | 4.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $244.80 | $612 | 0.5× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $115.60 | $289 | 0.9× |
| Psytx Crisis Initial 60 Min (90839) | $66 | $165 | 0.4× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$49.60–$71.60 | $124–$179 | varies |
| Pt Eval High Complex (97163) | $180 | $450 | 1.8× |
| Pt eval low complex 20 min (97161) | $166.80 | $417 | 1.7× |
| Pt Eval Mod Complex (97162) | $181.20 | $453 | 1.9× |
| Pt gait training 15 min (97116) | $74.40 | $186 | 2.6× |
| Pt group caregiver training (97552) | $42 | $105 | 1.9× |
| Pt mechanical traction (97012) | $69.20 | $173 | 4.8× |
| Pt Re-Eval Est Plan Care (97164) | $125.20 | $313 | 1.9× |
| Pulm function test by gas (94727) | $253.20 | $633 | 1.2× |
| Pulmonary service/procedure (94799) range across 22 matching MRF lines |
$16.40–$1,378.80 | $41–$3,447 | varies |
| Pulmonary Stress Testing (94618) | $244.80 | $612 | 1.8× |
| Pure Tone Audiometry Air (92552) | $108.80 | $272 | 0.8× |
| R Hrt Art/Grft Angio (93457) | $8,219.20 | $20,548 | 2.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $5,702.40 | $14,256 | 1.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $5,235.60 | $13,089 | 1.6× |
| R hrt coronary artery angio (93456) | $8,760.40 | $21,901 | 2.7× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $2,954.80 | $7,387 | 0.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $3,398.40 | $8,496 | 1.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,573.20 | $21,433 | 2.7× |
| Rapid Desensitization Procedure Each Hour (95180) | $160 | $400 | 0.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $250 | $625 | 0.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $371.20 | $928 | 1.8× |
| Rem interrog icpms <30 d phys/qhp (93297) | $180.40 | $451 | 4.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $180.40 | $451 | 4.9× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $80.40 | $201 | 2.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $91.20 | $228 | 0.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $192.40 | $481 | 5.2× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $493.20 | $1,233 | 2.3× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $335.20 | $838 | 1.6× |
| Respiratory flow volume loop (94375) | $179.20 | $448 | 0.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $72 | $180 | 1.2× |
| Right Heart Cath (93451) | $5,726.80 | $14,317 | 1.8× |
| Right ventricular recording (93603) | $3,173.20 | $7,933 | 2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$223.60–$235.20 | $559–$588 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $64.80 | $162 | 2.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $296.40 | $741 | 2.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $153.20 | $383 | 3.2× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $247.20 | $618 | 1.9× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$64.40–$80 | $161–$200 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $105.60 | $264 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $50 | $125 | 0.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $385.60 | $964 | 1.8× |
| Short-latency somatosens ep std upr limbs (95925) | $714.80 | $1,787 | 3.3× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $355.20 | $888 | 2.8× |
| Sleep study attended (95807) | $1,128 | $2,820 | 3.0× |
| Sleep study unattended (95806) | $692 | $1,730 | 3.2× |
| Slp caregiver training 1st 30 min (97550) | $55.20 | $138 | 1.0× |
| Somatosensory Testing (95938) | $849.20 | $2,123 | 1.0× |
| Speech Audiometry Complete (92556) | $117.20 | $293 | 2.0× |
| Speech audiometry threshold (92555) | $75.60 | $189 | 1.3× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$520–$691.60 | $1,300–$1,729 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$224.80–$285.60 | $562–$714 | varies |
| Spirometry (94010) | $177.60 | $444 | 0.8× |
| Spontaneous Nystagmus Test (92541) | $160.40 | $401 | 1.2× |
| Ssep lower limbs (95926) | $550 | $1,375 | 2.6× |
| Standardized Cognitive Performance Testing (96125) | $200.40 | $501 | 1.9× |
| Stress Tte Only (93350) | $994 | $2,485 | 1.8× |
| Surfactant Admin Thru Tube (94610) | $106.80 | $267 | 0.5× |
| Temp transcutaneous pacing (92953) | $462.80 | $1,157 | 0.7× |
| Testing Autonomic Nervous System Function (95923) | $299.60 | $749 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$61.60–$72.80 | $154–$182 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$60–$73.20 | $150–$183 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$72.40–$75.20 | $181–$188 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$50.80–$57.20 | $127–$143 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $302.40 | $756 | 2.9× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $146 | $365 | 3.1× |
| Ther/Proph/Diag Inj Ia (96373) | $133.20 | $333 | 0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$32.80–$382.80 | $82–$957 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$233.20–$287.20 | $583–$718 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) range across 2 matching MRF lines |
$400.40–$456.80 | $1,001–$1,142 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$40–$74.40 | $100–$186 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,209.60 | $3,024 | 3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $13.60 | $34 | 0.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $13.60 | $34 | 0.4× |
| Trans Care Mgmt 14 Day Disch (99495) | $63.20 | $158 | 0.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $63.20 | $158 | 0.5× |
| Transcath Closure of Asd (93580) | $23,624.40 | $59,061 | 1.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $123.20 | $308 | 1.2× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $336 | $840 | 3.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $92.40 | $231 | 2.5× |
| Tte w/doppler, complete (93306) | $1,315.20 | $3,288 | 2.4× |
| Tte W/O Doppler Complete (93307) | $740.80 | $1,852 | 3.1× |
| Tx atrial fib pulm vein isol (93656) | $19,450.40 | $48,626 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 5 matching MRF lines |
$34–$249.20 | $85–$623 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $115.20 | $288 | 4.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$91.20–$92.40 | $228–$231 | varies |
| Tympanometry (92567) | $48 | $120 | 1.3× |
| Tympanometry and reflex threshold measurements (92550) | $81.20 | $203 | 0.4× |
| Unlis neurological/neuromuscular dx px (95999) | $1,248.80 | $3,122 | 9.7× |
| Unlisted allergy/clinical immunologic srvc/px (95199) range across 2 matching MRF lines |
$62.40–$518 | $156–$1,295 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 13 matching MRF lines |
$207.20–$7,172.40 | $518–$17,931 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $114 | $285 | 0.9× |
| Unlisted noninvasive vascular diagnostic study (93998) | $461.60 | $1,154 | 16.0× |
| Unlisted ophthalmological service/procedure (92499) range across 20 matching MRF lines |
$6.40–$442.80 | $16–$1,107 | varies |
| Unlisted otorhinolaryngological service (92700) range across 5 matching MRF lines |
$55.20–$248 | $138–$620 | varies |
| Unlisted Special Dermatological Service/Px (96999) | $332.40 | $831 | 1.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$296.80–$340.80 | $742–$852 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$392.40–$473.20 | $981–$1,183 | varies |
| Valvuloplasty aortic valve (92986) | $7,332.80 | $18,332 | 1.3× |
| Valvuloplasty mitral valve (92987) | $6,888.80 | $17,222 | 0.6× |
| Valvuloplasty pulmonary valve (92990) | $9,491.20 | $23,728 | 0.8× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$55.20–$77.20 | $138–$193 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,345.60 | $3,364 | 3.6× |
| Veeg 2-12 hr intmt mntr (95712) | $410.80 | $1,027 | 1.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $831.20 | $2,078 | 2.2× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,201.60 | $3,004 | 3.2× |
| Veeg ea 12-26hr cont mntr (95716) | $2,272.40 | $5,681 | 2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 5 matching MRF lines |
$433.20–$1,256 | $1,083–$3,140 | varies |
| Visual Evoked Potential Test (95930) | $749.60 | $1,874 | 3.5× |
| Visual Field Exam Extended (92083) | $154 | $385 | 1.2× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $110.40 | $276 | 1.9× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $78.40 | $196 | 1.3× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$154.40–$222.40 | $386–$556 | varies |
| Vital capacity, total (94150) | $67.20 | $168 | 0.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,174.80 | $2,937 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$62–$62.80 | $155–$157 | varies |
| Whirlpool Therapy (97022) | $40 | $100 | 2.5× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $96 | $240 | 2.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.