Visits & medical services prices at University of WI Hospitals & Clinics Authority

Madison, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $7,991.40 $13,319 1.1×
Acoustic Reflex Testing (92568) $92.40 $154 2.5×
Actinotherapy Ultraviolet Light (96900) $96.60 $161 2.7×
Acupunct W/Stimul 15 Min (97813) $55.56 $92.60 2.0×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810)
range across 2 matching MRF lines
$19.86–$100 $33.10–$166.67 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $747.60 $1,246 3.6×
Aep neurodiagnostic i&r (92653) $881.40 $1,469 4.2×
Aep threshold estimation mlt frequencies i&r (92652) $843.60 $1,406 4.0×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$147.60–$186.60 $246–$311 varies
Airway resistance by oscillometry (94728) $178.20 $297 1.4×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $77.40 $129 2.1×
Allg tstg perq & ic venoms immed react w/i&r (95017) $76.20 $127 2.7×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $274.20 $457 2.1×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $304.80 $508 2.4×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601)
range across 2 matching MRF lines
$291–$582 $485–$970 varies
Analyze neurostim complex (95972) $511.20 $852 5.5×
Analyze neurostim no prog (95970) $303 $505 2.3×
Analyze Neurostim Simple (95971) $733.80 $1,223 7.9×
Ant sgm imaging w/microscopy endothelial analy (92286) $419.40 $699 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$109.20–$114 $182–$190 varies
Application on-body injector (96377) $88.20 $147 1.9×
Assessment of aphasia per hr (96105) $326.40 $544 3.4×
Assmt & care planning pt w/cognitive impairment (99483) $138 $230 1.4×
Audiometry Air & Bone (92553) $213.60 $356 1.7×
Basic vestibular evaluation (92540) $645.60 $1,076 3.1×
Behavral qualit analys voice (92524) $328.20 $547 3.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912)
range across 2 matching MRF lines
$71.40–$148.20 $119–$247 varies
Bfb training ea addl 15 min (90913)
range across 2 matching MRF lines
$69.60–$76.80 $116–$128 varies
Biofeedback training any modality (90901)
range across 2 matching MRF lines
$162–$176.40 $270–$294 varies
Bis Xtracell Fluid Analysis (93702) $259.20 $432 2.1×
Blink reflex test (95933) $196.20 $327 3.4×
Breath hydrogen/methane test (91065) $634.80 $1,058 3.0×
Brief Emotional/Behav Assmt (96127) $115.80 $193 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $624.60 $1,041 1.7×
Bundle of his recording (93600) $4,552.80 $7,588 0.6×
C motor evoked uppr limbs (95928) $864.60 $1,441 1.0×
C motor evoked upr&lwr limbs (95939) $1,630.20 $2,717 2.0×
Caloric vestibular test w/rec bi monothermal (92538) $157.80 $263 0.8×
Caloric Vstblr Test W/Rec (92537) $157.80 $263 1.3×
Canalith repositioning proc (95992) $174 $290 4.3×
Cardiac Stress Tst,Tracing Only (93017) $704.40 $1,174 3.4×
Cardiopulmonary exercise testing (94621) $1,539.60 $2,566 4.2×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$1,183.20–$1,324.80 $1,972–$2,208 varies
Cardioversion (92960) $1,310.40 $2,184 2.0×
Cardioversion elective internal (92961) $1,042.80 $1,738 1.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,860.80 $19,768 3.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,106.60 $18,511 3.5×
Cbt 1st hour (94644) $226.20 $377 1.8×
Cervical Vemp Testing W/I&R (92517) $57.45 $95.75 0.5×
Chemo Admin Peritoneal Cavity (96446) $376.20 $627 1.2×
Chemo Anti-Neopl Sq/Im (96401) $309.60 $516 4.4×
Chemo Hormon Antineopl Sq/Im (96402) $309.60 $516 4.4×
Chemo Ia Push (96420) $410.40 $684 1.3×
Chemo Intralesional Over 7 (96406) $266.40 $444 1.3×
Chemo intralesional up to 7 (96405) $250.80 $418 3.6×
Chemo IV infusion addl hr (96415) $328.20 $547 4.7×
Chemo IV push addl drug (96411) $354 $590 5.1×
Chemother Prolong Infuse W/Pump (96416) $617.40 $1,029 1.9×
Chemotherapy Into Cns (96450) $1,011 $1,685 3.2×
Chemotherapy Unspecified (96549) $154.20 $257 3.4×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $408 $680 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $358.20 $597 5.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $704.40 $1,174 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $477 $795 1.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542)
range across 2 matching MRF lines
$442.80–$1,257 $738–$2,095 varies
Chest Wall Manipulation (94668) $144 $240 1.1×
Cmptr ophth dx img ant segmt (92132) $153 $255 2.7×
Color/duplex Doppler, complete (93975) $1,063.80 $1,773 4.6×
Color/duplex Doppler, limited (93976) $738.60 $1,231 7.3×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$88.80–$97.80 $148–$163 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $183 $305 1.1×
Comprehensive Hearing Test (92557) $232.20 $387 1.9×
Computerized dynamic posturography (92548) $483 $805 3.7×
Computerized Ophthalmic Imaging Optic Nerve (92133) $131.40 $219 2.3×
Computerized Ophthalmic Imaging Retina (92134)
range across 2 matching MRF lines
$168.60–$337.20 $281–$562 varies
Conditioning Play Audiometry (92582) $236.40 $394 1.9×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$480–$505.20 $800–$842 varies
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$224.40–$350.40 $374–$584 varies
Corneal Topography (92025) $131.40 $219 2.3×
Coronary Art/Grft Angio S&I (93455) $8,635.80 $14,393 2.7×
Coronary Artery Angio S&I (93454) $8,461.80 $14,103 2.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 5 matching MRF lines
$256.20–$756.60 $427–$1,261 varies
Critical care first hour (99291) $2,733.60 $4,556 3.4×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $907.80 $1,513 2.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$331.20–$347.40 $552–$579 varies
Developmental tst admin phys/qhp 1st hour (96112) $598.80 $998 4.8×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602)
range across 2 matching MRF lines
$293.40–$586.80 $489–$978 varies
Dialysis One Evaluation (90945)
range across 7 matching MRF lines
$259.80–$1,471.80 $433–$2,453 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $292.20 $487 0.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $662.40 $1,104 2.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $466.20 $777 4.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $801 $1,335 7.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $957 $1,595 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $706.80 $1,178 7.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,056.60 $1,761 4.6×
Dup-scan xtr veins unilateral/limited study (93971) $722.40 $1,204 7.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $280.20 $467 1.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $491.40 $819 4.8×
Duplex Scan Hemodialysis Access (93990) $320.40 $534 3.2×
Duplex up extrem art bilat (93930) $964.20 $1,607 4.2×
Duplex up extrem art unilat/ltd (93931) $624 $1,040 6.1×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604)
range across 2 matching MRF lines
$307.20–$614.40 $512–$1,024 varies
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603)
range across 2 matching MRF lines
$293.40–$586.80 $489–$978 varies
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) $220.80 $368 1.1×
Echo Congenital Complete (93303) $2,032.20 $3,387 3.8×
Echo Heart Xthoracic,Limited (93308) $823.20 $1,372 3.6×
Echo transesophageal (93312) $1,834.80 $3,058 3.5×
Echo Transesophageal - Congenital Tee Complete (93315) $1,329 $2,215 2.5×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $335.40 $559 9.3×
Eeg 41-60 Minutes (95812) $1,033.20 $1,722 4.9×
EEG awake and asleep (95819) $1,016.40 $1,694 4.8×
EEG awake drowsy (95816) $849 $1,415 4.0×
EEG cont rec w/video by tech min 8 channels (95700) $585 $975 2.8×
EEG extended monitoring 61-119 minutes (95813) $1,479.60 $2,466 7.1×
Eeg Sleep Only (95822) $756.60 $1,261 3.6×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $234 $390 2.5×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $474.60 $791 5.1×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $474.60 $791 13.1×
Electrical Stimulation Ea 15 Min (97032) $111.60 $186 7.6×
Electro-Oculography (92270) $504.60 $841 3.9×
Electrocardiogram Tracing (93005) $193.80 $323 3.4×
Electrocochleography (92584) $105.60 $176 0.8×
Electroconvulsive Therapy (90870) $350.40 $584 0.4×
Electrophysiology Evaluation (93642) $2,683.80 $4,473 2.3×
Emergency Dept Visit Level 2 (99282) $441.60 $736 3.0×
Emergency Dept Visit Level 3 (99283) $1,018.80 $1,698 3.8×
Emergency Dept Visit Level 4 (99284) $1,423.80 $2,373 3.5×
Endomyocardial Biopsy (93505) $4,029.60 $6,716 1.3×
Ep & ablate supravent arrhyt (93653) $27,873 $46,455 1.1×
Ep & ablate ventric tachy (93654) $32,430.60 $54,051 1.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,912 $21,520 1.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,603.60 $11,006 0.9×
Ep Esophageal Recording Atria+Pacing (93616) $1,560 $2,600 1.3×
Er level 1 (99281)
range across 2 matching MRF lines
$94.20–$274.80 $157–$458 varies
Er level v (99285)
range across 5 matching MRF lines
$2,128.80–$6,325.80 $3,548–$10,543 varies
Esophgl Balo Distension Dx Std W/Provocation (91040) $2,335.80 $3,893 6.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,332 $2,220 3.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $259.20 $432 2.1×
Evaluate pt use of inhaler (94664) $169.20 $282 0.8×
Evaluate Speech Production (92522) $241.80 $403 2.2×
Evaluate Swallowing Function (92610) $361.20 $602 4.3×
Evaluation of speech fluency (92521) $352.20 $587 2.6×
Evoked Auditory Test,Limited (92587) $313.20 $522 1.5×
Exercise test for bronchospasm (94617) $939 $1,565 7.3×
Exhaled Air Analysis O2 (94680) $498 $830 4.0×
External ECG rec>48hr<7d recording (93242) $630 $1,050 17.4×
External ECG rec>7d<15d recording (93246) $598.80 $998 16.5×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$766.20–$778.20 $1,277–$1,297 varies
Extracranial Bilat Study (93880) $882.60 $1,471 3.8×
Extracranial Uni/Ltd Study (93882) $629.40 $1,049 6.2×
Eye exam w anesth; complete (92018)
range across 2 matching MRF lines
$1,984.80–$3,969.60 $3,308–$6,616 varies
F-up/limited tthrc echo congenital car anomaly (93304) $938.40 $1,564 1.8×
Facial nerve function studies (92516) $339 $565 1.6×
Flexible endoscopic eval swallow c/v rec (92612) $555.60 $926 2.8×
Fluorescein angiography (92235) $544.20 $907 2.6×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $848.40 $1,414 4.0×
Full Field Electroretinography W/I&R (92273) $667.80 $1,113 3.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,225.80 $2,043 1.5×
Fundus photography (92250) $180 $300 1.4×
Gastric motility studies (91020) $1,576.20 $2,627 4.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,355.40 $2,259 3.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $507 $845 2.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,761 $2,935 2.1×
Gi tract capsule endoscopy (91110) $2,483.40 $4,139 2.8×
Gi wireless capsule measure (91112) $1,890.60 $3,151 2.1×
Gonioscopy (92020) $123.60 $206 1.0×
Group Therapeutic Procedures (97150)
range across 15 matching MRF lines
$122.40–$135 $204–$225 varies
Health Behavior Assessment/Re-Assessment (96156)
range across 2 matching MRF lines
$289.80–$304.20 $483–$507 varies
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $178.20 $297 4.9×
Health behavior ivntj group f2f 1st 30 min (96164) $142.80 $238 3.9×
Health behavior ivntj indiv f2f 1st 30 min (96158) $183 $305 1.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,982.20 $11,637 2.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 15 matching MRF lines
$1,183.80–$1,961.40 $1,973–$3,269 varies
High altitude simulation test (94452) $313.80 $523 2.4×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $366.60 $611 2.8×
Holter monitor recording (93225) $442.80 $738 3.4×
Hypnotherapy (90880) $48 $80 0.5×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $76.80 $128 2.1×
Icd Device Interrogate (93289) $234.60 $391 6.5×
Icd device progr eval dual (93283) $285 $475 7.9×
Icd Device Progr Eval Mult (93284) $295.80 $493 8.2×
Ilr Device Eval Progr (93285) $189 $315 5.2×
Ilr Device Interrogate (93291) $225.60 $376 8.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $42.48 $70.80 0.6×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $20.40 $34 0.4×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $24.09 $40.15 0.7×
Immunization administration (90471) $59.10 $98.50 0.8×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $592.20 $987 2.8×
Ingestion challenge test initial 120 minutes (95076) $630.60 $1,051 1.7×
Insert/Place Heart Catheter (93503) $2,005.20 $3,342 1.3×
Interrogate Subq Defib (93261) $229.20 $382 6.3×
Interrogation vad in person (93750) $378.60 $631 4.1×
Intracranial Complete Study (93886) $723 $1,205 3.1×
Intracutaneous tests w/allergenic extracts (95024) $70.20 $117 1.2×
Intraventricular pacing (93612) $4,552.80 $7,588 0.6×
Io anal gast n-stim subsq (95981) $250.20 $417 4.4×
Io ga n-stim subsq w/reprog (95982) $41.94 $69.90 1.2×
Iontophoresis 15 min (97033) $143.40 $239 7.5×
Irrig Drug Delivery Device (96523) $174.60 $291 3.0×
IV infusion hydration each additional hour (96361) $140.40 $234 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $381.60 $636 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $285 $475 4.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $134.40 $224 3.0×
IV push initial (96374) $198.60 $331 1.0×
L Hrt Art/Grft Angio (93459) $12,763.80 $21,273 4.1×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $7,706.40 $12,844 2.4×
Laryngeal Function Studies (92520) $337.80 $563 2.6×
Liver Elastography W/O Imag W/I&R (91200) $259.80 $433 2.1×
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$181.20–$200.40 $302–$334 varies
Lwr Xtr Vasc Stdy Bilat (93924) $396 $660 1.9×
Mechanical chest wall oscillation per session (94669) $192 $320 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $52.80 $88 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $52.80 $88 1.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $24 $40 1.4×
Methacholine challenge (94070) $802.80 $1,338 2.2×
Motility study esophagus (91010) $1,152 $1,920 3.2×
Motion Fluoroscopy/Swallow (92611) $498 $830 5.4×
Multifocal Electroretinography W/I&R (92274) $636 $1,060 5.1×
Muscle Test 2 Limbs (95861) $698.40 $1,164 5.4×
Muscle Test Hemidiaphragm (95866) $218.40 $364 1.7×
Muscle Test Nonparaspinal (95870) $312.60 $521 2.4×
Muscle Test One Limb (95860) $554.40 $924 4.3×
Nasal function studies (92512) $237.60 $396 1.1×
Nasopharyngoscopy (92511) $316.20 $527 1.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $430.20 $717 2.1×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $355.80 $593 1.7×
Needle electromyography larynx (95865) $322.80 $538 2.5×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $387.60 $646 1.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $406.20 $677 1.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $476.40 $794 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $293.40 $489 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $376.80 $628 1.0×
Nerve Conduction Studies 1-2 Studies (95907) $570 $950 2.7×
Nerve Conduction Studies 11-12 Studies (95912) $2,295 $3,825 6.3×
Nerve conduction studies 13 or more studies (95913) $2,541.60 $4,236 7.0×
Nerve Conduction Studies 3-4 Studies (95908) $793.80 $1,323 3.8×
Nerve conduction studies 5-6 studies (95909) $1,072.80 $1,788 5.1×
Nerve conduction studies 7-8 studies (95910) $1,447.80 $2,413 4.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,879.20 $3,132 5.2×
Neurobehavioral Status Exam (96116) $101.40 $169 0.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $305.40 $509 2.4×
Neuromuscular Reeducation (97112) $126 $210 3.8×
Nitric oxide expired gas determination (95012) $150 $250 4.1×
Nrpsyc tst eval phys/qhp 1st (96132) $142.20 $237 0.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $530.40 $884 1.5×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136)
range across 2 matching MRF lines
$174–$348 $290–$580 varies
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $104.40 $174 1.8×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $109.80 $183 1.9×
Optokinetic Nystagmus Test (92544) $105.60 $176 0.8×
Oral Function Therapy (92526) $286.20 $477 3.4×
Oral Speech Device Eval (92597) $363 $605 5.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $115.80 $193 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $127.20 $212 2.8×
Oscillating Tracking Test (92545) $188.40 $314 0.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $58.74 $97.90 2.8×
Osteopathic manipulative tx 3-4 body regions (98926) $73.20 $122 3.5×
Osteopathic manipulative tx 5-6 body regions (98927) $84 $140 4.0×
Osteopathic manipulative tx 7-8 body regions (98928) $102.60 $171 4.9×
Osteopathic manipulative tx 9-10 body regions (98929) $111.60 $186 5.3×
Ot eval high complexity (97167) $285 $475 2.8×
Ot Eval Low Complex (97165) $215.40 $359 2.1×
Ot Eval Moderate Complexity (97166) $262.80 $438 2.6×
Ot manual therapy 15 min (97140) $117.60 $196 4.2×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$63–$66 $105–$110 varies
Ot Prosthetic Training, Each 15 Min (97761) $99.60 $166 2.5×
Ot Re-Eval Est Plan Care (97168) $121.20 $202 1.8×
Ot rom hand (95852) $120.60 $201 5.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $280.80 $468 2.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $144 $240 1.2×
Patch/Application Test Specify Number Tests (95044) $60.60 $101 0.1×
Patient-initiated spirometric phys/qhp r&i only (94016) $131.40 $219 5.3×
Pdt dstr prmlg les skn illum/activj per day (96567) $366.60 $611 1.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $292.20 $487 1.4×
Percutaneous tests w/allergenic extracts (95004) $63.60 $106 0.1×
Peripheral arterial disease rehab per session (93668) $84.60 $141 1.5×
Perq transcath closure pda (93582) $13,467 $22,445 0.8×
Perq Transcath Cls Aortic (93591) $22,455 $37,425 1.3×
Perq Transcath Cls Mitral (93590) $22,455 $37,425 1.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,772.60 $14,621 1.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,857.20 $24,762 1.3×
Phlebotomy therapeutic (99195) $290.40 $484 2.2×
Physical Performance Test (97750)
range across 4 matching MRF lines
$93–$112.80 $155–$188 varies
Plethysmography (94726) $624 $1,040 1.7×
Pm device eval in person (93288) $189.60 $316 5.2×
Pm device progr eval dual (93280) $236.40 $394 6.5×
Pm device progr eval multi (93281) $271.80 $453 7.5×
Pm Device Progr Eval Sngl (93279) $191.40 $319 5.3×
Pm/Icd Remote Tech Serv (93296) $220.20 $367 6.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,221 $7,035 5.1×
Polysom <6 yrs 4/> paramtrs (95782) $5,193 $8,655 6.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,899 $8,165 5.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 2 matching MRF lines
$25.20–$39.51 $42–$65.85 varies
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $56.93 $94.89 1.3×
Prepj& antigen allergen immunotherapy 2 insect (95146) $82.37 $137.28 1.8×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $97.79 $162.99 1.4×
Prepj& antigen allergen immunotherapy 5 insect (95149) $198.14 $330.24 2.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $218.40 $364 6.0×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $267.60 $446 7.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$89.40–$178.80 $149–$298 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $107.40 $179 2.4×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $156.96 $261.60 2.2×
Prq Card Angio/Athrect 1 Art (92924) $9,393 $15,655 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $14,410.80 $24,018 1.3×
Prq Card Stent/Ath/Angio (92933) $12,676.80 $21,128 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $10,704.60 $17,841 1.0×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $13,176 $21,960 0.7×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $10,380.60 $17,301 0.9×
Psych diag eval w/med srvcs (90792) $137.40 $229 0.8×
Psychiatric diagnostic evaluation (90791)
range across 5 matching MRF lines
$98.40–$245.40 $164–$409 varies
Psychological tst eval svc phys/qhp first hour (96130) $298.80 $498 1.4×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $239.40 $399 0.6×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $121.20 $202 0.9×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755)
range across 2 matching MRF lines
$68.40–$97.20 $114–$162 varies
Pt Eval High Complex (97163) $317.40 $529 3.2×
Pt eval low complex 20 min (97161) $204 $340 2.1×
Pt Eval Mod Complex (97162) $256.20 $427 2.6×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$109.20–$114.60 $182–$191 varies
Pt mechanical traction (97012) $92.40 $154 6.4×
Pt Re-Eval Est Plan Care (97164) $156.60 $261 2.3×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $41.58 $69.30 1.1×
Pulm function test by gas (94727) $498.60 $831 2.4×
Pulmonary service/procedure (94799)
range across 15 matching MRF lines
$92.40–$384 $154–$640 varies
Pulmonary Stress Testing (94618) $289.20 $482 2.2×
Pure Tone Audiometry Air (92552) $127.80 $213 1.0×
R Hrt Art/Grft Angio (93457) $10,261.20 $17,102 3.3×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $8,169 $13,615 2.6×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $8,169 $13,615 2.6×
R hrt coronary artery angio (93456) $11,200.80 $18,668 3.6×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $11,134.20 $18,557 3.5×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $11,134.20 $18,557 3.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,758.20 $14,597 2.8×
Rapid Desensitization Procedure Each Hour (95180) $274.20 $457 0.6×
Refill/Maint Portable Pump (96521) $406.20 $677 2.0×
Refill/Maint Pump/Resvr Syst (96522) $490.20 $817 2.4×
Remote 30 Day Ecg Rev/Report (93270) $385.20 $642 10.6×
Respiratory flow volume loop (94375) $466.80 $778 2.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $92.40 $154 1.6×
Right Heart Cath (93451) $7,196.40 $11,994 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$170.40–$194.40 $284–$324 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851)
range across 2 matching MRF lines
$103.20–$109.20 $172–$182 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $395.40 $659 3.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $191.40 $319 4.0×
Select picture audiometry (92583) $105.60 $176 1.8×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$100.80–$121.80 $168–$203 varies
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $58.35 $97.25 1.0×
Sensory Integration Ea 15 Min (97533) $104.40 $174 1.7×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $750 $1,250 3.6×
Short-latency somatosens ep std upr limbs (95925) $769.20 $1,282 3.7×
Sinusoidal Vertical Axis Rotational Testing (92546) $105.60 $176 0.8×
Sleep study attended (95807) $2,643.60 $4,406 7.3×
Somatosensory Testing (95938) $1,478.40 $2,464 1.8×
Speech Audiometry Complete (92556) $129 $215 2.3×
Speech audiometry threshold (92555) $100.80 $168 1.8×
Speech sound lang comprehen (92523) $406.20 $677 1.8×
Spin/Brain Pump Refil & Main (95991) $512.40 $854 1.7×
Spirometry (94010)
range across 2 matching MRF lines
$383.40–$388.20 $639–$647 varies
Spontaneous Nystagmus Test (92541) $84.60 $141 0.7×
Ssep lower limbs (95926) $826.20 $1,377 3.9×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$339–$357 $565–$595 varies
Stenger Test, Pure Tone (92565) $57.60 $96 1.0×
Stress Tte Only (93350) $1,726.20 $2,877 3.3×
Surfactant Admin Thru Tube (94610) $457.20 $762 2.1×
Temp transcutaneous pacing (92953) $610.80 $1,018 1.0×
Testing Autonomic Nervous System Function (95923) $229.20 $382 1.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $132.60 $221 5.9×
Ther Ivntj Ea Addl 15 Min (97130) $83.40 $139 4.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 3 matching MRF lines
$97.80–$103.20 $163–$172 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$13.14–$66 $21.90–$110 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $349.20 $582 3.4×
Ther/Proph/Diag Inj Ia (96373) $154.20 $257 0.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$86.40–$102 $144–$170 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$249–$420 $415–$700 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$112.80–$123 $188–$205 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,045.40 $3,409 5.6×
Transcath Closure of Asd (93580) $17,848.20 $29,747 1.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $549.60 $916 5.4×
Tte w/doppler, complete (93306) $1,867.80 $3,113 3.5×
Tte W/O Doppler Complete (93307) $1,353.60 $2,256 5.8×
Tx atrial fib pulm vein isol (93656) $23,838.60 $39,731 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $263.40 $439 3.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $114 $190 4.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $143.40 $239 3.2×
Tympanometry (92567) $110.40 $184 3.0×
Tympanometry and reflex threshold measurements (92550) $214.80 $358 1.0×
Unlisted allergy/clinical immunologic srvc/px (95199) $397.20 $662 14.1×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$2,477.40–$6,900 $4,129–$11,500 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $430.20 $717 3.4×
Unlisted otorhinolaryngological service (92700)
range across 4 matching MRF lines
$74.40–$778.20 $124–$1,297 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$321.60–$357 $536–$595 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $455.40 $759 2.2×
Valvuloplasty aortic valve (92986) $8,040.60 $13,401 1.5×
Valvuloplasty mitral valve (92987) $10,815.60 $18,026 1.0×
Valvuloplasty pulmonary valve (92990) $9,560.40 $15,934 0.9×
Veeg 2-12 Hr Cont Mntr (95713) $1,421.40 $2,369 3.9×
Veeg 2-12 hr intmt mntr (95712) $1,337.40 $2,229 3.7×
Veeg 2-12 hr unmonitored (95711) $1,179 $1,965 5.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,010.80 $5,018 8.3×
Veeg Ea 12-26 Hr Unmntr (95714) $2,867.40 $4,779 7.9×
Veeg ea 12-26hr cont mntr (95716) $3,612.60 $6,021 4.3×
Vent Mgmt Inpat Init Day (94002) $1,685.40 $2,809 2.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,402.20 $2,337 2.3×
Visual Evoked Potential Test (95930)
range across 2 matching MRF lines
$368.40–$885 $614–$1,475 varies
Visual Field Exam Extended (92083) $236.40 $394 1.8×
Visual field xm uni/bi w/interp intermed exam (92082) $172.80 $288 3.0×
Visual field xm uni/bi w/interpretj limited exam (92081) $141.60 $236 2.5×
Visual reinforcement audiometry (vra) (92579) $300.60 $501 1.4×
Vital capacity, total (94150) $159 $265 1.3×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,753.80 $2,923 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $89.40 $149 2.9×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $166.80 $278 4.6×

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.