Visits & medical services prices at UP Health System - Marquette

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $11,234.92 $18,724.86 1.4×
Acoustic Reflex Testing (92568) $34.20 $57 0.9×
Admn Sarscov2 Vacc 1 Dose (90480) $67.20 $112 1.7×
Aep neurodiagnostic i&r (92653) $952.90 $1,588.16 4.4×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$126.07–$161.48 $269.14 varies
Airway resistance by oscillometry (94728)
range across 2 matching MRF lines
$115.92–$144.30 $193.20–$240.50 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $210.25 $350.42 1.6×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $210.25 $350.42 1.6×
Analyze neurostim complex (95972) $666.58 $1,110.96 7.0×
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$89.72–$98.90 $149.53–$164.83 varies
Analyze Neurostim Simple (95971) $271.34 $452.24 2.9×
Analyze Pacemaker System (93724)
range across 2 matching MRF lines
$581.70–$598.30 $969.50–$997.16 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$55.44–$99.50 $92.40–$165.84 varies
Application on-body injector (96377) $152.15 $253.59 3.3×
Assessment of aphasia per hr (96105) $336.51 $560.85 3.5×
Audiometry Air & Bone (92553) $58.80 $98 0.5×
Auditory Function, 60 Min (92620) $89.40 $149 0.7×
Behavral qualit analys voice (92524)
range across 3 matching MRF lines
$168.37–$185.21 $280.61–$308.68 varies
Bioimpedance Cv Analysis (93701) $87.88 $146.47 0.7×
Breath hydrogen/methane test (91065)
range across 2 matching MRF lines
$202.20–$313.90 $337–$523.17 varies
Brief Emotional/Behav Assmt (96127) $68.47 $114.12 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 6 matching MRF lines
$196.80–$577.70 $328–$962.84 varies
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,527.83 $2,546.39 0.2×
C motor evoked uppr limbs (95928) $496.42 $827.36 0.6×
C motor evoked upr&lwr limbs (95939) $202.41 $337.35 0.2×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$140.08–$146.74 $233.46–$244.57 varies
Cardiac Stress Tst,Tracing Only (93017) $957.38 $1,595.63 4.4×
Cardiopulmonary exercise testing (94621) $957.38 $1,595.63 2.6×
Cardiopulmonary resuscitation (92950) $821.64 $1,369.40 3.8×
Cardioversion (92960)
range across 2 matching MRF lines
$439.39–$1,216.75 $732.31–$2,027.92 varies
Cardioversion elective internal (92961) $1,193.57 $1,989.29 1.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $13,399.86 $22,333.10 4.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,435.37 $19,058.95 3.5×
Cbt 1st hour (94644) $99.50 $165.84 0.8×
Chemo Admin Peritoneal Cavity (96446) $788.80 $1,314.66 2.4×
Chemo Anti-Neopl Sq/Im (96401) $194.18 $323.63 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $186.94 $311.56 2.6×
Chemo intralesional up to 7 (96405) $55.80 $93 0.8×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$89.72–$177.77 $149.53–$296.28 varies
Chemo IV push addl drug (96411) $432.79 $721.31 6.0×
Chemother Prolong Infuse W/Pump (96416) $560.31 $933.85 1.7×
Chemotherapy Into Cns (96450) $783.97 $1,306.61 2.4×
Chemotherapy Unspecified (96549) $57 $95 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $378.22 $630.36 5.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$619.22–$635.19 $1,032.04–$1,058.65 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $492.20 $820.34 1.5×
Chest Wall Manipulation (94668) $120.76 $201.26 0.9×
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines
$532.20–$1,249.12 $887–$2,081.86 varies
Color/duplex Doppler, limited (93976)
range across 5 matching MRF lines
$746.23–$1,261.69 $1,243.72–$2,102.82 varies
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines
$103.85–$108.79 $173.08–$181.31 varies
Comprehensive Hearing Test (92557) $75 $125 0.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $352.60 $587.67 2.7×
Continuous Pulse Ox (94762) $270.49 $450.81 2.1×
Coronary Art/Grft Angio S&I (93455) $6,583.76 $10,972.93 2.0×
Coronary Artery Angio S&I (93454)
range across 2 matching MRF lines
$3,850.26–$6,238.39 $6,417.10–$10,397.32 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $742.42 $1,237.37 3.4×
Cpt initial (94667) $120.76 $201.26 0.9×
Critical care first hour (99291) $2,630.12 $4,383.54 3.2×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $496.42 $827.36 1.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$116–$272.75 $193.34–$454.59 varies
Dialysis One Evaluation (90945) $3,141.41 $5,235.68 7.6×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $55.20 $92 0.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 5 matching MRF lines
$723.55–$1,223.04 $1,205.92–$2,038.40 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines
$750.63–$827.43 $1,251.05–$1,379.05 varies
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980)
range across 2 matching MRF lines
$687.83–$758.36 $1,146.39–$1,263.94 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 5 matching MRF lines
$1,028.79–$1,739.41 $1,714.65–$2,899.01 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 7 matching MRF lines
$340.80–$1,295.99 $568–$2,159.98 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$599.44–$965.14 $999.07–$1,608.57 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$256.73–$688.20 $427.89–$1,147 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $761.35 $1,268.91 3.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986)
range across 2 matching MRF lines
$344.36–$380.66 $573.94–$634.44 varies
Duplex Scan Hemodialysis Access (93990)
range across 3 matching MRF lines
$221.44–$568.04 $369.06–$946.73 varies
Duplex up extrem art bilat (93930)
range across 5 matching MRF lines
$727.65–$1,230.29 $1,212.75–$2,050.48 varies
Duplex up extrem art unilat/ltd (93931)
range across 3 matching MRF lines
$256.73–$824.54 $427.89–$1,374.24 varies
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$1,294.02–$2,083.51 $2,156.70–$3,472.52 varies
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$729.54–$1,174.66 $1,215.90–$1,957.76 varies
Echo transesophageal (93312)
range across 3 matching MRF lines
$1,038.55–$1,672.19 $1,730.92–$2,786.99 varies
Echo Transesophageal - Congenital Tee Complete (93315) $1,412.51 $2,354.18 2.6×
Eeg 41-60 Minutes (95812) $741.34 $1,235.56 3.4×
EEG awake and asleep (95819) $741.34 $1,235.56 3.4×
EEG awake drowsy (95816) $680.61 $1,134.35 3.2×
EEG cerebral death evaluation (95824) $808.64 $1,347.74 2.2×
EEG cont rec w/video by tech min 8 channels (95700) $524.99 $874.98 2.4×
EEG extended monitoring 61-119 minutes (95813) $1,338.98 $2,231.63 6.2×
Eeg Sleep Only (95822) $680.61 $1,134.35 3.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $524.99 $874.98 2.4×
EEG w/o vid 2-12hr cont mntr (95707) $524.99 $874.98 2.4×
EEG w/o vid ea 12-26hr intmt (95709) $1,007.26 $1,678.76 2.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,007.26 $1,678.76 2.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $524.99 $874.98 2.4×
EEG wo vid ea 12-26hr unmntr (95708) $1,007.26 $1,678.76 2.7×
EKG signal averaged (93278) $416.85 $694.75 7.1×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $84.79 $141.31 0.9×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $271.42 $452.36 2.9×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $84.79 $141.31 2.3×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$63–$111.82 $105–$186.37 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$180.68–$209.15 $301.13–$348.58 varies
Electroconvulsive Therapy (90870) $1,084.89 $1,808.15 1.3×
Electrophysiology Evaluation (93642)
range across 2 matching MRF lines
$1,907.11–$2,468.30 $3,178.52–$4,113.83 varies
Emergency Dept Visit Level 2 (99282) $540.99 $901.65 3.5×
Emergency Dept Visit Level 3 (99283) $900.38 $1,500.64 3.3×
Emergency Dept Visit Level 4 (99284) $1,259.26 $2,098.77 3.0×
Emg 3 Extremities (95863)
range across 3 matching MRF lines
$276.89–$369.39 $461.49–$615.65 varies
Emg 4 Extremities (95864)
range across 5 matching MRF lines
$155.65–$399.26 $259.41–$665.43 varies
Ep & ablate supravent arrhyt (93653) $33,104.32 $55,173.86 1.3×
Ep & ablate ventric tachy (93654) $33,104.32 $55,173.86 1.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,035.88 $18,393.14 1.4×
Er level 1 (99281) $324.11 $540.19 3.9×
Er level v (99285) $1,854.36 $3,090.60 3.1×
Esophagus acid perfusion test esophagitis (91030) $255 $425 0.7×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $303.60 $506 0.8×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$120.76–$267.47 $445.78 varies
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$168.37–$185.21 $280.61–$308.68 varies
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$422.77–$465.04 $704.62–$775.07 varies
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$195.97–$215.56 $326.61–$359.27 varies
Evoked Auditory Test,Limited (92587) $55.20 $92 0.3×
External ECG rec>48hr<7d recording (93242) $468.53 $780.89 12.6×
External ECG rec>7d<15d recording (93246) $468.53 $780.89 12.6×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$352.60–$468.53 $587.67–$780.89 varies
Extracranial Bilat Study (93880)
range across 4 matching MRF lines
$1,063.12–$1,711.78 $1,771.87–$2,852.96 varies
Extracranial Uni/Ltd Study (93882)
range across 7 matching MRF lines
$259.50–$693.14 $432.50–$1,155.23 varies
F-up/limited tthrc echo congenital car anomaly (93304) $1,118.33 $1,863.89 2.1×
Flexible endoscopic eval swallow c/v rec (92612) $623.92 $1,039.86 3.1×
Fundus photography (92250) $471.92 $786.54 3.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $198.60 $331 0.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,432.67 $2,387.78 1.7×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$2,325.93–$2,442.23 $3,876.55–$4,070.38 varies
Gi tract imaging intraluminal colon i&r (91113) $1,650.08 $2,750.14 1.8×
Group Therapeutic Procedures (97150)
range across 10 matching MRF lines
$16.20–$234.30 $27–$390.50 varies
Health Behavior Assessment/Re-Assessment (96156) $51.45 $85.75 0.5×
Health behavior ivntj indiv f2f 1st 30 min (96158) $162.91 $271.52 0.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $13,784.84 $22,974.73 4.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,144.79 $1,907.98 1.7×
Holter monitor recording (93225) $468.53 $780.89 3.5×
Hubbard tank 15 min (97036) $112.07 $186.78 3.2×
Icd Device Interrogate (93289) $84.79 $141.31 2.3×
Icd device progr eval dual (93283) $84.79 $141.31 2.3×
Icd Device Progr Eval Mult (93284) $84.79 $141.31 2.3×
Icm Device Eval (93290) $84.79 $141.31 2.3×
Ilr Device Eval Progr (93285) $84.79 $141.31 2.3×
Ilr Device Interrogate (93291) $39.18 $65.30 1.4×
Im Adm Intransl/Oral 1 Vaccine (90473) $89.72 $149.53 1.3×
Immunization administration (90471)
range across 2 matching MRF lines
$89.72–$103.85 $149.53–$173.08 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $503.23 $838.71 1.4×
Insert/Place Heart Catheter (93503) $4,883 $8,138.33 3.1×
Interrogate Subq Defib (93261) $84.79 $141.31 2.3×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$1,527.83 $2,546.39 0.2×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$1,527.83 $2,546.39 0.2×
Intracranial Complete Study (93886)
range across 2 matching MRF lines
$1,038.51–$1,144.79 $1,730.85–$1,907.98 varies
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$1,527.83 $2,546.39 0.2×
Iontophoresis 15 min (97033)
range across 3 matching MRF lines
$66.15–$117.40 $110.25–$195.66 varies
Irrig Drug Delivery Device (96523) $185.96 $309.93 3.2×
IV infusion hydration each additional hour (96361) $99.50 $165.84 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $365.17 $608.61 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $108.67 $181.12 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$60.92–$99.50 $101.53–$165.84 varies
IV push initial (96374)
range across 2 matching MRF lines
$219.49–$745.76 $365.81–$1,242.94 varies
L Hrt Art/Grft Angio (93459) $11,787.50 $19,645.84 3.6×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $4,803.67 $8,006.11 1.5×
Lung Function Test (Mbc/Mvv) (94200) $66.78 $111.30 1.1×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 4 matching MRF lines
$153.30–$780.58 $255.50–$1,300.96 varies
Mechanical chest wall oscillation per session (94669) $120.76 $201.26 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $36.71 $61.18 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36.71 $61.18 1.0×
Methacholine challenge (94070)
range across 2 matching MRF lines
$503.23–$746.28 $838.71–$1,243.80 varies
Motility study esophagus (91010)
range across 2 matching MRF lines
$816.09–$1,432.67 $1,360.15–$2,387.78 varies
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$416.32–$457.95 $693.87–$763.25 varies
Multiple Sleep Latency Test (95805) $1,441.39 $2,402.31 1.7×
Muscle Test 2 Limbs (95861)
range across 7 matching MRF lines
$127.80–$350.18 $213–$583.64 varies
Muscle Test Hemidiaphragm (95866) $350.18 $583.64 2.7×
Muscle Test Nonparaspinal (95870) $77.98 $129.97 0.6×
Muscle Test One Limb (95860)
range across 6 matching MRF lines
$92.61–$351.70 $154.35–$586.16 varies
Nasopharyngoscopy (92511) $294.17 $490.29 1.5×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $277.82 $463.04 1.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867)
range across 2 matching MRF lines
$192–$277.82 $320–$463.04 varies
Needle electromyography larynx (95865) $350.18 $583.64 2.6×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $261.11 $435.19 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $748.70 $1,247.83 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$174.01–$220.27 $290.01–$367.11 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$304.20–$360.82 $507–$601.37 varies
Nerve Conduction Studies 1-2 Studies (95907) $40.20 $67 0.2×
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines
$63.60–$107.33 $106–$178.89 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines
$63.60–$107.33 $106–$178.89 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$40.20–$67.91 $67–$113.18 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$40.20–$67.91 $67–$113.18 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$40.20–$67.91 $67–$113.18 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$63.60–$107.33 $106–$178.89 varies
Neurobehavioral Status Exam (96116) $503.98 $839.97 2.3×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$99.50–$104.25 $165.84–$173.75 varies
Newborn resuscitation (99465) $15.46 $25.77 0.0×
Nrpsyc tst eval phys/qhp 1st (96132) $503.98 $839.97 1.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $116.70 $194.50 0.3×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$275.10–$302.61 $458.50–$504.35 varies
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$419.54–$461.50 $699.24–$769.17 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $144.96 $241.60 2.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines
$74.65–$132.07 $124.42–$220.11 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $141.04 $235.06 6.6×
Osteopathic manipulative tx 3-4 body regions (98926) $51.84 $86.40 2.4×
Osteopathic manipulative tx 5-6 body regions (98927) $51.84 $86.40 2.4×
Osteopathic manipulative tx 7-8 body regions (98928) $51.84 $86.40 2.4×
Osteopathic manipulative tx 9-10 body regions (98929) $51.84 $86.40 2.4×
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$99.50–$104.25 $165.84–$173.75 varies
Ot eval high complexity (97167)
range across 2 matching MRF lines
$284.02–$297.55 $473.36–$495.92 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$223.15–$233.78 $371.92–$389.63 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$253.59–$265.66 $422.65–$442.76 varies
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$54–$113.86 $90–$189.76 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$82.59–$86.53 $137.65–$144.21 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$135.25–$141.67 $225.41–$236.12 varies
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$124.14–$142.70 $206.90–$237.83 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $238.13 $396.89 1.9×
Oxygen Uptake Rest Indirect (94690)
range across 2 matching MRF lines
$30.30–$131.86 $50.50–$219.77 varies
Patch/Application Test Specify Number Tests (95044) $52.80 $88 0.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $256 $426.67 1.2×
Peripheral arterial disease rehab per session (93668) $175.44 $292.40 3.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $12,072.97 $20,121.61 2.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $12,329.95 $20,549.92 1.1×
Phlebotomy therapeutic (99195) $122.40 $204 0.9×
Photochemotx Psoralens&Ultraviolet Puva (96912) $49.20 $82 0.8×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $49.20 $82 0.8×
Physical Performance Test (97750)
range across 4 matching MRF lines
$66.15–$117.40 $110.25–$195.66 varies
Plethysmography (94726)
range across 4 matching MRF lines
$114.90–$357.92 $191.50–$596.54 varies
Pm device eval in person (93288) $84.79 $141.31 2.3×
Pm device progr eval dual (93280) $84.79 $141.31 2.3×
Pm device progr eval multi (93281) $84.79 $141.31 2.3×
Pm Device Progr Eval Sngl (93279) $84.79 $141.31 2.3×
Pm/Icd Remote Tech Serv (93296) $84.79 $141.31 2.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,010.63 $6,684.38 4.7×
Polysom <6 yrs 4/> paramtrs (95782) $1,533.15 $2,555.25 1.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,533.15 $2,555.25 1.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $84.79 $141.31 2.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $84.79 $141.31 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $60.92 $101.53 1.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $60.92 $101.53 1.3×
Prq Card Angio/Athrect 1 Art (92924) $15,778.81 $26,298.02 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $15,778.81 $26,298.02 1.4×
Prq Card Stent/Ath/Angio (92933) $15,778.81 $26,298.02 0.9×
Prq Revasc Byp Graft 1 Vsl (92937) $15,659.02 $26,098.37 1.4×
Psych diag eval w/med srvcs (90792) $506.21 $843.68 2.9×
Psychiatric diagnostic evaluation (90791) $503.98 $839.97 2.8×
Psychological tst eval svc phys/qhp first hour (96130) $503.98 $839.97 2.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $503.98 $839.97 1.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $503.98 $839.97 3.8×
Psytx Crisis Initial 60 Min (90839) $503.98 $839.97 2.8×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$284.02–$297.55 $473.36–$495.92 varies
Pt eval low complex 20 min (97161)
range across 3 matching MRF lines
$112.07–$233.78 $186.78–$389.63 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$253.59–$265.66 $422.65–$442.76 varies
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$108.67–$113.86 $181.12–$189.76 varies
Pt mechanical traction (97012)
range across 3 matching MRF lines
$55.44–$98.17 $92.40–$163.62 varies
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$136.21–$142.70 $227.02–$237.83 varies
Pulm function test by gas (94727) $357.92 $596.54 1.7×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$54.60–$88.39 $91–$147.32 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$183.60–$464.19 $306–$773.65 varies
Pure Tone Audiometry Air (92552) $70.34 $117.23 0.5×
R Hrt Art/Grft Angio (93457) $11,627.60 $19,379.34 3.6×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $4,803.67 $8,006.11 1.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $4,803.67 $8,006.11 1.5×
R hrt coronary artery angio (93456) $11,274.02 $18,790.04 3.5×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $7,410.21 $12,350.35 2.3×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $7,410.21 $12,350.35 2.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,780.72 $12,967.86 2.4×
Rapid Desensitization Procedure Each Hour (95180) $136.21 $227.02 0.3×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $196.10 $326.84 0.6×
Refill/Maint Portable Pump (96521) $287.91 $479.85 1.4×
Refill/Maint Pump/Resvr Syst (96522) $287.91 $479.85 1.4×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $72.39 $120.65 1.9×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $230.95 $384.92 1.7×
Remote 30 Day Ecg Rev/Report (93270) $282.56 $470.94 7.6×
Respiratory flow volume loop (94375) $66.78 $111.30 0.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $43.46 $72.44 0.7×
Right Heart Cath (93451) $5,043.85 $8,406.41 1.6×
Right ventricular recording (93603) $1,527.83 $2,546.39 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$174.01–$212.53 $290.01–$354.22 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 2 matching MRF lines
$442.09–$486.29 $736.81–$810.49 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608)
range across 2 matching MRF lines
$127.88–$140.68 $213.13–$234.46 varies
Select picture audiometry (92583) $27 $45 0.5×
Self Care Mngment Training (97535)
range across 5 matching MRF lines
$92.74–$108.79 $154.57–$181.31 varies
Sensory Integration Ea 15 Min (97533) $98.54 $164.23 1.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $804.09 $1,340.15 3.7×
Short-latency somatosens ep std upr limbs (95925) $804.09 $1,340.15 3.7×
Sleep study attended (95807)
range across 2 matching MRF lines
$528–$881.52 $880–$1,469.20 varies
Somatosensory Testing (95938) $1,215.74 $2,026.24 1.4×
Speech Audiometry Complete (92556) $34.20 $57 0.6×
Speech audiometry threshold (92555) $34.20 $57 0.6×
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$335.82–$369.39 $559.70–$615.65 varies
Spin/Brain Pump Refil & Main (95991) $359.27 $598.79 1.2×
Spirometry (94010)
range across 6 matching MRF lines
$48–$315.91 $80–$526.51 varies
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$313.96–$328.91 $523.26–$548.19 varies
Stenger Test Speech (92577) $147.60 $246 0.4×
Stenger Test, Pure Tone (92565) $34.20 $57 0.6×
Stress Tte Only (93350)
range across 2 matching MRF lines
$1,172.11–$1,887.23 $1,953.52–$3,145.38 varies
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $511.04 $851.73 4.9×
Testing Autonomic Nervous System Function (95923) $105 $175 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$93.85–$103.23 $156.41–$172.05 varies
Ther Ivntj Ea Addl 15 Min (97130) $103.23 $172.05 4.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$127.04–$133.08 $211.73–$221.80 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$64.26–$113.86 $107.10–$189.76 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 2 matching MRF lines
$197.70–$267.56 $329.50–$445.93 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$89.72–$198.04 $149.53–$330.06 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$356.35–$540.99 $593.92–$901.65 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$66.15–$117.40 $110.25–$195.66 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,522.06 $2,536.76 4.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $49.25 $82.08 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$22.12–$23.22 $36.87–$38.70 varies
Trans Care Mgmt 14 Day Disch (99495) $168.50 $280.84 1.3×
Trans Care Mgmt 7 Day Disch (99496) $224.59 $374.32 1.7×
Transcath Closure of Asd (93580) $32,179.29 $53,632.15 1.8×
Transcranial Doppler Intracran Art Emboli Detect (93892) $580.12 $966.86 5.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888)
range across 2 matching MRF lines
$1,038.51–$1,144.79 $1,730.85–$1,907.98 varies
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $84.79 $141.31 2.3×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$1,235.74–$1,989.70 $2,059.57–$3,316.16 varies
Tte W/O Doppler Complete (93307)
range across 3 matching MRF lines
$1,237–$1,991.94 $2,061.67–$3,319.90 varies
Tx atrial fib pulm vein isol (93656) $37,886.36 $63,143.94 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$335.82–$369.39 $559.70–$615.65 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $182.10 $303.50 3.9×
Tympanometry (92567) $34.20 $57 0.9×
Unlisted Diagnostic Gastroenterology Procedure (91299) $414.93 $691.55 3.2×
Upr/L Xtremity Art 2 Levels (93922)
range across 5 matching MRF lines
$281.92–$476.75 $469.87–$794.59 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 5 matching MRF lines
$651.73–$1,101.79 $1,086.22–$1,836.32 varies
Valvuloplasty aortic valve (92986) $7,607.79 $12,679.65 1.3×
Vasopneumatic device (97016)
range across 3 matching MRF lines
$49.77–$88.05 $82.95–$146.75 varies
Veeg 2-12 Hr Cont Mntr (95713) $1,007.26 $1,678.76 2.7×
Veeg 2-12 hr intmt mntr (95712) $524.99 $874.98 1.4×
Veeg 2-12 hr unmonitored (95711) $524.99 $874.98 2.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,007.26 $1,678.76 2.7×
Veeg Ea 12-26 Hr Unmntr (95714) $1,007.26 $1,678.76 2.7×
Veeg ea 12-26hr cont mntr (95716) $1,885.36 $3,142.26 2.2×
Vent Mgmt Inpat Init Day (94002) $1,761.62 $2,936.04 2.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,027.89 $1,713.15 1.7×
Visual Evoked Potential Test (95930) $804.09 $1,340.15 3.7×
Visual reinforcement audiometry (vra) (92579) $58.80 $98 0.3×
Vital capacity, total (94150)
range across 2 matching MRF lines
$93.87–$158.93 $156.45–$264.88 varies
Wheelchair Mgmt Ea 15 Min (97542)
range across 3 matching MRF lines
$58.50–$132.07 $97.50–$220.11 varies
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$112.07–$117.40 $186.78–$195.66 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.