Visits & medical services prices at UVA Health University Medical Center

Charlottesville, 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.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $38,084.93 $63,474.88 4.9×
Acoustic Reflex Testing (92568) $49.20 $82 1.3×
Actigraphy Testing Recording Analysis I&R (95803) $183 $305 3.1×
Actinotherapy Ultraviolet Light (96900) $61.80 $103 1.6×
Acupunct W/Stimul 15 Min (97813) $36 $60 1.2×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $15 $25 0.5×
Admn Sarscov2 Vacc 1 Dose (90480) $26.40 $44 0.6×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $11,982.81 $19,971.35 55.3×
Aep neurodiagnostic i&r (92653)
range across 2 matching MRF lines
$768–$13,402.88 $1,280–$22,338.13 varies
Aep threshold estimation mlt frequencies i&r (92652) $17,622.77 $29,371.29 81.3×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$9,813.98–$10,220.71 $16,356.64–$17,034.51 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $46.80 $78 1.2×
Allg tstg perq & ic venoms immed react w/i&r (95017) $46.80 $78 1.6×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $361.20 $602 2.7×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $786 $1,310 5.9×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $129 $215 1.0×
Analyze neurostim complex (95972)
range across 2 matching MRF lines
$19,031.13–$21,416.65 $31,718.55–$35,694.42 varies
Analyze neurostim no prog (95970) $45.60 $76 0.3×
Analyze Neurostim Simple (95971) $97.80 $163 1.0×
Anrct mano rct sensation&rct balo expulsion test (91125) $571.80 $953 1.5×
Ant sgm imaging w/microscopy endothelial analy (92286) $600.60 $1,001 4.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33 $55 2.3×
Application on-body injector (96377)
range across 2 matching MRF lines
$16,802.27–$17,563.12 $28,003.79–$29,271.86 varies
Assessment of aphasia per hr (96105) $78.60 $131 0.8×
Assessment of tinnitus (92625) $166.80 $278 1.3×
Audiometry Air & Bone (92553) $66.60 $111 0.5×
Auditory Function, 60 Min (92620) $320.40 $534 2.5×
Basic vestibular evaluation (92540) $833.40 $1,389 3.8×
Behavral qualit analys voice (92524) $409.80 $683 3.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $304.80 $508 3.7×
Bfb training ea addl 15 min (90913) $102.60 $171 3.1×
Biofeedback training any modality (90901) $30 $50 0.7×
Bis Xtracell Fluid Analysis (93702) $205.20 $342 1.6×
Blink reflex test (95933) $265.80 $443 4.5×
Breath hydrogen/methane test (91065) $621.60 $1,036 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $496.80 $828 1.3×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$2,776.20 $4,627 0.4×
C motor evoked uppr limbs (95928) $381.60 $636 0.4×
C motor evoked upr&lwr limbs (95939) $649.20 $1,082 0.8×
Caloric vestibular test w/rec bi monothermal (92538) $1,135.20 $1,892 5.2×
Caloric Vstblr Test W/Rec (92537) $454.80 $758 3.5×
Canalith repositioning proc (95992) $153 $255 3.8×
Cardiac Stress Tst,Tracing Only (93017) $999.60 $1,666 4.6×
Cardiopulmonary exercise testing (94621) $2,431.80 $4,053 6.5×
Cardiopulmonary resuscitation (92950) $16,275.19 $27,125.32 75.1×
Cardioversion (92960)
range across 2 matching MRF lines
$2,531.62–$2,563.61 $4,219.36–$4,272.68 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 2 matching MRF lines
$13,203.62–$13,208.35 $22,006.03–$22,013.92 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 2 matching MRF lines
$13,045.72–$13,086.80 $21,742.87–$21,811.33 varies
Cbt 1st hour (94644) $452.40 $754 3.4×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $170.40 $284 1.3×
Cervical & Ocular Vemp Testing W/I&R (92519) $393.60 $656 1.8×
Cervical Vemp Testing W/I&R (92517) $214.80 $358 1.7×
Chemo Admin Peritoneal Cavity (96446) $396 $660 1.2×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$27,590.86–$27,646.14 $45,984.77–$46,076.90 varies
Chemo Hormon Antineopl Sq/Im (96402) $3,711.77 $6,186.28 51.4×
Chemo Ia Push (96420) $28,846.76 $48,077.94 87.0×
Chemo Intralesional Over 7 (96406) $342 $570 1.6×
Chemo intralesional up to 7 (96405)
range across 2 matching MRF lines
$103.86–$107.27 $173.10–$178.78 varies
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$9,039.08–$9,798.08 $15,065.13–$16,330.13 varies
Chemo IV push addl drug (96411)
range across 2 matching MRF lines
$18,129.67–$20,400.34 $30,216.11–$34,000.57 varies
Chemother Prolong Infuse W/Pump (96416)
range across 2 matching MRF lines
$6,224.87–$6,296.87 $10,374.79–$10,494.78 varies
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$5,172.77–$5,186.98 $8,621.29–$8,644.97 varies
Chemotherapy Unspecified (96549) $114 $190 2.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 2 matching MRF lines
$13,933.78–$14,592.37 $23,222.96–$24,320.62 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$14,572.40–$15,095.04 $24,287.34–$25,158.40 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines
$1,069.60–$1,142.20 $1,782.67–$1,903.67 varies
Chest Wall Manipulation (94668) $234 $390 1.8×
Chron Care Mgmt Srvc 20 Min (99490) $84 $140 0.8×
Cmptr ophth dx img ant segmt (92132) $397.80 $663 6.7×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $127.80 $213 2.2×
Color/duplex Doppler, complete (93975) $1,029.60 $1,716 4.3×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$1,852.20–$1,963.20 $3,087–$3,272 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $100.20 $167 3.1×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $2,654.40 $4,424 3.1×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $793.20 $1,322 2.1×
Comprehensive Hearing Test (92557) $187.80 $313 1.5×
Computerized dynamic posturography (92548) $84 $140 0.6×
Computerized Ophthalmic Imaging Optic Nerve (92133) $350.40 $584 5.9×
Computerized Ophthalmic Imaging Retina (92134) $209.40 $349 3.5×
Conditioning Play Audiometry (92582) $76.80 $128 0.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $269.40 $449 2.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $71.40 $119 1.2×
Continuous Pulse Ox (94762) $219 $365 1.7×
Corneal Topography (92025) $158.40 $264 2.7×
Coronary Art/Grft Angio S&I (93455)
range across 2 matching MRF lines
$10,598.75–$10,700.69 $17,664.58–$17,834.48 varies
Coronary Artery Angio S&I (93454)
range across 2 matching MRF lines
$7,994.24–$8,214.76 $13,323.73–$13,691.27 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $816 $1,360 3.7×
Cpt initial (94667) $78 $130 0.6×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $490.80 $818 2.3×
Critical care first hour (99291)
range across 2 matching MRF lines
$14,275.20–$14,497.61 $23,792–$24,162.68 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $253.80 $423 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $222.60 $371 1.1×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $291 $485 1.4×
Developmental tst admin phys/qhp 1st hour (96112) $54 $90 0.4×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $104.40 $174 0.8×
Dialysis One Evaluation (90945) $1,995.60 $3,326 4.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $400.80 $668 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $759.60 $1,266 3.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $577.20 $962 5.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,215 $2,025 11.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $994.80 $1,658 4.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $708.60 $1,181 6.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$1,491–$1,550.40 $2,485–$2,584 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$1,024.20–$85,586.03 $1,707–$142,643.39 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $694.80 $1,158 2.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $564.60 $941 5.4×
Duplex Scan Hemodialysis Access (93990) $511.20 $852 4.9×
Duplex up extrem art bilat (93930) $1,438.80 $2,398 6.0×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$937.20–$1,117.80 $1,562–$1,863 varies
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $235.20 $392 1.8×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $104.40 $174 0.8×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $105 $175 0.8×
Ear and throat examination (92502)
range across 3 matching MRF lines
$6,027.32–$8,278.01 $10,045.54–$13,796.69 varies
Echo Congenital Complete (93303) $2,978.40 $4,964 5.4×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$4,057.80–$4,095 $6,763–$6,825 varies
Echo r-t 2d w/probe placement only (93313) $1,700.40 $2,834 3.1×
Echo transesophag montr cardiac pump functj (93318) $2,013.60 $3,356 3.7×
Echo transesophageal (93312)
range across 2 matching MRF lines
$6,375.48–$6,408.99 $10,625.80–$10,681.65 varies
Echo Transesophageal - Congenital Tee Complete (93315) $4,692.60 $7,821 8.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,668 $2,780 3.0×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $21.60 $36 0.6×
Eeg 41-60 Minutes (95812) $2,050.20 $3,417 9.5×
EEG awake and asleep (95819) $1,056 $1,760 4.9×
EEG awake drowsy (95816) $984 $1,640 4.5×
EEG cont rec w/video by tech min 8 channels (95700) $652.20 $1,087 3.0×
EEG extended monitoring 61-119 minutes (95813) $2,152.20 $3,587 9.9×
Eeg Sleep Only (95822) $417 $695 1.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $138.60 $231 0.6×
EEG w/o vid 2-12hr cont mntr (95707) $394.80 $658 1.8×
EEG w/o vid ea 12-26hr intmt (95709) $758.40 $1,264 2.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $758.40 $1,264 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $394.80 $658 1.8×
EEG wo vid ea 12-26hr unmntr (95708) $1,479 $2,465 4.0×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $24.60 $41 0.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $60 $100 0.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $21 $35 0.6×
Electrical Stimulation Ea 15 Min (97032) $49.20 $82 3.3×
Electrocardiogram Tracing (93005) $246.60 $411 4.2×
Electrocochleography (92584) $47,939.51 $79,899.19 371.4×
Electroconvulsive Therapy (90870) $1,133.40 $1,889 1.3×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $5,959.20 $9,932 0.8×
Electrophysiology Evaluation (93642) $667.20 $1,112 0.5×
Emergency Dept Visit Level 2 (99282) $646.80 $1,078 4.2×
Emergency Dept Visit Level 3 (99283) $1,036.80 $1,728 3.8×
Emergency Dept Visit Level 4 (99284) $1,695 $2,825 4.0×
Emg 3 Extremities (95863) $647.40 $1,079 5.0×
Emg 4 Extremities (95864) $810.60 $1,351 6.3×
Endomyocardial Biopsy (93505)
range across 2 matching MRF lines
$11,594.36–$11,784.22 $19,323.93–$19,640.37 varies
Ep & ablate supravent arrhyt (93653)
range across 2 matching MRF lines
$46,192.91–$46,310.86 $76,988.18–$77,184.77 varies
Ep & ablate ventric tachy (93654)
range across 2 matching MRF lines
$46,319.66–$46,459.67 $77,199.43–$77,432.78 varies
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
range across 2 matching MRF lines
$28,829.06–$29,230.55 $48,048.44–$48,717.59 varies
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,243.40 $13,739 1.1×
Er level 1 (99281) $393.60 $656 4.7×
Er level v (99285) $2,815.20 $4,692 4.7×
Esophageal Capsule Endoscopy (91111) $4,067.90 $6,779.84 4.5×
Esophgl Balo Distension Dx Std W/Provocation (91040) $4,913.71 $8,189.52 13.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,238.40 $2,064 3.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $285 $475 2.2×
Evaluate pt use of inhaler (94664) $256.80 $428 1.2×
Evaluate Speech Production (92522) $353.40 $589 3.2×
Evaluate Swallowing Function (92610) $508.20 $847 6.0×
Evaluation of speech fluency (92521) $264 $440 2.0×
Evoked Auditory Test,Limited (92587) $64.20 $107 0.3×
Exercise test for bronchospasm (94617) $126.60 $211 0.9×
Exhaled Air Analysis O2 (94680) $638.40 $1,064 4.9×
External ECG rec>48hr<7d recording (93242) $83.40 $139 2.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $354 $590 2.7×
External ECG rec>7d<15d recording (93246) $164.40 $274 4.4×
External ECG rec>7d<15d scanning alys w/report (93247) $354 $590 2.7×
External Ecg Scanning Analysis Report (93226) $835.80 $1,393 14.1×
Extracranial Bilat Study (93880) $1,037.40 $1,729 4.3×
Extracranial Uni/Ltd Study (93882) $637.80 $1,063 6.1×
Eye exam w anesth; complete (92018)
range across 2 matching MRF lines
$6,520.96–$7,985.18 $10,868.26–$13,308.63 varies
Eye exam w anesth; limited (92019) $3,479.18 $5,798.64 1.5×
F-up/limited tthrc echo congenital car anomaly (93304) $2,239.20 $3,732 4.1×
Facial nerve function studies (92516) $183.60 $306 0.8×
Flexible endoscopic eval swallow c/v rec (92612) $1,088.40 $1,814 5.4×
Fluorescein angiography (92235) $892.20 $1,487 4.1×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $439.20 $732 2.0×
Full Field Electroretinography W/I&R (92273) $925.20 $1,542 4.3×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $816 $1,360 0.9×
Fundus photography (92250) $164.40 $274 1.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $4,470.68 $7,451.14 11.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,963.33 $4,938.89 3.4×
Gi tract capsule endoscopy (91110) $1,020.60 $1,701 1.1×
Gi wireless capsule measure (91112) $16,974.52 $28,290.87 18.7×
Gonioscopy (92020) $153.60 $256 1.2×
Group Therapeutic Procedures (97150) $139.20 $232 7.7×
Health Behavior Assessment/Re-Assessment (96156) $45.60 $76 0.4×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $17.40 $29 0.5×
Health behavior ivntj group f2f 1st 30 min (96164) $28.80 $48 0.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $45.60 $76 0.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 2 matching MRF lines
$12,158.33–$12,236.37 $20,263.89–$20,393.95 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,506 $2,510 2.2×
High altitude simulation test (94452) $49.80 $83 0.4×
Holter monitor recording (93225) $672 $1,120 5.0×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $44.40 $74 1.2×
Icd Device Interrogate (93289) $131.40 $219 3.5×
Icd device progr eval dual (93283) $199.80 $333 5.3×
Icd Device Progr Eval Mult (93284) $181.20 $302 4.8×
Icm Device Eval (93290) $112.80 $188 3.0×
Ilr Device Eval Progr (93285) $83.40 $139 2.2×
Ilr Device Interrogate (93291) $113.40 $189 3.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $12.60 $21 0.2×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $45 $75 0.8×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $45 $75 1.2×
Immunization administration (90471)
range across 2 matching MRF lines
$236.40–$272.40 $394–$454 varies
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $2,074.20 $3,457 9.6×
Ingestion challenge test initial 120 minutes (95076) $289.20 $482 0.8×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $324.60 $541 0.9×
Insert/Place Heart Catheter (93503) $17,328.43 $28,880.71 11.0×
Interrog eval crtd sins bat modulj sys ip w/ (93146) $197.40 $329 1.5×
Interrogate Subq Defib (93261) $219 $365 5.8×
Interrogation eval in person wr defibrillator (93292) $84.60 $141 2.3×
Interrogation vad in person (93750) $193.80 $323 2.0×
Intracranial Complete Study (93886) $239.40 $399 1.0×
Intracutaneous tests w/allergenic extracts (95024) $46.20 $77 0.8×
Io anal gast n-stim subsq (95981) $90 $150 1.5×
Io ga n-stim subsq w/reprog (95982) $55.80 $93 1.5×
Irrig Drug Delivery Device (96523) $140.88 $234.80 2.4×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$2,656.87–$2,696.48 $4,428.11–$4,494.14 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$1,195.38–$1,207.28 $1,992.30–$2,012.14 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$8,669.36–$9,415.97 $14,448.94–$15,693.28 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$6,698.39–$6,723.26 $11,163.99–$11,205.43 varies
IV push initial (96374)
range across 2 matching MRF lines
$2,110.57–$2,117.45 $3,517.62–$3,529.08 varies
L Hrt Art/Grft Angio (93459)
range across 2 matching MRF lines
$14,077.36–$14,108.49 $23,462.26–$23,514.15 varies
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $14,047.53 $23,412.55 4.3×
Laryngeal Function Studies (92520) $177 $295 1.3×
Liver Elastography W/O Imag W/I&R (91200) $575.40 $959 4.5×
Low frequency non-thermal us (97610) $248.40 $414 1.2×
Lung Function Test (Mbc/Mvv) (94200) $214.20 $357 3.6×
Lwr Xtr Vasc Stdy Bilat (93924) $719.40 $1,199 3.3×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $2,175.60 $3,626 1.5×
Mechanical chest wall oscillation per session (94669) $93 $155 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $58.80 $98 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $59.40 $99 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $22.80 $38 1.3×
Methacholine challenge (94070) $1,782 $2,970 4.8×
Motility study esophagus (91010) $478.20 $797 1.3×
Motion Fluoroscopy/Swallow (92611) $332.40 $554 3.6×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $10,074.74 $16,791.23 22.5×
Multifocal Electroretinography W/I&R (92274) $299.40 $499 2.3×
Multiple Sleep Latency Test (95805) $6,410.40 $10,684 7.4×
Muscle Test 2 Limbs (95861) $284.40 $474 2.1×
Muscle Test Hemidiaphragm (95866) $130.20 $217 1.0×
Muscle Test Nonparaspinal (95870) $555 $925 4.2×
Muscle Test One Limb (95860) $1,070.40 $1,784 8.0×
Nasal function studies (92512) $477 $795 2.2×
Nasopharyngoscopy (92511) $349.27 $582.11 1.7×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $214.80 $358 1.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $198.60 $331 0.9×
Needle electromyography larynx (95865) $106.20 $177 0.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $162 $270 0.7×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $1,129.80 $1,883 5.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $136.80 $228 0.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $24,414.26 $40,690.43 59.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $731.40 $1,219 3.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $312.60 $521 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $584.40 $974 2.7×
Nerve Conduction Studies 11-12 Studies (95912) $1,135.20 $1,892 3.0×
Nerve conduction studies 13 or more studies (95913) $1,135.80 $1,893 3.0×
Nerve Conduction Studies 3-4 Studies (95908) $687.60 $1,146 3.2×
Nerve conduction studies 5-6 studies (95909) $1,018.20 $1,697 4.7×
Nerve conduction studies 7-8 studies (95910) $1,134 $1,890 3.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,134.60 $1,891 3.0×
Neurobehavioral Status Exam (96116) $105.60 $176 0.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $837 $1,395 6.5×
Neuromuscular Reeducation (97112) $129 $215 3.9×
Newborn resuscitation (99465) $873.60 $1,456 1.3×
Nitric oxide expired gas determination (95012) $163.80 $273 4.4×
Nrpsyc tst eval phys/qhp 1st (96132) $85.80 $143 0.2×
Ocular Vemp Testing W/I&R (92518) $214.80 $358 1.7×
Oculoelectromyography (92265) $198 $330 3.3×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $258.60 $431 1.9×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $84.60 $141 0.6×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $84.60 $141 0.6×
Ophth medical xm&eval intermediate estab pt (92012) $84.60 $141 0.6×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $84.60 $141 0.6×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $46.20 $77 0.8×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $46.20 $77 0.8×
Oral Function Therapy (92526) $339 $565 4.0×
Oral Speech Device Eval (92597) $526.80 $878 7.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $123 $205 2.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $111 $185 2.4×
Oscillating Tracking Test (92545) $90.60 $151 0.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $15 $25 0.7×
Osteopathic manipulative tx 3-4 body regions (98926) $15 $25 0.7×
Osteopathic manipulative tx 5-6 body regions (98927) $15 $25 0.7×
Osteopathic manipulative tx 7-8 body regions (98928) $15 $25 0.7×
Ot eval high complexity (97167) $384.60 $641 3.8×
Ot Eval Low Complex (97165) $238.20 $397 2.4×
Ot Eval Moderate Complexity (97166) $261 $435 2.6×
Ot manual therapy 15 min (97140) $102 $170 3.7×
Ot Prosthetic Training, Each 15 Min (97761) $114 $190 2.8×
Ot Re-Eval Est Plan Care (97168) $409.80 $683 6.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $186.60 $311 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $111.60 $186 0.9×
Oxygen Uptake Rest Indirect (94690) $127.20 $212 2.1×
Patch/Application Test Specify Number Tests (95044) $50.40 $84 0.1×
Pdt dstr prmlg les phys/qhp (96573) $203.40 $339 1.0×
Penile Vascular Study,Ltd or F/U (93981) $312 $520 3.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642)
range across 2 matching MRF lines
$2,635.03–$2,715.86 $4,391.72–$4,526.43 varies
Percutaneous tests w/allergenic extracts (95004) $18 $30 0.0×
Peripheral arterial disease rehab per session (93668) $78 $130 1.3×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $28,093.20 $46,822 1.5×
Perq transcath closure pda (93582) $93,312.89 $155,521.48 5.1×
Perq Transcath Cls Aortic (93591) $48,731.12 $81,218.54 2.6×
Perq Transcath Cls Mitral (93590) $46,087.62 $76,812.70 2.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 2 matching MRF lines
$41,781.84–$46,777.60 $69,636.40–$77,962.67 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 2 matching MRF lines
$24,567.08–$25,012.99 $40,945.13–$41,688.32 varies
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$636.60–$643.20 $1,061–$1,072 varies
Photochemotx Psoralens&Ultraviolet Puva (96912) $114 $190 1.9×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $68.40 $114 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $45 $75 0.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $121.20 $202 2.0×
Physical Performance Test (97750) $54 $90 1.6×
Plethysmography (94726) $415.80 $693 1.1×
Pm device eval in person (93288) $103.80 $173 2.8×
Pm device progr eval dual (93280) $155.40 $259 4.2×
Pm device progr eval multi (93281) $145.20 $242 3.9×
Pm Device Progr Eval Sngl (93279) $145.80 $243 3.9×
Pm/Icd Remote Tech Serv (93296) $189.60 $316 5.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,169 $8,615 6.0×
Polysom <6 yrs 4/> paramtrs (95782) $7,247.40 $12,079 8.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $873.60 $1,456 1.0×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $3,097.20 $5,162 3.6×
Positional nystagmus test (92542) $111 $185 0.8×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $46.80 $78 1.0×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $57 $95 1.2×
Prepj& antigen allergen immunotherapy 2 insect (95146) $124.80 $208 2.7×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $168.60 $281 2.3×
Prepj& antigen allergen immunotherapy 5 insect (95149) $204.60 $341 2.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $107.40 $179 2.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $184.20 $307 4.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $34.80 $58 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $46.20 $77 1.0×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $169.20 $282 2.3×
Prq Card Angio/Athrect 1 Art (92924)
range across 2 matching MRF lines
$31,049.89–$32,452.93 $51,749.81–$54,088.21 varies
Prq Card Stent W/Angio 1 Vsl (92928) $39,752.95 $66,254.91 3.4×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$4,964.40 $8,274 0.3×
Prq Revasc Byp Graft 1 Vsl (92937) $34,435.82 $57,393.03 3.0×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $52,991.60 $88,319.34 2.9×
Prq trl rvs ch occ ant&rtrgr (92945) $17,691.60 $29,486 1.5×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
range across 2 matching MRF lines
$42,663.61–$46,598.06 $71,106.02–$77,663.44 varies
Psych diag eval w/med srvcs (90792) $141.60 $236 0.8×
Psychiatric diagnostic evaluation (90791) $120 $200 0.7×
Psychological tst eval svc phys/qhp first hour (96130) $167.40 $279 0.8×
Psycl/Nrpsyc Tst Auto Result (96146) $28.80 $48 1.0×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $68.40 $114 0.2×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $11.40 $19 0.1×
Psytx Crisis Initial 60 Min (90839) $73.20 $122 0.4×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $99 $165 2.6×
Pt Eval High Complex (97163) $365.40 $609 3.7×
Pt eval low complex 20 min (97161) $228.60 $381 2.3×
Pt Eval Mod Complex (97162) $261 $435 2.7×
Pt gait training 15 min (97116) $81 $135 2.8×
Pt mechanical traction (97012) $77.40 $129 5.4×
Pt Re-Eval Est Plan Care (97164) $315 $525 4.7×
Pulm function test by gas (94727) $379.20 $632 1.8×
Pulmonary service/procedure (94799) $222.60 $371 1.7×
Pulmonary Stress Testing (94618) $278.40 $464 2.1×
Pure Tone Audiometry Air (92552) $69.60 $116 0.5×
R Hrt Art/Grft Angio (93457) $7,961.92 $13,269.86 2.4×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594)
range across 2 matching MRF lines
$20,962–$22,122.77 $34,936.67–$36,871.28 varies
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593)
range across 2 matching MRF lines
$17,328.43–$19,955.73 $28,880.71–$33,259.55 varies
R hrt coronary artery angio (93456)
range across 2 matching MRF lines
$18,464.86–$19,738.39 $30,774.76–$32,897.31 varies
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597)
range across 2 matching MRF lines
$27,324.50–$28,355.74 $45,540.83–$47,259.56 varies
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $27,794.93 $46,324.88 8.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $14,835.37 $24,725.62 4.6×
Rapid Desensitization Procedure Each Hour (95180) $598.80 $998 1.3×
Rectal sensation tone&compliance study (91124) $331.20 $552 1.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $534.60 $891 1.6×
Refill/Maint Portable Pump (96521) $316.20 $527 1.5×
Refill/Maint Pump/Resvr Syst (96522) $486 $810 2.3×
Rem interrog icpms <30 d phys/qhp (93297) $118.20 $197 3.2×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $118.20 $197 3.2×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $79.20 $132 2.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $247.80 $413 1.9×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $57 $95 1.5×
Rem Ther Mntr Dev Sply Cbt (98978) $55.20 $92 1.5×
Remote 30 Day Ecg Rev/Report (93270) $715.80 $1,193 19.1×
Repet tms tx initial w/map/motr threshld/del&m (90867) $147.60 $246 0.7×
Replacement of contact lens (92326) $447.60 $746 7.6×
Respiratory flow volume loop (94375) $211.20 $352 1.0×
Right Heart Cath (93451)
range across 2 matching MRF lines
$8,150.76–$8,153.35 $13,584.60–$13,588.92 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $201.60 $336 1.0×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $292.80 $488 11.2×
Rtm dev sply data cbt 2-15 days in 30 d pd (98986) $57 $95 1.5×
Rtm dev sply data respir sys 2-15 days in 30d pd (98984) $57 $95 1.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $1,233.60 $2,056 10.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $361.20 $602 7.6×
Select picture audiometry (92583) $34.80 $58 0.6×
Self Care Mngment Training (97535) $101.40 $169 3.1×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $216 $360 3.6×
Sensory Integration Ea 15 Min (97533) $78.60 $131 1.3×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,098 $1,830 5.1×
Short-latency somatosens ep std upr limbs (95925) $718.20 $1,197 3.3×
Sinusoidal Vertical Axis Rotational Testing (92546) $808.80 $1,348 6.3×
Sleep study unattended (95806) $1,918.80 $3,198 8.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,960.80 $3,268 9.1×
Somatosensory Testing (95938) $1,315.20 $2,192 1.5×
Speech Audiometry Complete (92556) $34.80 $58 0.6×
Speech audiometry threshold (92555) $21.60 $36 0.4×
Speech sound lang comprehen (92523) $718.80 $1,198 3.2×
Spin/Brain Pump Refil & Main (95991) $84 $140 0.3×
Spirometry (94010) $364.80 $608 1.7×
Spontaneous Nystagmus Test (92541) $111 $185 0.8×
Ssep lower limbs (95926) $706.20 $1,177 3.3×
Standardized Cognitive Performance Testing (96125) $400.80 $668 3.9×
Stenger Test, Pure Tone (92565) $22.20 $37 0.4×
Stress Tte Only (93350) $3,718.80 $6,198 6.8×
Surfactant Admin Thru Tube (94610) $406.80 $678 1.9×
Temp transcutaneous pacing (92953) $352.20 $587 0.5×
Test to assess hearing loss using different tone pitches (92575) $39 $65 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $87 $145 3.9×
Ther Ivntj Ea Addl 15 Min (97130) $55.20 $92 2.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $78.60 $131 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $355.20 $592 3.5×
Ther/Proph/Diag Inj Ia (96373) $79.80 $133 0.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$834.83–$900.12 $1,391.38–$1,500.20 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$3,131.83–$4,066.74 $5,219.71–$6,777.90 varies
Therap repetitive tms tx subseq delivery & mng (90868) $129.60 $216 0.6×
Therapeutic Activities (97530) $128.40 $214 3.7×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,029.60 $1,716 2.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $64.80 $108 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$22.80–$573.60 $38–$956 varies
Transcath Closure of Asd (93580) $54,189.42 $90,315.70 2.9×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $579 $965 5.5×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $199.20 $332 5.3×
Tte w/doppler, complete (93306) $2,850 $4,750 5.2×
Tte W/O Doppler Complete (93307) $1,536 $2,560 6.4×
Tx atrial fib pulm vein isol (93656)
range across 3 matching MRF lines
$25,033.66–$63,788.52 $41,722.77–$106,314.20 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $317.40 $529 4.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $141.60 $236 5.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$5,480.25–$5,519.27 $9,133.75–$9,198.79 varies
Tympanometry (92567) $18 $30 0.5×
Tympanometry and reflex threshold measurements (92550) $60 $100 0.3×
Unlis neurological/neuromuscular dx px (95999) $509.40 $849 3.9×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$16,895.47–$17,146.56 $28,159.12–$28,577.60 varies
Unlisted noninvasive vascular diagnostic study (93998) $285.60 $476 9.8×
Unlisted ophthalmological service/procedure (92499) $150 $250 5.2×
Unlisted otorhinolaryngological service (92700) $103.80 $173 3.6×
Upr/L Xtremity Art 2 Levels (93922) $495 $825 3.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $526.20 $877 2.4×
Valvuloplasty aortic valve (92986) $25,006.39 $41,677.32 4.4×
Valvuloplasty mitral valve (92987) $25,760.46 $42,934.10 2.2×
Valvuloplasty pulmonary valve (92990)
range across 2 matching MRF lines
$41,054.88–$47,936.24 $68,424.80–$79,893.74 varies
Vasopneumatic device (97016) $37.20 $62 3.1×
Veeg 2-12 Hr Cont Mntr (95713) $1,479 $2,465 4.0×
Veeg 2-12 hr intmt mntr (95712) $283.80 $473 0.8×
Veeg 2-12 hr unmonitored (95711) $12,243.50 $20,405.84 56.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715)
range across 2 matching MRF lines
$11,960.55–$12,243.50 $19,934.25–$20,405.84 varies
Veeg Ea 12-26 Hr Unmntr (95714) $2,542.20 $4,237 6.8×
Veeg ea 12-26hr cont mntr (95716)
range across 2 matching MRF lines
$12,876.55–$12,925.46 $21,460.92–$21,542.43 varies
Vent Mgmt Inpat Init Day (94002) $1,415.40 $2,359 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,624.40 $4,374 4.2×
Visual Evoked Potential Test (95930) $694.20 $1,157 3.2×
Visual Field Exam Extended (92083) $249 $415 1.9×
Visual field xm uni/bi w/interp intermed exam (92082) $226.20 $377 3.8×
Visual field xm uni/bi w/interpretj limited exam (92081) $153 $255 2.6×
Visual reinforcement audiometry (vra) (92579) $87 $145 0.4×
Vital capacity, total (94150) $304.80 $508 2.4×
Wada Activation Test Hemispheric Function W/Eeg (95958) $454.20 $757 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $259.80 $433 8.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $193.80 $323 3.3×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $269.40 $449 7.2×

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.