Visits & medical services prices at UVA Health Culpeper Medical Center
Culpeper, VA · every code in this section with a posted price and a Medicare benchmark.
466 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) | $7,023.50 | $14,047 | 0.9× |
| Acoustic Reflex Testing (92568) | $41 | $82 | 1.1× |
| Actigraphy Testing Recording Analysis I&R (95803) | $152.50 | $305 | 2.5× |
| Actinotherapy Ultraviolet Light (96900) | $51.50 | $103 | 1.3× |
| Acupunct W/Stimul 15 Min (97813) | $30 | $60 | 1.0× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $12.50 | $25 | 0.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $22 | $44 | 0.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $125.50 | $251 | 0.6× |
| Aep neurodiagnostic i&r (92653) | $640 | $1,280 | 2.9× |
| Aep threshold estimation mlt frequencies i&r (92652) | $139.50 | $279 | 0.6× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$4,833.11–$4,896.89 | $9,666.23–$9,793.79 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $39 | $78 | 1.0× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $39 | $78 | 1.3× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $301 | $602 | 2.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $655 | $1,310 | 4.8× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $107.50 | $215 | 0.8× |
| Analyze neurostim complex (95972) | $136.50 | $273 | 1.4× |
| Analyze neurostim no prog (95970) | $38 | $76 | 0.3× |
| Analyze Neurostim Simple (95971) | $42.50 | $85 | 0.4× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $476.50 | $953 | 1.2× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $500.50 | $1,001 | 3.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 18 matching MRF lines |
$27.50–$68.50 | $55–$137 | varies |
| Application on-body injector (96377) range across 2 matching MRF lines |
$10,345.05–$10,486.59 | $20,690.10–$20,973.18 | varies |
| Assessment of aphasia per hr (96105) range across 6 matching MRF lines |
$65.50–$185 | $131–$370 | varies |
| Assessment of tinnitus (92625) | $139 | $278 | 1.0× |
| Audiometry Air & Bone (92553) | $55.50 | $111 | 0.4× |
| Auditory Function, 60 Min (92620) | $267 | $534 | 2.0× |
| Basic vestibular evaluation (92540) | $694.50 | $1,389 | 3.1× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$131–$341.50 | $262–$683 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$64.50–$254 | $129–$508 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$64.50–$85.50 | $129–$171 | varies |
| Biofeedback training any modality (90901) | $25 | $50 | 0.6× |
| Bis Xtracell Fluid Analysis (93702) | $171 | $342 | 1.3× |
| Blink reflex test (95933) | $221.50 | $443 | 3.6× |
| Breath hydrogen/methane test (91065) | $518 | $1,036 | 2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $382 | $764 | 1.0× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$2,313.50 | $4,627 | 0.3× |
| C motor evoked uppr limbs (95928) | $318 | $636 | 0.4× |
| C motor evoked upr&lwr limbs (95939) | $573 | $1,146 | 0.6× |
| Caloric vestibular test w/rec bi monothermal (92538) | $946 | $1,892 | 4.2× |
| Caloric Vstblr Test W/Rec (92537) | $379 | $758 | 2.8× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$37–$127.50 | $74–$255 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $714 | $1,428 | 3.2× |
| Cardiopulmonary exercise testing (94621) | $2,026.50 | $4,053 | 5.2× |
| Cardiopulmonary resuscitation (92950) | $389.50 | $779 | 1.7× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,731.14–$1,741.30 | $3,462.28–$3,482.60 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $7,514.50 | $15,029 | 2.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,211 | $18,422 | 2.7× |
| Cbt 1st hour (94644) | $117 | $234 | 0.8× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $142 | $284 | 1.0× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $328 | $656 | 1.5× |
| Cervical Vemp Testing W/I&R (92517) | $179 | $358 | 1.3× |
| Chemo Admin Peritoneal Cavity (96446) | $330 | $660 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$21,296.72–$21,367.48 | $42,593.45–$42,734.96 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$11,593.35–$11,677.58 | $23,186.71–$23,355.16 | varies |
| Chemo Ia Push (96420) | $840.50 | $1,681 | 2.5× |
| Chemo Intralesional Over 7 (96406) | $285 | $570 | 1.3× |
| Chemo intralesional up to 7 (96405) | $50 | $100 | 0.7× |
| Chemo IV infusion addl hr (96415) | $6,647.91 | $13,295.83 | 89.2× |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$8,589.71–$8,633.24 | $17,179.42–$17,266.48 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$3,322.28–$3,386.26 | $6,644.57–$6,772.52 | varies |
| Chemotherapy Into Cns (96450) | $30,369.93 | $60,739.86 | 88.9× |
| Chemotherapy Unspecified (96549) | $95 | $190 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$10,807.81–$10,814.41 | $21,615.63–$21,628.83 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$13,145.59–$13,375.94 | $26,291.19–$26,751.89 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$1,796.87–$1,813.70 | $3,593.75–$3,627.41 | varies |
| Chest Wall Manipulation (94668) | $99 | $198 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $70 | $140 | 0.7× |
| Cmptr ophth dx img ant segmt (92132) | $331.50 | $663 | 5.4× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $106.50 | $213 | 1.7× |
| Color/duplex Doppler, complete (93975) | $1,003 | $2,006 | 4.1× |
| Color/duplex Doppler, limited (93976) | $1,516.50 | $3,033 | 14.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $83.50 | $167 | 2.6× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $2,212 | $4,424 | 2.5× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $661 | $1,322 | 1.7× |
| Comprehensive Hearing Test (92557) | $156.50 | $313 | 1.2× |
| Computerized dynamic posturography (92548) | $70 | $140 | 0.5× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $84.50 | $169 | 1.4× |
| Computerized Ophthalmic Imaging Retina (92134) | $104 | $208 | 1.7× |
| Conditioning Play Audiometry (92582) | $64 | $128 | 0.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $224.50 | $449 | 1.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $59.50 | $119 | 1.0× |
| Continuous Pulse Ox (94762) | $172.50 | $345 | 1.3× |
| Corneal Topography (92025) | $132 | $264 | 2.2× |
| Coronary Art/Grft Angio S&I (93455) | $6,543 | $13,086 | 2.0× |
| Coronary Artery Angio S&I (93454) | $5,029 | $10,058 | 1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $317 | $634 | 1.4× |
| Cpt initial (94667) | $154 | $308 | 1.1× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $409 | $818 | 1.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$6,647.30–$6,790.20 | $13,294.60–$13,580.40 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $211.50 | $423 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$721–$741.50 | $1,442–$1,483 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $242.50 | $485 | 1.2× |
| Developmental tst admin phys/qhp 1st hour (96112) | $45 | $90 | 0.3× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $87 | $174 | 0.7× |
| Dialysis One Evaluation (90945) | $1,663 | $3,326 | 3.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $334 | $668 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $633 | $1,266 | 2.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $481 | $962 | 4.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $1,012.50 | $2,025 | 9.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $680 | $1,360 | 2.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $499 | $998 | 4.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $989.50 | $1,979 | 4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $657.50 | $1,315 | 6.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $579 | $1,158 | 2.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $470.50 | $941 | 4.4× |
| Duplex Scan Hemodialysis Access (93990) | $462.50 | $925 | 4.3× |
| Duplex up extrem art bilat (93930) | $853 | $1,706 | 3.5× |
| Duplex up extrem art unilat/ltd (93931) | $935 | $1,870 | 8.6× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $196 | $392 | 1.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $87 | $174 | 0.7× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $87.50 | $175 | 0.7× |
| Ear and throat examination (92502) | $546 | $1,092 | 1.0× |
| Echo Congenital Complete (93303) | $2,482 | $4,964 | 4.4× |
| Echo Heart Xthoracic,Limited (93308) | $1,623.50 | $3,247 | 6.6× |
| Echo r-t 2d w/probe placement only (93313) | $1,417 | $2,834 | 2.5× |
| Echo transesophag montr cardiac pump functj (93318) | $1,678 | $3,356 | 3.0× |
| Echo transesophageal (93312) | $3,196.07 | $6,392.14 | 5.7× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $3,910.50 | $7,821 | 6.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,390 | $2,780 | 2.5× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $18 | $36 | 0.5× |
| Eeg 41-60 Minutes (95812) | $1,708.50 | $3,417 | 7.6× |
| EEG awake and asleep (95819) | $834 | $1,668 | 3.7× |
| EEG awake drowsy (95816) | $820 | $1,640 | 3.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $543.50 | $1,087 | 2.4× |
| EEG extended monitoring 61-119 minutes (95813) | $1,793.50 | $3,587 | 8.0× |
| Eeg Sleep Only (95822) | $347.50 | $695 | 1.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $115.50 | $231 | 0.5× |
| EEG w/o vid 2-12hr cont mntr (95707) | $329 | $658 | 1.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $632 | $1,264 | 1.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $632 | $1,264 | 1.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $329 | $658 | 1.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,232.50 | $2,465 | 3.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $20.50 | $41 | 0.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $50 | $100 | 0.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $17.50 | $35 | 0.5× |
| Electrical Stimulation Ea 15 Min (97032) | $41 | $82 | 2.8× |
| Electrocardiogram Tracing (93005) | $146 | $292 | 2.4× |
| Electrocochleography (92584) | $182.50 | $365 | 1.4× |
| Electroconvulsive Therapy (90870) | $944.50 | $1,889 | 1.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $4,966 | $9,932 | 0.6× |
| Electrophysiology Evaluation (93642) | $556 | $1,112 | 0.4× |
| Emergency Dept Visit Level 2 (99282) | $445 | $890 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $717 | $1,434 | 2.5× |
| Emergency Dept Visit Level 4 (99284) | $1,197.50 | $2,395 | 2.8× |
| Emg 3 Extremities (95863) | $539.50 | $1,079 | 4.1× |
| Emg 4 Extremities (95864) | $675.50 | $1,351 | 5.1× |
| Endomyocardial Biopsy (93505) | $1,186 | $2,372 | 0.4× |
| Ep & ablate supravent arrhyt (93653) | $22,924.50 | $45,849 | 0.8× |
| Ep & ablate ventric tachy (93654) | $16,208.50 | $32,417 | 0.6× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $10,200 | $20,400 | 1.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $6,869.50 | $13,739 | 0.9× |
| Er level 1 (99281) | $250.50 | $501 | 2.9× |
| Er level v (99285) | $1,409 | $2,818 | 2.3× |
| Esophageal Capsule Endoscopy (91111) | $984 | $1,968 | 1.0× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $512 | $1,024 | 1.3× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,032 | $2,064 | 2.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$143.50–$237.50 | $287–$475 | varies |
| Evaluate pt use of inhaler (94664) | $214 | $428 | 0.9× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$131–$137.50 | $262–$275 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$129–$135.50 | $258–$271 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$131–$220 | $262–$440 | varies |
| Evoked Auditory Test,Limited (92587) | $53.50 | $107 | 0.2× |
| Exercise test for bronchospasm (94617) | $105.50 | $211 | 0.8× |
| Exhaled Air Analysis O2 (94680) | $532 | $1,064 | 4.0× |
| External ECG rec>48hr<7d recording (93242) | $352.50 | $705 | 9.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $295 | $590 | 2.1× |
| External ECG rec>7d<15d recording (93246) | $259.50 | $519 | 6.7× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $295 | $590 | 2.1× |
| External Ecg Scanning Analysis Report (93226) | $696.50 | $1,393 | 11.4× |
| Extracranial Bilat Study (93880) | $827 | $1,654 | 3.4× |
| Extracranial Uni/Ltd Study (93882) | $531.50 | $1,063 | 4.9× |
| Eye exam w anesth; complete (92018) | $1,178.50 | $2,357 | 0.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,866 | $3,732 | 3.3× |
| Facial nerve function studies (92516) | $153 | $306 | 0.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $907 | $1,814 | 4.5× |
| Fluorescein angiography (92235) | $743.50 | $1,487 | 3.3× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $366 | $732 | 1.6× |
| Full Field Electroretinography W/I&R (92273) | $771 | $1,542 | 3.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $680 | $1,360 | 0.8× |
| Fundus photography (92250) | $137 | $274 | 1.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $699 | $1,398 | 1.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $595.50 | $1,191 | 0.7× |
| Gi tract capsule endoscopy (91110) | $850.50 | $1,701 | 0.9× |
| Gi wireless capsule measure (91112) | $690.50 | $1,381 | 0.7× |
| Gonioscopy (92020) | $128 | $256 | 0.9× |
| Group Therapeutic Procedures (97150) | $116 | $232 | 6.4× |
| Health Behavior Assessment/Re-Assessment (96156) | $38 | $76 | 0.4× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $14.50 | $29 | 0.4× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $24 | $48 | 0.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $38 | $76 | 0.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $7,464.50 | $14,929 | 2.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 11 matching MRF lines |
$524–$1,255 | $1,048–$2,510 | varies |
| High altitude simulation test (94452) | $41.50 | $83 | 0.3× |
| Holter monitor recording (93225) | $238.50 | $477 | 1.7× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $37 | $74 | 1.0× |
| Icd Device Interrogate (93289) | $52.50 | $105 | 1.4× |
| Icd device progr eval dual (93283) | $83.50 | $167 | 2.2× |
| Icd Device Progr Eval Mult (93284) | $90.50 | $181 | 2.3× |
| Icm Device Eval (93290) | $94 | $188 | 2.4× |
| Ilr Device Eval Progr (93285) | $69.50 | $139 | 1.8× |
| Ilr Device Interrogate (93291) | $94.50 | $189 | 3.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $10.50 | $21 | 0.1× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $37.50 | $75 | 0.6× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $37.50 | $75 | 1.0× |
| Immunization administration (90471) range across 2 matching MRF lines |
$416.27–$433.27 | $832.55–$866.55 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $1,728.50 | $3,457 | 7.7× |
| Ingestion challenge test initial 120 minutes (95076) | $241 | $482 | 0.6× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $270.50 | $541 | 0.7× |
| Insert/Place Heart Catheter (93503) | $4,629 | $9,258 | 2.8× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $164.50 | $329 | 1.2× |
| Interrogate Subq Defib (93261) | $52.50 | $105 | 1.4× |
| Interrogation eval in person wr defibrillator (93292) | $70.50 | $141 | 1.8× |
| Interrogation vad in person (93750) | $161.50 | $323 | 1.6× |
| Intracranial Complete Study (93886) | $199.50 | $399 | 0.8× |
| Intracutaneous tests w/allergenic extracts (95024) | $38.50 | $77 | 0.6× |
| Io anal gast n-stim subsq (95981) | $75 | $150 | 1.2× |
| Io ga n-stim subsq w/reprog (95982) | $46.50 | $93 | 1.2× |
| Iontophoresis 15 min (97033) | $64.50 | $129 | 3.4× |
| Irrig Drug Delivery Device (96523) | $107.50 | $215 | 1.8× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$1,749.18–$1,783.80 | $3,498.36–$3,567.60 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$669–$700.50 | $1,338–$1,401 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$7,880.66–$9,283.48 | $15,761.33–$18,566.97 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$21,484.65–$21,599.15 | $42,969.30–$43,198.30 | varies |
| IV push initial (96374) | $795.02 | $1,590.04 | 3.6× |
| L Hrt Art/Grft Angio (93459) | $9,961 | $19,922 | 3.0× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $3,696.50 | $7,393 | 1.1× |
| Laryngeal Function Studies (92520) | $147.50 | $295 | 1.1× |
| Liver Elastography W/O Imag W/I&R (91200) | $479.50 | $959 | 3.6× |
| Low frequency non-thermal us (97610) | $207 | $414 | 1.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $178.50 | $357 | 2.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $673.50 | $1,347 | 3.0× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,813 | $3,626 | 1.2× |
| Mechanical chest wall oscillation per session (94669) | $77.50 | $155 | 0.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $49 | $98 | 1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $49.50 | $99 | 1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $19 | $38 | 1.1× |
| Methacholine challenge (94070) | $1,485 | $2,970 | 3.8× |
| Motility study esophagus (91010) | $398.50 | $797 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$213–$223.50 | $426–$447 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $88 | $176 | 0.2× |
| Multifocal Electroretinography W/I&R (92274) | $249.50 | $499 | 1.9× |
| Multiple Sleep Latency Test (95805) | $5,342 | $10,684 | 6.0× |
| Muscle Test 2 Limbs (95861) | $165 | $330 | 1.2× |
| Muscle Test Hemidiaphragm (95866) | $108.50 | $217 | 0.8× |
| Muscle Test Nonparaspinal (95870) | $94 | $188 | 0.7× |
| Muscle Test One Limb (95860) | $892 | $1,784 | 6.5× |
| Nasal function studies (92512) | $397.50 | $795 | 1.8× |
| Nasopharyngoscopy (92511) | $164 | $328 | 0.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $146.50 | $293 | 0.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $165.50 | $331 | 0.7× |
| Needle electromyography larynx (95865) | $146.50 | $293 | 1.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $135 | $270 | 0.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $941.50 | $1,883 | 4.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $114 | $228 | 0.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $128 | $256 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$382–$2,052 | $764–$4,104 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$306–$324 | $612–$648 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $487 | $974 | 2.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $946 | $1,892 | 2.5× |
| Nerve conduction studies 13 or more studies (95913) | $946.50 | $1,893 | 2.5× |
| Nerve Conduction Studies 3-4 Studies (95908) | $573 | $1,146 | 2.6× |
| Nerve conduction studies 5-6 studies (95909) | $848.50 | $1,697 | 3.8× |
| Nerve conduction studies 7-8 studies (95910) | $945 | $1,890 | 2.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $945.50 | $1,891 | 2.4× |
| Neurobehavioral Status Exam (96116) | $88 | $176 | 0.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $697.50 | $1,395 | 5.2× |
| Neuromuscular Reeducation (97112) range across 15 matching MRF lines |
$64.50–$107.50 | $129–$215 | varies |
| Newborn resuscitation (99465) | $728 | $1,456 | 1.1× |
| Nitric oxide expired gas determination (95012) | $136.50 | $273 | 3.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $71.50 | $143 | 0.2× |
| Ocular Vemp Testing W/I&R (92518) | $179 | $358 | 1.3× |
| Oculoelectromyography (92265) | $165 | $330 | 2.7× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $215.50 | $431 | 1.6× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $70.50 | $141 | 0.5× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $70.50 | $141 | 0.5× |
| Ophth medical xm&eval intermediate estab pt (92012) | $70.50 | $141 | 0.5× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $70.50 | $141 | 0.5× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $38.50 | $77 | 0.6× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $38.50 | $77 | 0.6× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$104.50–$120.50 | $209–$241 | varies |
| Oral Speech Device Eval (92597) | $439 | $878 | 6.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 10 matching MRF lines |
$78–$102.50 | $156–$205 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 10 matching MRF lines |
$64.50–$92.50 | $129–$185 | varies |
| Oscillating Tracking Test (92545) | $75.50 | $151 | 0.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $12.50 | $25 | 0.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $12.50 | $25 | 0.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $12.50 | $25 | 0.6× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $12.50 | $25 | 0.6× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$143.50–$150.50 | $287–$301 | varies |
| Ot Eval Low Complex (97165) range across 4 matching MRF lines |
$143.50–$150.50 | $287–$301 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$143.50–$150.50 | $287–$301 | varies |
| Ot manual therapy 15 min (97140) range across 18 matching MRF lines |
$64.50–$85 | $129–$170 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 3 matching MRF lines |
$64.50–$95 | $129–$190 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$95–$100 | $190–$200 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $155.50 | $311 | 1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $93 | $186 | 0.7× |
| Oxygen Uptake Rest Indirect (94690) | $106 | $212 | 1.7× |
| Patch/Application Test Specify Number Tests (95044) | $42 | $84 | 0.0× |
| Pdt dstr prmlg les phys/qhp (96573) | $169.50 | $339 | 0.8× |
| Penile Vascular Study,Ltd or F/U (93981) | $260 | $520 | 2.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $417 | $834 | 1.8× |
| Percutaneous tests w/allergenic extracts (95004) | $15 | $30 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $65 | $130 | 1.1× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $23,411 | $46,822 | 1.2× |
| Perq transcath closure pda (93582) | $61,595 | $123,190 | 3.2× |
| Perq Transcath Cls Aortic (93591) | $16,416 | $32,832 | 0.9× |
| Perq Transcath Cls Mitral (93590) | $16,416 | $32,832 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $5,922.50 | $11,845 | 1.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $7,898 | $15,796 | 0.7× |
| Phlebotomy therapeutic (99195) | $580.50 | $1,161 | 4.2× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $95 | $190 | 1.6× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $57 | $114 | 0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $37.50 | $75 | 0.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $101 | $202 | 1.7× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$43–$45 | $86–$90 | varies |
| Plethysmography (94726) | $179 | $358 | 0.5× |
| Pm device eval in person (93288) | $86.50 | $173 | 2.2× |
| Pm device progr eval dual (93280) | $66.50 | $133 | 1.7× |
| Pm device progr eval multi (93281) | $74 | $148 | 1.9× |
| Pm Device Progr Eval Sngl (93279) | $60.50 | $121 | 1.6× |
| Pm/Icd Remote Tech Serv (93296) | $158 | $316 | 4.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,307.50 | $8,615 | 4.8× |
| Polysom <6 yrs 4/> paramtrs (95782) | $6,039.50 | $12,079 | 6.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $728 | $1,456 | 0.8× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $2,581 | $5,162 | 2.9× |
| Positional nystagmus test (92542) | $92.50 | $185 | 0.7× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $39 | $78 | 0.8× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $47.50 | $95 | 1.0× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $104 | $208 | 2.1× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $140.50 | $281 | 1.9× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $170.50 | $341 | 2.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $89.50 | $179 | 2.3× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $77 | $154 | 2.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $29 | $58 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $38.50 | $77 | 0.8× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $141 | $282 | 1.9× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$5,194 | $10,388 | 0.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) unusually low: confirm this is the full procedure |
$4,137 | $8,274 | 0.3× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$4,137 | $8,274 | 0.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) unusually low: confirm this is the full procedure |
$4,137 | $8,274 | 0.3× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$4,769 | $9,538 | 0.3× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $14,743 | $29,486 | 1.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $8,507.50 | $17,015 | 0.7× |
| Psych diag eval w/med srvcs (90792) | $118 | $236 | 0.6× |
| Psychiatric diagnostic evaluation (90791) | $100 | $200 | 0.5× |
| Psychological tst eval svc phys/qhp first hour (96130) | $139.50 | $279 | 0.6× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $24 | $48 | 0.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $57 | $114 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $9.50 | $19 | 0.1× |
| Psytx Crisis Initial 60 Min (90839) | $61 | $122 | 0.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $82.50 | $165 | 2.2× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$68.50–$150.50 | $137–$301 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$143.50–$150.50 | $287–$301 | varies |
| Pt Eval Mod Complex (97162) range across 4 matching MRF lines |
$143.50–$150.50 | $287–$301 | varies |
| Pt gait training 15 min (97116) range across 6 matching MRF lines |
$68.50–$72 | $137–$144 | varies |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$64.50–$72.50 | $129–$145 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$95–$100 | $190–$200 | varies |
| Pulm function test by gas (94727) | $139 | $278 | 0.6× |
| Pulmonary service/procedure (94799) | $185.50 | $371 | 1.4× |
| Pulmonary Stress Testing (94618) | $166.50 | $333 | 1.2× |
| Pure Tone Audiometry Air (92552) | $58 | $116 | 0.4× |
| R Hrt Art/Grft Angio (93457) | $4,577.50 | $9,155 | 1.4× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $11,089 | $22,178 | 3.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $5,971.50 | $11,943 | 1.8× |
| R hrt coronary artery angio (93456) | $9,697.50 | $19,395 | 2.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $4,987.50 | $9,975 | 1.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $4,987.50 | $9,975 | 1.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $1,473 | $2,946 | 0.4× |
| Rapid Desensitization Procedure Each Hour (95180) | $499 | $998 | 1.1× |
| Rectal sensation tone&compliance study (91124) | $276 | $552 | 1.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $445.50 | $891 | 1.3× |
| Refill/Maint Portable Pump (96521) | $263.50 | $527 | 1.2× |
| Refill/Maint Pump/Resvr Syst (96522) | $405 | $810 | 1.8× |
| Rem interrog icpms <30 d phys/qhp (93297) | $98.50 | $197 | 2.6× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $98.50 | $197 | 2.6× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $66 | $132 | 1.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $206.50 | $413 | 1.5× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $47.50 | $95 | 1.2× |
| Rem Ther Mntr Dev Sply Cbt (98978) | $46 | $92 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $596.50 | $1,193 | 15.4× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $123 | $246 | 0.6× |
| Replacement of contact lens (92326) | $373 | $746 | 6.1× |
| Respiratory flow volume loop (94375) | $176 | $352 | 0.8× |
| Right Heart Cath (93451) | $5,403.50 | $10,807 | 1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$154–$173.50 | $308–$347 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $244 | $488 | 9.4× |
| Rtm dev sply data cbt 2-15 days in 30 d pd (98986) | $47.50 | $95 | 1.2× |
| Rtm dev sply data respir sys 2-15 days in 30d pd (98984) | $47.50 | $95 | 1.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 3 matching MRF lines |
$110.50–$1,028 | $221–$2,056 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $301 | $602 | 6.3× |
| Select picture audiometry (92583) | $29 | $58 | 0.5× |
| Self Care Mngment Training (97535) range across 15 matching MRF lines |
$64.50–$84.50 | $129–$169 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $180 | $360 | 2.9× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$64.50–$65.50 | $129–$131 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $915 | $1,830 | 4.1× |
| Short-latency somatosens ep std upr limbs (95925) | $598.50 | $1,197 | 2.7× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $674 | $1,348 | 5.1× |
| Sleep study unattended (95806) | $1,599 | $3,198 | 7.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,634 | $3,268 | 7.3× |
| Somatosensory Testing (95938) | $968 | $1,936 | 1.1× |
| Speech Audiometry Complete (92556) | $29 | $58 | 0.5× |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$18–$53.50 | $36–$107 | varies |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$135.50–$156.50 | $271–$313 | varies |
| Spin/Brain Pump Refil & Main (95991) | $70 | $140 | 0.2× |
| Spirometry (94010) | $173.50 | $347 | 0.8× |
| Spontaneous Nystagmus Test (92541) | $92.50 | $185 | 0.7× |
| Ssep lower limbs (95926) | $588.50 | $1,177 | 2.6× |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$152.50–$334 | $305–$668 | varies |
| Stenger Test, Pure Tone (92565) | $18.50 | $37 | 0.3× |
| Stress Tte Only (93350) | $3,099 | $6,198 | 5.5× |
| Surfactant Admin Thru Tube (94610) | $339 | $678 | 1.5× |
| Temp transcutaneous pacing (92953) | $293.50 | $587 | 0.4× |
| Test to assess hearing loss using different tone pitches (92575) | $32.50 | $65 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 5 matching MRF lines |
$15.87–$72.50 | $31.75–$145 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 4 matching MRF lines |
$15.87–$46 | $31.75–$92 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$64.50–$65.50 | $129–$131 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 3 matching MRF lines |
$63–$296 | $126–$592 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $66.50 | $133 | 0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $2,546.11 | $5,092.23 | 34.2× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$3,298.20–$3,629.05 | $6,596.41–$7,258.10 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $108 | $216 | 0.5× |
| Therapeutic Activities (97530) range across 24 matching MRF lines |
$61.50–$107 | $123–$214 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $858 | $1,716 | 2.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $54 | $108 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $19 | $38 | 0.5× |
| Transcath Closure of Asd (93580) | $28,745 | $57,490 | 1.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $482.50 | $965 | 4.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $166 | $332 | 4.3× |
| Tte w/doppler, complete (93306) | $2,654.50 | $5,309 | 4.7× |
| Tte W/O Doppler Complete (93307) | $1,081.50 | $2,163 | 4.4× |
| Tx atrial fib pulm vein isol (93656) | $17,319 | $34,638 | 0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$106–$122.50 | $212–$245 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $118 | $236 | 4.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$3,779.88–$3,797.29 | $7,559.77–$7,594.59 | varies |
| Tympanometry (92567) | $15 | $30 | 0.4× |
| Tympanometry and reflex threshold measurements (92550) | $50 | $100 | 0.2× |
| Unlis neurological/neuromuscular dx px (95999) | $424.50 | $849 | 3.2× |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$472.50–$6,023 | $945–$12,046 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $238 | $476 | 8.0× |
| Unlisted ophthalmological service/procedure (92499) | $125 | $250 | 4.2× |
| Unlisted otorhinolaryngological service (92700) | $86.50 | $173 | 2.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $416 | $832 | 3.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$438.50–$557.50 | $877–$1,115 | varies |
| Valvuloplasty aortic valve (92986) | $3,514.50 | $7,029 | 0.6× |
| Valvuloplasty mitral valve (92987) likely a partial charge, not the full procedure |
$3,543 | $7,086 | 0.3× |
| Valvuloplasty pulmonary valve (92990) | $18,687 | $37,374 | 1.6× |
| Vasopneumatic device (97016) range across 18 matching MRF lines |
$31–$72.50 | $62–$145 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,232.50 | $2,465 | 3.2× |
| Veeg 2-12 hr intmt mntr (95712) | $236.50 | $473 | 0.6× |
| Veeg 2-12 hr unmonitored (95711) | $236.50 | $473 | 1.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $525 | $1,050 | 1.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $525 | $1,050 | 1.4× |
| Veeg ea 12-26hr cont mntr (95716) | $769 | $1,538 | 0.9× |
| Vent Mgmt Inpat Init Day (94002) | $523 | $1,046 | 0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $285 | $570 | 0.4× |
| Visual Evoked Potential Test (95930) | $578.50 | $1,157 | 2.6× |
| Visual Field Exam Extended (92083) | $207.50 | $415 | 1.5× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $188.50 | $377 | 3.1× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $127.50 | $255 | 2.1× |
| Visual reinforcement audiometry (vra) (92579) | $72.50 | $145 | 0.3× |
| Vital capacity, total (94150) | $254 | $508 | 1.9× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $378.50 | $757 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$64.50–$216.50 | $129–$433 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $161.50 | $323 | 2.6× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $224.50 | $449 | 5.8× |
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.