Visits & medical services prices at Waverly Health Center
Waverly, IA · every code in this section with a posted price and a Medicare benchmark.
335 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $42.12 | $81 | 1.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$48.88–$50.96 | $94–$98 | varies |
| Airway Inhalation Treatment (94640) range across 8 matching MRF lines |
$15.08–$106.08 | $29–$204 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$127.40–$178.36 | $245–$343 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 3 matching MRF lines |
$91.52–$143 | $176–$275 | varies |
| Analyze Pacemaker System (93724) range across 2 matching MRF lines |
$62.40–$550.16 | $120–$1,058 | varies |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) | $229.32 | $441 | 1.8× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $240.24 | $462 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$31.20–$71.76 | $60–$138 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $15.08 | $29 | 2.1× |
| Application Modality 1/> Areas Infrared (97026) | $14.04 | $27 | 2.1× |
| Assessment of aphasia per hr (96105) | $166.92 | $321 | 1.7× |
| Assessment of tinnitus (92625) | $134.68 | $259 | 1.1× |
| Behavral qualit analys voice (92524) | $158.08 | $304 | 1.4× |
| Brief Emotional/Behav Assmt (96127) | $15.08 | $29 | 0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$222.04–$331.76 | $427–$638 | varies |
| Canalith repositioning proc (95992) | $119.60 | $230 | 2.9× |
| Car seat/bed test 60 min (94780) | $251.16 | $483 | 7.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $402.48 | $774 | 1.9× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$168.48–$608.40 | $324–$1,170 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$451.88–$1,107.08 | $869–$2,129 | varies |
| Cbt 1st hour (94644) | $56.68 | $109 | 0.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $72.28 | $139 | 1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $72.28 | $139 | 1.0× |
| Chemo Intralesional Over 7 (96406) | $257.92 | $496 | 1.3× |
| Chemo intralesional up to 7 (96405) | $187.20 | $360 | 2.7× |
| Chemo IV infusion addl hr (96415) | $200.20 | $385 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $369.20 | $710 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $240.24 | $462 | 0.8× |
| Chest Wall Manipulation (94668) | $66.04 | $127 | 0.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $41.60 | $80 | 1.3× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $240.24 | $462 | 0.3× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $201.76 | $388 | 0.6× |
| Comprehensive Hearing Test (92557) | $100.88 | $194 | 0.8× |
| Computerized dynamic posturography (92548) | $198.64 | $382 | 1.6× |
| Conditioning Play Audiometry (92582) | $86.84 | $167 | 0.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $275.60 | $530 | 2.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $88.40 | $170 | 1.6× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $186.16 | $358 | 1.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$61.36–$146.64 | $118–$282 | varies |
| Corneal Topography (92025) | $72.80 | $140 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$129.48–$640.12 | $249–$1,231 | varies |
| Cpt initial (94667) | $115.44 | $222 | 0.9× |
| Critical care first hour (99291) range across 8 matching MRF lines |
$82.68–$1,006.20 | $159–$1,935 | varies |
| Dark Adaptation Eye Exam (92284) | $123.24 | $237 | 0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$27.56–$198.12 | $53–$381 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $216.84 | $417 | 1.8× |
| Dialysis One Evaluation (90945) | $162.76 | $313 | 0.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $134.68 | $259 | 0.4× |
| Duodenal motility study (91022) | $406.12 | $781 | 1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $522.60 | $1,005 | 2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $371.80 | $715 | 3.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $365.04 | $702 | 1.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $371.80 | $715 | 3.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$522.60–$821.60 | $1,005–$1,580 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$371.80–$570.44 | $715–$1,097 | varies |
| Duplex up extrem art bilat (93930) | $522.60 | $1,005 | 2.3× |
| Duplex up extrem art unilat/ltd (93931) | $371.80 | $715 | 3.7× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $187.20 | $360 | 1.5× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $51.48 | $99 | 0.2× |
| Ear and throat examination (92502) | $211.12 | $406 | 0.4× |
| Ear Protector Evaluation (92596) | $75.40 | $145 | 2.1× |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$173.68–$456.04 | $334–$877 | varies |
| Echo Congenital Complete (93303) | $470.60 | $905 | 0.9× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$48.88–$390 | $94–$750 | varies |
| Echo r-t 2d w/probe placement only (93313) | $97.24 | $187 | 0.2× |
| Echo transesophag congen probe plcmt only (93316) | $109.20 | $210 | 0.2× |
| Echo transesophag montr cardiac pump functj (93318) | $261.56 | $503 | 0.5× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$535.60–$705.64 | $1,030–$1,357 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 3 matching MRF lines |
$262.08–$405.60 | $504–$780 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$553.28–$979.16 | $1,064–$1,883 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$321.88–$508.04 | $619–$977 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$500.24–$573.56 | $962–$1,103 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$467.48–$573.56 | $899–$1,103 | varies |
| EEG cerebral death evaluation (95824) | $89.96 | $173 | 0.3× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$573.56–$625.56 | $1,103–$1,203 | varies |
| Eeg Sleep Only (95822) | $497.64 | $957 | 2.4× |
| EKG signal averaged (93278) | $89.96 | $173 | 1.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$39–$76.44 | $75–$147 | varies |
| Electro-Oculography (92270) | $183.04 | $352 | 1.4× |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$27.04–$136.24 | $52–$262 | varies |
| Electrocochleography (92584) | $136.76 | $263 | 1.1× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $94.12 | $181 | 0.5× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $118.56 | $228 | 0.9× |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$337.48–$759.20 | $649–$1,460 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$94.64–$102.96 | $182–$198 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$144.56–$226.20 | $278–$435 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$270.92–$347.36 | $521–$668 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$52–$251.16 | $100–$483 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$400.40–$538.20 | $770–$1,035 | varies |
| Ergonovine provocation test (93024) range across 3 matching MRF lines |
$118.56–$157.04 | $228–$302 | varies |
| Esophageal Capsule Endoscopy (91111) | $1,461.72 | $2,811 | 1.7× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $791.96 | $1,523 | 2.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $302.64 | $582 | 0.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$158.60–$183.04 | $305–$352 | varies |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$22.88–$87.36 | $44–$168 | varies |
| Evaluate Speech Production (92522) | $153.40 | $295 | 1.4× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$164.32–$202.28 | $316–$389 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$179.40–$186.68 | $345–$359 | varies |
| Evoked Auditory Test,Limited (92587) | $80.60 | $155 | 0.4× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $347.88 | $669 | 1.8× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $517.92 | $996 | 1.3× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $355.16 | $683 | 1.8× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$182–$328.12 | $350–$631 | varies |
| External ECG rec>7d<15d recording (93246) | $253.24 | $487 | 7.1× |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$113.88–$260 | $219–$500 | varies |
| Extracranial Bilat Study (93880) | $575.64 | $1,107 | 2.5× |
| Extracranial Uni/Ltd Study (93882) | $233.48 | $449 | 2.3× |
| Eye Allergy Tests (95060) | $52.52 | $101 | 0.4× |
| Eye exam w anesth; complete (92018) | $299.52 | $576 | 0.1× |
| Eye exam w anesth; limited (92019) | $151.32 | $291 | 0.1× |
| Eye Exam With Photos (92230) | $125.32 | $241 | 0.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $291.20 | $560 | 0.6× |
| Facial nerve function studies (92516) | $132.08 | $254 | 0.6× |
| Filtered Speech Test (92571) | $35.88 | $69 | 1.0× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $302.12 | $581 | 2.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $336.44 | $647 | 1.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $416 | $800 | 1.8× |
| Fluorescein angiography (92235) | $257.40 | $495 | 1.2× |
| Fundus photography (92250) | $146.64 | $282 | 1.1× |
| Gastric motility studies (91020) | $490.36 | $943 | 1.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $421.20 | $810 | 1.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $340.08 | $654 | 1.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $982.80 | $1,890 | 1.2× |
| Gi tract capsule endoscopy (91110) | $1,895.40 | $3,645 | 2.2× |
| Gonioscopy (92020) | $57.20 | $110 | 0.4× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$42.12–$42.64 | $81–$82 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $154.44 | $297 | 0.2× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$76.44–$260 | $147–$500 | varies |
| Hubbard tank 15 min (97036) | $58.76 | $113 | 1.7× |
| Hypnotherapy (90880) | $250.64 | $482 | 2.6× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) range across 4 matching MRF lines |
$11.96–$26 | $23–$50 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$114.40–$150.80 | $220–$290 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$148.72–$197.08 | $286–$379 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$173.68–$229.32 | $334–$441 | varies |
| Icm Device Eval (93290) range across 3 matching MRF lines |
$22.88–$75.40 | $44–$145 | varies |
| Ilr Device Eval Progr (93285) | $109.72 | $211 | 3.1× |
| Ilr Device Interrogate (93291) | $94.12 | $181 | 3.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 7 matching MRF lines |
$7.28–$65.52 | $14–$126 | varies |
| Immunization administration (90471) range across 7 matching MRF lines |
$24.96–$65.52 | $48–$126 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $434.72 | $836 | 2.1× |
| Inital newborn e/m (99460) | $133.12 | $256 | 1.0× |
| Insert/Place Heart Catheter (93503) | $265.72 | $511 | 0.2× |
| Interrogation eval in person wr defibrillator (93292) | $86.84 | $167 | 2.4× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $13.52 | $26 | 0.5× |
| Intracutaneous tests w/allergenic extracts (95024) | $16.64 | $32 | 0.3× |
| Io anal gast n-stim subsq (95981) | $62.40 | $120 | 1.1× |
| Io ga n-stim subsq w/reprog (95982) | $97.24 | $187 | 2.7× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$56.16–$75.40 | $108–$145 | varies |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$47.32–$92.04 | $91–$177 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$37.44–$122.72 | $72–$236 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$123.24–$209.56 | $237–$403 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$76.96–$186.16 | $148–$358 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$47.84–$122.72 | $92–$236 | varies |
| IV push initial (96374) range across 8 matching MRF lines |
$47.32–$141.96 | $91–$273 | varies |
| Laryngeal Function Studies (92520) | $134.68 | $259 | 1.1× |
| Loudness balance test (92562) | $50.44 | $97 | 0.2× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$8.84–$76.44 | $17–$147 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $512.20 | $985 | 2.5× |
| Mechanical chest wall oscillation per session (94669) | $218.40 | $420 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$7.28–$61.36 | $14–$118 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$6.24–$72.28 | $12–$139 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$34.32–$47.84 | $66–$92 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$132.08–$515.84 | $254–$992 | varies |
| Microvolt T-Wave Assess (93025) | $458.12 | $881 | 3.7× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $58.24 | $112 | 0.5× |
| Motility study esophagus (91010) | $405.08 | $779 | 1.1× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$179.92–$279.76 | $346–$538 | varies |
| Multiple Family Group Psychotherapy (90849) | $78 | $150 | 0.5× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$902.20–$1,394.64 | $1,735–$2,682 | varies |
| Narcosynthesis (90865) | $358.80 | $690 | 2.1× |
| Nasal function studies (92512) | $131.04 | $252 | 0.6× |
| Nasopharyngoscopy (92511) | $318.76 | $613 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $260 | $500 | 0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $270.31 | $519.83 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$35.36–$116.48 | $68–$224 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$41.60–$205.92 | $80–$396 | varies |
| Neurobehavioral Status Exam (96116) | $218.92 | $421 | 1.1× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$71.24–$76.44 | $137–$147 | varies |
| Newborn resuscitation (99465) | $339.56 | $653 | 0.5× |
| Nitric oxide expired gas determination (95012) | $42.12 | $81 | 1.2× |
| Nose Allergy Test (95065) | $46.80 | $90 | 1.3× |
| Oculoelectromyography (92265) | $162.24 | $312 | 2.9× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $166.92 | $321 | 1.3× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $289.64 | $557 | 2.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $237.64 | $457 | 1.9× |
| Ophth medical xm&eval intermediate estab pt (92012) | $163.28 | $314 | 1.3× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $153.40 | $295 | 1.2× |
| Ophthalmodynamometry (92260) | $39 | $75 | 1.1× |
| Optokinetic Nystagmus Test (92544) | $107.12 | $206 | 0.9× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$172.64–$173.68 | $332–$334 | varies |
| Oral Speech Device Eval (92597) | $226.20 | $435 | 3.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $72.80 | $140 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$72.80–$75.92 | $140–$146 | varies |
| Oscillating Tracking Test (92545) | $97.24 | $187 | 0.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$10.40–$66.56 | $20–$128 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 5 matching MRF lines |
$11.44–$92.04 | $22–$177 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$15.08–$115.96 | $29–$223 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
$16.12–$136.24 | $31–$262 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
$17.68–$154.44 | $34–$297 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $36.92 | $71 | 2.6× |
| Ot eval high complexity (97167) | $157.56 | $303 | 1.6× |
| Ot Eval Low Complex (97165) | $127.92 | $246 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $142.48 | $274 | 1.4× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$61.88–$74.88 | $119–$144 | varies |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$19.76–$58.24 | $38–$112 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 3 matching MRF lines |
$39.52–$73.32 | $76–$141 | varies |
| Ot Re-Eval Est Plan Care (97168) | $79.56 | $153 | 1.2× |
| Ot rom hand (95852) | $31.72 | $61 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$140.92–$152.88 | $271–$294 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$146.64–$152.88 | $282–$294 | varies |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $59.80 | $115 | 2.4× |
| Patient-initiated spirometric recording (94015) | $54.08 | $104 | 0.3× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $110.24 | $212 | 0.3× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $248.04 | $477 | 1.3× |
| Percutaneous tests w/allergenic extracts (95004) | $15.08 | $29 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $93.60 | $180 | 1.7× |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$54.60–$151.32 | $105–$291 | varies |
| Photo patch test(s) (95052) | $16.64 | $32 | 0.3× |
| Photo Tests (95056) | $75.92 | $146 | 0.6× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) | $237.12 | $456 | 0.6× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $172.12 | $331 | 3.0× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $134.68 | $259 | 2.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $167.44 | $322 | 3.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $167.44 | $322 | 3.0× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$60.32–$94.64 | $116–$182 | varies |
| Plethysmography (94726) | $123.24 | $237 | 0.3× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$73.84–$96.72 | $142–$186 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$113.88–$150.28 | $219–$289 | varies |
| Pm device progr eval multi (93281) | $174.20 | $335 | 4.9× |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$96.20–$126.36 | $185–$243 | varies |
| Pm/Icd Remote Tech Serv (93296) | $78.52 | $151 | 2.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,813.24–$3,022.76 | $3,487–$5,813 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,381.12 | $2,656 | 1.7× |
| Positional nystagmus test (92542) | $131.04 | $252 | 1.0× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $193.96 | $373 | 0.5× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) | $173.68 | $334 | 1.4× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) | $133.12 | $256 | 1.0× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) | $136.24 | $262 | 3.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $162.76 | $313 | 4.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$42.12–$55.64 | $81–$107 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$50.44–$55.64 | $97–$107 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$3,043.56 | $5,853 | 0.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$1,471.60 | $2,830 | 0.1× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$145.60–$211.12 | $280–$406 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$145.60–$356.20 | $280–$685 | varies |
| Psychoanalysis (90845) | $195 | $375 | 1.1× |
| Pt Eval High Complex (97163) | $159.12 | $306 | 1.6× |
| Pt eval low complex 20 min (97161) | $130 | $250 | 1.3× |
| Pt Eval Mod Complex (97162) | $144.56 | $278 | 1.5× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$58.76–$76.44 | $113–$147 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$36.92–$75.40 | $71–$145 | varies |
| Pt Re-Eval Est Plan Care (97164) | $79.56 | $153 | 1.2× |
| Pt ultraviolet (97028) | $16.12 | $31 | 1.9× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$140.40–$215.28 | $270–$414 | varies |
| Pure Tone Audiometry Air (92552) | $46.80 | $90 | 0.4× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) range across 2 matching MRF lines |
$121.68–$149.24 | $234–$287 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) range across 2 matching MRF lines |
$183.56–$224.64 | $353–$432 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) range across 2 matching MRF lines |
$60.32–$74.88 | $116–$144 | varies |
| Rapid Desensitization Procedure Each Hour (95180) | $319.80 | $615 | 0.7× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $124.28 | $239 | 0.4× |
| Refill/Maint Portable Pump (96521) | $272.48 | $524 | 1.3× |
| Refill/Maint Pump/Resvr Syst (96522) | $230.88 | $444 | 1.1× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$47.32–$61.88 | $91–$119 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $72.28 | $139 | 2.0× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$45.24–$383.76 | $87–$738 | varies |
| Replacement of contact lens (92326) | $77.48 | $149 | 1.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$14.04–$144.56 | $27–$278 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $192.92 | $371 | 1.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $37.96 | $73 | 1.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $320.32 | $616 | 2.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $61.88 | $119 | 1.3× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $221.52 | $426 | 1.7× |
| Same day nb discharge (99463) | $179.40 | $345 | 1.4× |
| Select picture audiometry (92583) | $71.76 | $138 | 1.3× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$72.28–$76.44 | $139–$147 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $123.76 | $238 | 2.2× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$61.88–$76.44 | $119–$147 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $174.20 | $335 | 1.4× |
| Sleep study attended (95807) | $1,048.84 | $2,017 | 2.9× |
| Sleep study unattended (95806) | $450.84 | $867 | 2.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $379.60 | $730 | 1.8× |
| Speech Audiometry Complete (92556) | $54.08 | $104 | 1.0× |
| Speech audiometry threshold (92555) | $35.88 | $69 | 0.6× |
| Speech sound lang comprehen (92523) | $307.32 | $591 | 1.4× |
| Spin/Brain Pump Refil & Main (95991) | $193.44 | $372 | 0.7× |
| Spirometry (94010) range across 2 matching MRF lines |
$45.24–$200.72 | $87–$386 | varies |
| Spontaneous Nystagmus Test (92541) | $126.36 | $243 | 1.0× |
| Staggered Spondaic Word Test (92572) | $37.96 | $73 | 0.3× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$202.28–$217.36 | $389–$418 | varies |
| Stenger Test Speech (92577) | $37.44 | $72 | 0.1× |
| Stenger Test, Pure Tone (92565) | $28.08 | $54 | 0.5× |
| Stress Tte Only (93350) | $460.20 | $885 | 0.9× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$37.44–$84.76 | $72–$163 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$244.40–$320.84 | $470–$617 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $154.44 | $297 | 2.2× |
| Surfactant Admin Thru Tube (94610) | $143 | $275 | 0.7× |
| Synthetic Sentence Identification Test (92576) | $45.24 | $87 | 1.3× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$31.72–$32.24 | $61–$62 | varies |
| Tensilon Test (95857) | $94.64 | $182 | 0.5× |
| Test to assess hearing loss using different tone pitches (92575) | $75.92 | $146 | 2.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $75.92 | $146 | 3.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $75.92 | $146 | 3.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 3 matching MRF lines |
$24.96–$78.52 | $48–$151 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$54.60–$65.52 | $105–$126 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$151.32–$171.60 | $291–$330 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $41.60 | $80 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 12 matching MRF lines |
$27.04–$72.80 | $52–$140 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$139.36–$231.40 | $268–$445 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$72.28–$75.92 | $139–$146 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $59.80 | $115 | 1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $34.32 | $66 | 1.0× |
| Tone Decay Test (92563) | $44.20 | $85 | 1.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $129.48 | $249 | 3.6× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$124.28–$1,287.52 | $239–$2,476 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$378.04–$736.84 | $727–$1,417 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$136.24–$138.84 | $262–$267 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$56.16–$69.68 | $108–$134 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$47.32–$113.88 | $91–$219 | varies |
| Tympanometry (92567) range across 3 matching MRF lines |
$6.24–$39.52 | $12–$76 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $222.04 | $427 | 1.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $512.20 | $985 | 2.5× |
| Valvuloplasty aortic valve (92986) | $3,153.28 | $6,064 | 0.6× |
| Valvuloplasty mitral valve (92987) likely a partial charge, not the full procedure |
$3,264.56 | $6,278 | 0.3× |
| Valvuloplasty pulmonary valve (92990) likely a partial charge, not the full procedure |
$2,511.60 | $4,830 | 0.2× |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$32.24–$69.16 | $62–$133 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$209.04–$1,381.64 | $402–$2,657 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$150.80–$703.04 | $290–$1,352 | varies |
| Visual Field Exam Extended (92083) | $162.76 | $313 | 1.3× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $142.48 | $274 | 2.5× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $109.20 | $210 | 1.9× |
| Visual reinforcement audiometry (vra) (92579) | $100.88 | $194 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$63.96–$76.44 | $123–$147 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$40.04–$72.28 | $77–$139 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $86.84 | $167 | 2.4× |
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.