Visits & medical services prices at Upper Valley Medical Center

Troy, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $39,598 $39,598 5.2×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $998 $998 7.9×
Actigraphy Testing Recording Analysis I&R (95803) $556 $556 9.6×
Advncd Care Plan 30 Min (99497) $312 $312 3.1×
Aep neurodiagnostic i&r (92653)
range across 2 matching MRF lines		 $1,152–$1,850 $1,152–$1,850 varies
Aep threshold estimation mlt frequencies i&r (92652) $1,534 $1,534 7.2×
Airway Inhalation Treatment (94640)
range across 15 matching MRF lines		 $411–$427 $411–$427 varies
Airway resistance by oscillometry (94728) $628 $628 5.0×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $86 $86 2.3×
Analyze neurostim complex (95972) $1,685 $1,685 18.1×
Analyze neurostim no prog (95970) $511 $511 3.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $126 $126 8.8×
Application Modality 1/> Areas Infrared (97026) $44 $44 6.6×
Application on-body injector (96377) $102 $102 2.2×
Arrhythmia Induction (93618) $15,558 $15,558 13.0×
Assessment of aphasia per hr (96105) $398 $398 4.1×
Assmt & care planning pt w/cognitive impairment (99483) $165 $165 1.7×
Audiometry Air & Bone (92553) $885 $885 7.0×
Basic vestibular evaluation (92540) $5,013 $5,013 23.7×
Behavral qualit analys voice (92524) $254 $254 2.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $189 $189 2.3×
Bfb training ea addl 15 min (90913) $81 $81 2.5×
Bioimpedance Cv Analysis (93701) $982 $982 7.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $735 $735 2.0×
Bundle of his recording (93600) $15,558 $15,558 2.0×
C motor evoked uppr limbs (95928) $2,842 $2,842 3.4×
C motor evoked upr&lwr limbs (95939) $5,684 $5,684 6.8×
Canalith repositioning proc (95992) $263 $263 6.5×
Car seat/bed test 60 min (94780) $79 $79 2.2×
Cardiac Stress Tst,Tracing Only (93017) $2,314 $2,314 10.9×
Cardiopulmonary exercise testing (94621) $630 $630 1.7×
Cardiopulmonary resuscitation (92950) $3,617 $3,617 17.1×
Cardioversion (92960) $3,522 $3,522 5.4×
Cardioversion elective internal (92961) $8,296 $8,296 12.8×
Care mgmt services behavioral hlth cond 20 mins (99484) $165 $165 4.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $64 $64 2.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $33,339 $33,339 10.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $33,339 $33,339 10.5×
Cbt 1st hour (94644) $418 $418 3.2×
Chemo Admin Peritoneal Cavity (96446) $5,240 $5,240 16.2×
Chemo Anti-Neopl Sq/Im (96401) $631 $631 8.9×
Chemo Hormon Antineopl Sq/Im (96402) $631 $631 8.9×
Chemo Ia Push (96420) $1,015 $1,015 3.1×
Chemo Intralesional Over 7 (96406) $957 $957 4.6×
Chemo intralesional up to 7 (96405) $511 $511 7.2×
Chemo IV infusion addl hr (96415) $702 $702 9.9×
Chemo IV push addl drug (96411) $562 $562 8.0×
Chemother Prolong Infuse W/Pump (96416) $1,119 $1,119 3.5×
Chemotherapy Into Cns (96450) $1,015 $1,015 3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $702 $702 9.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,193 $1,193 3.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,054 $1,054 3.3×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $800 $800 2.5×
Chest Wall Manipulation (94668) $292 $292 2.2×
Color/duplex Doppler, complete (93975) $1,219 $1,219 5.2×
Color/duplex Doppler, limited (93976) $728 $728 7.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $206 $206 6.4×
Comprehensive Hearing Test (92557) $885 $885 7.0×
Continuous Pulse Ox (94762) $427 $427 3.4×
Coronary Art/Grft Angio S&I (93455) $33,339 $33,339 10.5×
Coronary Artery Angio S&I (93454) $15,558 $15,558 4.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 6 matching MRF lines		 $380–$2,531 $380–$2,531 varies
Cpt initial (94667) $292 $292 2.2×
Critical care first hour (99291) $8,216 $8,216 10.1×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $2,842 $2,842 7.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines		 $382–$912 $382–$912 varies
Dialysis One Evaluation (90945) $1,013 $1,013 2.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,261 $2,261 9.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,941 $1,941 18.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $2,371 $2,371 23.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $3,894 $3,894 16.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,383 $1,383 13.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines		 $2,337–$2,885 $2,337–$2,885 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines		 $1,747–$2,156 $1,747–$2,156 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $3,324 $3,324 14.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,661 $1,661 16.2×
Duplex Scan Hemodialysis Access (93990) $680 $680 6.6×
Duplex up extrem art bilat (93930) $2,852 $2,852 12.2×
Duplex up extrem art unilat/ltd (93931) $1,425 $1,425 13.9×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines		 $799–$1,532 $799–$1,532 varies
Echo transesophag montr cardiac pump functj (93318) $939 $939 1.8×
Echo transesophageal (93312)
range across 2 matching MRF lines		 $4,283–$4,498 $4,283–$4,498 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,239 $3,239 6.0×
Eeg 41-60 Minutes (95812) $3,932 $3,932 18.6×
EEG awake and asleep (95819)
range across 2 matching MRF lines		 $2,436–$4,521 $2,436–$4,521 varies
EEG awake drowsy (95816) $3,798 $3,798 17.9×
EEG cerebral death evaluation (95824) $3,149 $3,149 8.6×
EEG cont rec w/video by tech min 8 channels (95700) $1,388 $1,388 6.6×
EEG extended monitoring 61-119 minutes (95813) $3,932 $3,932 18.6×
Eeg Sleep Only (95822) $3,712 $3,712 17.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705)
range across 2 matching MRF lines		 $1,362–$6,462 $1,362–$6,462 varies
EEG wo vid ea 12-26hr unmntr (95708)
range across 2 matching MRF lines		 $2,723–$8,499 $2,723–$8,499 varies
EKG signal averaged (93278) $1,440 $1,440 24.9×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $415 $415 4.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $447 $447 12.2×
Electrical Stimulation Ea 15 Min (97032) $198 $198 13.5×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $436–$511 $436–$511 varies
Electroconvulsive Therapy (90870) $2,098 $2,098 2.5×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $44,102 $44,102 5.8×
Electrophysiology Evaluation (93642) $3,777 $3,777 3.2×
Emergency Dept Visit Level 2 (99282) $1,115 $1,115 7.4×
Emergency Dept Visit Level 3 (99283) $1,812 $1,812 6.8×
Emergency Dept Visit Level 4 (99284) $3,716 $3,716 9.1×
Emg 3 Extremities (95863) $6,718 $6,718 53.3×
Emg 4 Extremities (95864) $3,303 $3,303 26.2×
Endomyocardial Biopsy (93505) $20,058 $20,058 6.5×
Ep & ablate supravent arrhyt (93653) $50,327 $50,327 2.0×
Ep & ablate ventric tachy (93654) $50,327 $50,327 2.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $44,102 $44,102 5.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $44,102 $44,102 5.8×
Er level 1 (99281) $627 $627 7.6×
Er level v (99285) $6,078 $6,078 10.4×
Evaluate pt use of inhaler (94664) $619 $619 2.9×
Evaluate Speech Production (92522) $254 $254 2.3×
Evaluate Swallowing Function (92610)
range across 5 matching MRF lines		 $250–$447 $250–$447 varies
Evaluation of speech fluency (92521) $254 $254 1.9×
Exercise test for bronchospasm (94617) $332 $332 2.5×
External ECG rec>48hr<7d recording (93242) $314 $314 8.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $1,671 $1,671 12.8×
External ECG rec>7d<15d recording (93246) $415 $415 11.3×
External ECG rec>7d<15d scanning alys w/report (93247) $1,671 $1,671 12.8×
External Ecg Scanning Analysis Report (93226) $2,928 $2,928 50.6×
Extracranial Bilat Study (93880) $1,632 $1,632 7.0×
Extracranial Uni/Ltd Study (93882) $1,291 $1,291 12.6×
Flexible endoscopic eval swallow c/v rec (92612) $241 $241 1.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $5,347 $5,347 6.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $3,648 $3,648 10.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,698 $3,698 4.4×
Group Therapeutic Procedures (97150) $156 $156 8.6×
Health Behavior Assessment/Re-Assessment (96156) $208 $208 2.1×
Health behavior ivntj group f2f 1st 30 min (96164) $81 $81 2.2×
Health behavior ivntj indiv f2f 1st 30 min (96158) $208 $208 1.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $33,339 $33,339 10.5×
Holter monitor recording (93225) $988 $988 7.6×
Icd device progr eval dual (93283) $1,436 $1,436 39.3×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $64 $64 1.7×
Immunization administration (90471)
range across 5 matching MRF lines		 $20–$101 $20–$101 varies
Ingestion challenge test initial 120 minutes (95076) $794 $794 2.2×
Insert/Place Heart Catheter (93503) $20,058 $20,058 13.0×
Interrogate Subq Defib (93261) $3,590 $3,590 98.1×
Interrogation vad in person (93750) $198 $198 2.1×
Intra-atrial pacing (93610) $15,558 $15,558 2.0×
Intra-atrial recording (93602) $15,558 $15,558 2.0×
Intracranial Complete Study (93886) $1,487 $1,487 6.4×
Intraventricular pacing (93612) $15,558 $15,558 2.0×
Iontophoresis 15 min (97033) $198 $198 10.4×
Irrig Drug Delivery Device (96523) $576 $576 10.0×
IV infusion hydration each additional hour (96361) $352 $352 7.7×
IV infusion hydration initial 31 min-1 hour (96360) $757 $757 3.6×
IV infusion ther proph addl sequential to 1 hr (96367) $476 $476 6.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $379 $379 8.3×
IV push initial (96374) $447 $447 2.1×
L Hrt Art/Grft Angio (93459) $33,339 $33,339 10.5×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $33,339 $33,339 10.5×
Lwr Xtr Vasc Stdy Bilat (93924) $1,945 $1,945 9.2×
Mechanical chest wall oscillation per session (94669) $427 $427 2.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $66 $66 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $76 $76 2.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 2 matching MRF lines		 $44–$54 $44–$54 varies
Methacholine challenge (94070) $1,178 $1,178 3.2×
Motion Fluoroscopy/Swallow (92611) $898 $898 9.8×
Multiple Sleep Latency Test (95805) $4,810 $4,810 5.7×
Muscle Test 2 Limbs (95861) $2,552 $2,552 19.6×
Muscle Test Nonparaspinal (95870) $529 $529 4.1×
Muscle Test One Limb (95860) $2,092 $2,092 16.0×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $2,571 $2,571 12.1×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $4,437 $4,437 21.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $909 $909 4.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $1,098 $1,098 5.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,156 $1,156 2.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,156 $1,156 2.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $790 $790 4.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,156 $1,156 2.9×
Nerve Conduction Studies 1-2 Studies (95907) $431 $431 2.0×
Nerve Conduction Studies 11-12 Studies (95912) $2,632 $2,632 7.2×
Nerve conduction studies 13 or more studies (95913) $3,248 $3,248 8.9×
Nerve Conduction Studies 3-4 Studies (95908) $878 $878 4.1×
Nerve conduction studies 5-6 studies (95909) $1,237 $1,237 5.8×
Nerve conduction studies 7-8 studies (95910) $1,742 $1,742 4.8×
Nerve Conduction Studies 9-10 Studies (95911) $2,122 $2,122 5.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $1,318 $1,318 10.5×
Neuromuscular Reeducation (97112) $198 $198 6.0×
Newborn resuscitation (99465)
range across 2 matching MRF lines		 $2,030–$2,082 $2,030–$2,082 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $710 $710 1.9×
Oral Function Therapy (92526)
range across 5 matching MRF lines		 $164–$197 $164–$197 varies
Oral Speech Device Eval (92597) $307 $307 4.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $136 $136 2.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $190 $190 4.1×
Ot Contrast Bath Ea 15 Min (97034) $113 $113 8.1×
Ot eval high complexity (97167) $564 $564 5.6×
Ot Eval Low Complex (97165) $226 $226 2.2×
Ot Eval Moderate Complexity (97166) $423 $423 4.2×
Ot manual therapy 15 min (97140) $198 $198 7.1×
Ot paraffin bath (97018) $251 $251 41.8×
Ot Prosthetic Training, Each 15 Min (97761) $190 $190 4.7×
Ot Re-Eval Est Plan Care (97168) $219 $219 3.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $590 $590 4.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 3 matching MRF lines		 $9–$279 $9–$279 varies
Oxygen Uptake Rest Indirect (94690) $1,006 $1,006 17.4×
Penile Vascular Study,Ltd or F/U (93981) $1,275 $1,275 12.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $385 $385 1.8×
Peripheral arterial disease rehab per session (93668) $216 $216 3.7×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $39,598 $39,598 2.2×
Perq Transcath Cls Aortic (93591) $42,883 $42,883 2.4×
Perq Transcath Cls Mitral (93590) $42,883 $42,883 2.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $39,598 $39,598 7.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $39,598 $39,598 3.5×
Phlebotomy therapeutic (99195) $216 $216 1.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $156 $156 2.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $156 $156 2.7×
Physical Performance Test (97750) $225 $225 6.7×
Plethysmography (94726) $628 $628 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,050 $6,050 7.2×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $3,590 $3,590 98.1×
Prq Card Angio/Athrect 1 Art (92924) $44,491 $44,491 3.9×
Prq Card Stent W/Angio 1 Vsl (92928) $39,598 $39,598 3.5×
Prq Card Stent/Ath/Angio (92933) $39,598 $39,598 2.2×
Prq Revasc Byp Graft 1 Vsl (92937) $39,598 $39,598 3.5×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $50,327 $50,327 2.8×
Prq trl rvs ch occ ant&rtrgr (92945) $39,598 $39,598 3.5×
Psych diag eval w/med srvcs (90792) $725 $725 4.2×
Psychiatric diagnostic evaluation (90791) $725 $725 4.2×
Psytx Crisis Initial 60 Min (90839) $362 $362 2.1×
Pt Eval High Complex (97163) $450 $450 4.6×
Pt eval low complex 20 min (97161) $140 $140 1.4×
Pt Eval Mod Complex (97162) $282 $282 2.9×
Pt gait training 15 min (97116) $198 $198 6.8×
Pt mechanical traction (97012) $225 $225 15.7×
Pt Re-Eval Est Plan Care (97164) $202 $202 3.0×
Pulm function test by gas (94727) $329 $329 1.6×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines		 $161–$787 $161–$787 varies
Pulmonary Stress Testing (94618) $332 $332 2.5×
R Hrt Art/Grft Angio (93457) $33,339 $33,339 10.5×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $33,339 $33,339 10.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $33,339 $33,339 10.5×
R hrt coronary artery angio (93456) $33,339 $33,339 10.5×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $33,339 $33,339 10.5×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $33,339 $33,339 10.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $33,339 $33,339 10.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $962 $962 3.0×
Rem Mntr Wrls P-Art Prs Snr (93264) $120 $120 3.3×
Respiratory flow volume loop (94375) $628 $628 3.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $521 $521 9.0×
Right Heart Cath (93451) $8,296 $8,296 2.6×
Right ventricular recording (93603) $15,558 $15,558 13.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines		 $341–$438 $341–$438 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $496 $496 4.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $223 $223 4.7×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $107–$109 $107–$109 varies
Sensory Integration Ea 15 Min (97533) $197 $197 3.2×
Short-latency somatosens ep std upr limbs (95925) $2,842 $2,842 13.4×
Sleep study unattended (95806) $1,164 $1,164 5.5×
Slp caregiver training 1st 30 min (97550) $162 $162 3.1×
Slp Stdy Unatnd W/Anal (95801) $914 $914 15.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,164 $1,164 5.5×
Somatosensory Testing (95938) $5,684 $5,684 6.8×
Speech sound lang comprehen (92523) $548 $548 2.4×
Spin/Brain Pump Refil & Main (95991) $962 $962 3.2×
Spirometry (94010) $490 $490 2.3×
Ssep lower limbs (95926) $2,842 $2,842 13.4×
Standardized Cognitive Performance Testing (96125) $142 $142 1.4×
Stress Tte Only (93350) $2,021 $2,021 3.8×
Surfactant Admin Thru Tube (94610) $285 $285 1.3×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,943 $1,943 19.0×
Temp transcutaneous pacing (92953) $6,767 $6,767 10.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $183 $183 8.2×
Ther Ivntj Ea Addl 15 Min (97130) $183 $183 8.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $225 $225 6.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines		 $127–$166 $127–$166 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $223 $223 2.2×
Ther/Prop/Diag Inj/Inf Proc (96379) $245 $245 5.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $214–$268 $214–$268 varies
Ther/Proph/Diag Iv Inf Init (96365) $811 $811 3.9×
Therapeutic Activities (97530)
range across 2 matching MRF lines		 $119–$217 $119–$217 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $9,271 $9,271 25.4×
Transcath Closure of Asd (93580) $50,327 $50,327 2.8×
Transcranial Doppler Intracran Art Emboli Detect (93892) $2,017 $2,017 19.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $743 $743 7.3×
Tte w/doppler, complete (93306) $3,383 $3,383 6.3×
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines		 $2,503–$2,643 $2,503–$2,643 varies
Tx atrial fib pulm vein isol (93656) $50,327 $50,327 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $197 $197 2.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $179 $179 7.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $238 $238 5.2×
Tympanometry (92567) $361 $361 9.9×
Tympanometry and reflex threshold measurements (92550) $665 $665 3.1×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines		 $3,095–$5,572 $3,095–$5,572 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines		 $950–$972 $950–$972 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,383 $1,383 6.5×
Valvuloplasty aortic valve (92986) $39,598 $39,598 7.1×
Valvuloplasty mitral valve (92987) $39,598 $39,598 3.5×
Valvuloplasty pulmonary valve (92990) $39,598 $39,598 3.5×
Vasopneumatic device (97016) $218 $218 18.1×
Veeg 2-12 Hr Cont Mntr (95713) $7,034 $7,034 19.2×
Veeg 2-12 hr intmt mntr (95712) $6,774 $6,774 18.5×
Veeg 2-12 hr unmonitored (95711) $6,618 $6,618 31.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $13,387 $13,387 36.6×
Veeg Ea 12-26 Hr Unmntr (95714) $13,231 $13,231 36.2×
Veeg ea 12-26hr cont mntr (95716) $13,647 $13,647 16.2×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines		 $3,792–$9,100 $3,792–$9,100 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines		 $2,276–$8,039 $2,276–$8,039 varies
Visual Evoked Potential Test (95930) $2,762 $2,762 13.1×
Vital capacity, total (94150) $395 $395 3.1×
Wada Activation Test Hemispheric Function W/Eeg (95958) $6,002 $6,002 7.1×
Wheelchair Mgmt Ea 15 Min (97542) $225 $225 7.2×
Whirlpool Therapy (97022)
range across 2 matching MRF lines		 $108–$198 $108–$198 varies
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $151 $151 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.