Visits & medical services prices at UVA Health Prince William Medical Center

Manassas, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $17,423.63 $34,847.26 2.2×
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) $311 $622 1.4×
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
$6,911.77–$8,082.25 $13,823.55–$16,164.51 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) $16.50 $33 1.1×
Application on-body injector (96377)
range across 2 matching MRF lines
$30,930–$31,420.80 $61,860.01–$62,841.60 varies
Assessment of aphasia per hr (96105) $65.50 $131 0.7×
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) $263.50 $527 2.4×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $254 $508 3.1×
Bfb training ea addl 15 min (90913) $85.50 $171 2.6×
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) $414 $828 1.1×
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) $1,225 $2,450 1.4×
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) $113 $226 2.8×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$714.50–$750 $1,429–$1,500 varies
Cardiopulmonary exercise testing (94621) $2,026.50 $4,053 5.2×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$419.50–$934 $839–$1,868 varies
Cardioversion (92960)
range across 2 matching MRF lines
$1,601.46–$1,613.28 $3,202.92–$3,226.57 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 2 matching MRF lines
$10,685.30–$10,774.06 $21,370.61–$21,548.13 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 2 matching MRF lines
$9,103.81–$9,109.83 $18,207.62–$18,219.66 varies
Cbt 1st hour (94644) $165 $330 1.2×
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
$22,605.29–$22,611.79 $45,210.58–$45,223.58 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$4,555.84–$4,933.76 $9,111.68–$9,867.52 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)
range across 2 matching MRF lines
$6,055.31–$6,103.31 $12,110.63–$12,206.63 varies
Chemo IV push addl drug (96411)
range across 2 matching MRF lines
$18,705.31–$18,916.01 $37,410.62–$37,832.02 varies
Chemother Prolong Infuse W/Pump (96416)
range across 2 matching MRF lines
$2,406.22–$2,448.46 $4,812.44–$4,896.92 varies
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$319.60–$1,630.17 $639.21–$3,260.34 varies
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
$6,108.96–$6,449.69 $12,217.92–$12,899.39 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$6,309.29–$6,315.90 $12,618.58–$12,631.81 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines
$956.91–$1,065.79 $1,913.82–$2,131.58 varies
Chest Wall Manipulation (94668) $79.50 $159 0.6×
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) $901 $1,802 3.6×
Color/duplex Doppler, limited (93976) $1,396 $2,792 12.9×
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) $39 $78 0.6×
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) $182.50 $365 1.4×
Corneal Topography (92025) $132 $264 2.2×
Coronary Art/Grft Angio S&I (93455)
range across 2 matching MRF lines
$8,733.03–$19,093.65 $17,466.07–$38,187.30 varies
Coronary Artery Angio S&I (93454) $14,612.78 $29,225.57 4.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $324 $648 1.4×
Cpt initial (94667) $75.50 $151 0.5×
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
$6,427.31–$6,457.63 $12,854.62–$12,915.27 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $211.50 $423 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $300.50 $601 1.4×
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)
range across 6 matching MRF lines
$1,423–$1,663 $2,846–$3,326 varies
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) $746 $1,492 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $517.50 $1,035 4.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,015 $2,030 4.1×
Dup-scan xtr veins unilateral/limited study (93971) $733 $1,466 6.8×
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) $426 $852 3.9×
Duplex up extrem art bilat (93930) $410 $820 1.7×
Duplex up extrem art unilat/ltd (93931) $472 $944 4.4×
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) $787.50 $1,575 1.4×
Echo Heart Xthoracic,Limited (93308) $2,256 $4,512 9.1×
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)
range across 2 matching MRF lines
$3,730.29–$3,732.69 $7,460.58–$7,465.38 varies
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) $2,100 $4,200 3.7×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $18 $36 0.5×
Eeg 41-60 Minutes (95812) $249.50 $499 1.1×
EEG awake and asleep (95819) $6,656.15 $13,312.30 29.8×
EEG awake drowsy (95816) $458 $916 2.1×
EEG cont rec w/video by tech min 8 channels (95700) $503.50 $1,007 2.3×
EEG extended monitoring 61-119 minutes (95813) $1,793.50 $3,587 8.0×
Eeg Sleep Only (95822) $535.50 $1,071 2.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $138 $276 0.6×
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) $36 $72 2.4×
Electrocardiogram Tracing (93005) $115.50 $231 1.9×
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) $403 $806 2.5×
Emergency Dept Visit Level 3 (99283) $684.50 $1,369 2.4×
Emergency Dept Visit Level 4 (99284) $1,240.50 $2,481 2.9×
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)
range across 2 matching MRF lines
$27,823.30–$28,236.08 $55,646.60–$56,472.16 varies
Ep & ablate ventric tachy (93654) $26,435.73 $52,871.47 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $23,916.22 $47,832.45 3.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $121,643.99 $243,287.99 15.1×
Er level 1 (99281) $295 $590 3.4×
Er level v (99285) $1,568 $3,136 2.5×
Esophageal Capsule Endoscopy (91111) $3,880.45 $7,760.90 4.1×
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) $237.50 $475 1.8×
Evaluate pt use of inhaler (94664) $113.50 $227 0.5×
Evaluate Speech Production (92522) $180.50 $361 1.6×
Evaluate Swallowing Function (92610) $262 $524 3.1×
Evaluation of speech fluency (92521) $249 $498 1.9×
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) $18.50 $37 0.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $63.50 $127 0.5×
External ECG rec>7d<15d recording (93246) $137 $274 3.5×
External ECG rec>7d<15d scanning alys w/report (93247) $295 $590 2.1×
External Ecg Scanning Analysis Report (93226) $177 $354 2.9×
Extracranial Bilat Study (93880) $601.50 $1,203 2.4×
Extracranial Uni/Ltd Study (93882) $489 $978 4.5×
Eye exam w anesth; complete (92018) $1,178.50 $2,357 0.5×
F-up/limited tthrc echo congenital car anomaly (93304) $682.50 $1,365 1.2×
Facial nerve function studies (92516) $153 $306 0.7×
Flexible endoscopic eval swallow c/v rec (92612) $301.50 $603 1.5×
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) $3,308.97 $6,617.94 3.7×
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)
range across 2 matching MRF lines
$25–$116 $50–$232 varies
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)
range across 2 matching MRF lines
$10,076.10–$10,298.27 $20,152.21–$20,596.55 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 11 matching MRF lines
$427–$1,255 $854–$2,510 varies
High altitude simulation test (94452) $41.50 $83 0.3×
Holter monitor recording (93225) $475.50 $951 3.5×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $37 $74 1.0×
Icd Device Interrogate (93289) $109.50 $219 2.8×
Icd device progr eval dual (93283) $166.50 $333 4.3×
Icd Device Progr Eval Mult (93284) $151 $302 3.9×
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) $445.11 $890.22 6.0×
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) $997 $1,994 0.6×
Interrog eval crtd sins bat modulj sys ip w/ (93146) $164.50 $329 1.2×
Interrogate Subq Defib (93261) $182.50 $365 4.7×
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×
Irrig Drug Delivery Device (96523) $107.50 $215 1.8×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$675.50–$686 $1,351–$1,372 varies
IV infusion hydration initial 31 min-1 hour (96360) $455 $910 2.1×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$1,885.74–$1,915.46 $3,771.48–$3,830.92 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $3,330.50 $6,661 68.7×
IV push initial (96374)
range across 2 matching MRF lines
$290.50–$342 $581–$684 varies
L Hrt Art/Grft Angio (93459) $10,397.85 $20,795.70 3.1×
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) $184 $368 1.4×
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) $599.50 $1,199 2.7×
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) $234.50 $469 2.6×
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) $1,151 $2,302 1.3×
Muscle Test 2 Limbs (95861) $277.50 $555 2.0×
Muscle Test Hemidiaphragm (95866) $108.50 $217 0.8×
Muscle Test Nonparaspinal (95870) $1,225 $2,450 8.9×
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) $179 $358 0.8×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $165.50 $331 0.7×
Needle electromyography larynx (95865) $88.50 $177 0.6×
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) $524 $1,048 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$128–$500 $256–$1,000 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $590.50 $1,181 2.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $500 $1,000 1.2×
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) $612 $1,224 4.6×
Neuromuscular Reeducation (97112) $71 $142 2.2×
Newborn resuscitation (99465) $598 $1,196 0.9×
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) $90.50 $181 1.1×
Oral Speech Device Eval (92597) $208 $416 2.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $102.50 $205 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 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) $320.50 $641 3.2×
Ot Eval Low Complex (97165) $198.50 $397 2.0×
Ot Eval Moderate Complexity (97166) $217.50 $435 2.2×
Ot manual therapy 15 min (97140) $64.50 $129 2.3×
Ot Prosthetic Training, Each 15 Min (97761) $95 $190 2.4×
Ot Re-Eval Est Plan Care (97168) $141 $282 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $126.50 $253 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $83.50 $167 0.6×
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) $116.50 $233 0.5×
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) $18,971.01 $37,942.03 3.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 2 matching MRF lines
$19,412.84–$20,460.69 $38,825.68–$40,921.38 varies
Phlebotomy therapeutic (99195) $216 $432 1.6×
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 4 matching MRF lines
$16–$45 $32–$90 varies
Plethysmography (94726) $346.50 $693 0.9×
Pm device eval in person (93288) $86.50 $173 2.2×
Pm device progr eval dual (93280) $129.50 $259 3.4×
Pm device progr eval multi (93281) $121 $242 3.1×
Pm Device Progr Eval Sngl (93279) $121.50 $243 3.1×
Pm/Icd Remote Tech Serv (93296) $158 $316 4.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,176.50 $6,353 3.6×
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) $4,335.50 $8,671 4.9×
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) $153.50 $307 4.0×
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) $40,909.92 $81,819.85 3.4×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$9,186 $18,372 0.5×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure
$5,677 $11,354 0.5×
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) $157 $314 0.9×
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) $304.50 $609 3.1×
Pt eval low complex 20 min (97161) $158 $316 1.6×
Pt Eval Mod Complex (97162) $217.50 $435 2.2×
Pt gait training 15 min (97116) $58.50 $117 2.0×
Pt mechanical traction (97012) $78 $156 5.4×
Pt Re-Eval Est Plan Care (97164) $130 $260 1.9×
Pulm function test by gas (94727) $316 $632 1.4×
Pulmonary service/procedure (94799) $82.50 $165 0.6×
Pulmonary Stress Testing (94618) $232 $464 1.7×
Pure Tone Audiometry Air (92552) $58 $116 0.4×
R Hrt Art/Grft Angio (93457) $4,925.50 $9,851 1.5×
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)
range across 2 matching MRF lines
$6,184.82–$6,225.74 $12,369.64–$12,451.49 varies
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) $53 $106 1.4×
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) $6,019.23 $12,038.46 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $168 $336 0.8×
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) $221 $442 1.8×
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) $66.50 $133 2.1×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $180 $360 2.9×
Sensory Integration Ea 15 Min (97533) $65.50 $131 1.1×
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) $544.50 $1,089 2.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,634 $3,268 7.3×
Somatosensory Testing (95938) $1,225 $2,450 1.4×
Speech Audiometry Complete (92556) $29 $58 0.5×
Speech audiometry threshold (92555) $18 $36 0.3×
Speech sound lang comprehen (92523) $374.50 $749 1.7×
Spin/Brain Pump Refil & Main (95991) $70 $140 0.2×
Spirometry (94010) $91 $182 0.4×
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 2 matching MRF lines
$222–$367.50 $444–$735 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) $164.50 $329 0.7×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$293.50–$314.50 $587–$629 varies
Test to assess hearing loss using different tone pitches (92575) $32.50 $65 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $226 $452 10.1×
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$30.50–$46 $61–$92 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $65.50 $131 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $296 $592 2.9×
Ther/Proph/Diag Inj Ia (96373) $172 $344 0.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$925.31–$929.81 $1,850.63–$1,859.63 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$1,099.50–$1,110.80 $2,199–$2,221.60 varies
Therap repetitive tms tx subseq delivery & mng (90868) $108 $216 0.5×
Therapeutic Activities (97530)
range across 6 matching MRF lines
$64.50–$107 $129–$214 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,321.50 $2,643 3.4×
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) $2,169.50 $4,339 3.8×
Tte W/O Doppler Complete (93307) $1,280 $2,560 5.2×
Tx atrial fib pulm vein isol (93656) $17,319 $34,638 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $96 $192 1.3×
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
$1,704.84–$1,707.20 $3,409.69–$3,414.40 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) $14,704.56 $29,409.13 110.5×
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) $380 $760 2.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$438.50–$463 $877–$926 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) $20.50 $41 1.7×
Veeg 2-12 Hr Cont Mntr (95713) $315 $630 0.8×
Veeg 2-12 hr intmt mntr (95712) $814.50 $1,629 2.1×
Veeg 2-12 hr unmonitored (95711) $310 $620 1.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,628 $3,256 4.2×
Veeg Ea 12-26 Hr Unmntr (95714) $1,109.50 $2,219 2.9×
Veeg ea 12-26hr cont mntr (95716) $769 $1,538 0.9×
Vent Mgmt Inpat Init Day (94002) $708 $1,416 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $532 $1,064 0.8×
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) $68.50 $137 0.5×
Wada Activation Test Hemispheric Function W/Eeg (95958) $378.50 $757 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $165 $330 5.3×
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) $809.50 $1,619 20.9×

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.