Visits & medical services prices at Weirton Medical Center

Weirton, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $116.50 $233 1.2×
Advncd Care Plan 30 Min (99497) $39.50 $79 0.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $350.50 $701 1.7×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$251.50–$466 $503–$932 varies
Analyze neurostim complex (95972) $77.50 $155 0.8×
Analyze neurostim no prog (95970) $77.50 $155 0.6×
Analyze Neurostim Simple (95971)
range across 2 matching MRF lines
$33.50–$272.50 $67–$545 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$62.50–$65.50 $125–$131 varies
Application Modality 1/> Areas Diathermy (97024) $20.50 $41 2.8×
Application Modality 1/> Areas Infrared (97026) $20.50 $41 3.1×
Application on-body injector (96377)
range across 2 matching MRF lines
$92.50–$99.50 $185–$199 varies
Audiometry Air & Bone (92553) $27.50 $55 0.2×
Basic vestibular evaluation (92540) $74.50 $149 0.4×
Biofeedback training any modality (90901) $130.50 $261 3.2×
Bis Xtracell Fluid Analysis (93702)
range across 2 matching MRF lines
$148–$149.50 $296–$299 varies
Brief Emotional/Behav Assmt (96127) $4.50 $9 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$611–$657 $1,222–$1,314 varies
Caloric Vstblr Test W/Rec (92537) $30.50 $61 0.2×
Canalith repositioning proc (95992) $329.50 $659 8.1×
Car seat/bed test 60 min (94780)
range across 2 matching MRF lines
$91–$98 $182–$196 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$611–$611.50 $1,222–$1,223 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$611–$657 $1,222–$1,314 varies
Cardioversion (92960)
range across 3 matching MRF lines
$1,297.50–$1,395 $2,595–$2,790 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $43.50 $87 1.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,197 $14,394 2.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 2 matching MRF lines
$6,695–$7,197 $13,390–$14,394 varies
Cbt 1st hour (94644) $408.50 $817 3.2×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$143–$153.50 $286–$307 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$143–$153.50 $286–$307 varies
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$153.50–$429 $307–$858 varies
Chemo IV push addl drug (96411)
range across 2 matching MRF lines
$153.50–$286 $307–$572 varies
Chemother Prolong Infuse W/Pump (96416)
range across 3 matching MRF lines
$718–$772 $1,436–$1,544 varies
Chemotherapy Into Cns (96450) $686.50 $1,373 2.2×
Chemotherapy Unspecified (96549) $128.50 $257 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 2 matching MRF lines
$143–$153.50 $286–$307 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$718–$772 $1,436–$1,544 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines
$469.50–$504.50 $939–$1,009 varies
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$258.50–$278 $517–$556 varies
Chron Care Mgmt Srvc 20 Min (99490) $30.50 $61 0.3×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $67 $134 1.2×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$555.50–$558 $1,111–$1,116 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$269–$289 $538–$578 varies
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$27.50–$148 $55–$296 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $103.50 $207 0.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $41.50 $83 0.7×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$322.50–$346.50 $645–$693 varies
Coronary Art/Grft Angio S&I (93455)
range across 2 matching MRF lines
$6,695–$7,197 $13,390–$14,394 varies
Coronary Artery Angio S&I (93454)
range across 2 matching MRF lines
$6,695–$7,197 $13,390–$14,394 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$433.50–$466 $867–$932 varies
Cpt initial (94667) $278 $556 2.2×
Critical care first hour (99291)
range across 3 matching MRF lines
$1,754–$1,841.50 $3,508–$3,683 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$223.50–$414.50 $447–$829 varies
Dialysis One Evaluation (90945) $492.50 $985 1.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$716.50–$770 $1,433–$1,540 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$555.50–$558 $1,111–$1,116 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$269–$289 $538–$578 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$555.50–$558 $1,111–$1,116 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$277.50–$303.50 $555–$607 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $613.50 $1,227 2.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $329 $658 3.3×
Duplex Scan Hemodialysis Access (93990) $345 $690 3.4×
Duplex up extrem art bilat (93930)
range across 3 matching MRF lines
$555.50–$558 $1,111–$1,116 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$269–$289 $538–$578 varies
Echo Congenital Complete (93303) $617 $1,234 1.2×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$580.50–$1,175.50 $1,161–$2,351 varies
Echo transesophageal (93312)
range across 4 matching MRF lines
$94–$1,219.50 $188–$2,439 varies
Echo Transesophageal - Congenital Tee Complete (93315) $628 $1,256 1.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$617–$663.50 $1,234–$1,327 varies
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$611–$657 $1,222–$1,314 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$611–$657 $1,222–$1,314 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$611–$657 $1,222–$1,314 varies
EEG cerebral death evaluation (95824) $597 $1,194 1.7×
EEG cont rec w/video by tech min 8 channels (95700) $176 $352 0.8×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$611–$657 $1,222–$1,314 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $350.50 $701 1.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $350.50 $701 1.7×
EEG wo vid ea 12-26hr unmntr (95708) $597 $1,194 1.7×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$49–$98 $98–$196 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$134–$144 $268–$288 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$319.50–$387.50 $639–$775 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$561–$583.50 $1,122–$1,167 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$882–$948.50 $1,764–$1,897 varies
Emg 3 Extremities (95863) $436 $872 3.5×
Emg 4 Extremities (95864) $322.50 $645 2.6×
Er level 1 (99281)
range across 2 matching MRF lines
$186–$204 $372–$408 varies
Er level v (99285)
range across 3 matching MRF lines
$1,266–$1,754 $2,532–$3,508 varies
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$251.50–$466 $503–$932 varies
Evaluate Speech Production (92522) $119.50 $239 1.1×
Evaluate Swallowing Function (92610) $190 $380 2.2×
Evaluation of speech fluency (92521) $361.50 $723 2.7×
Evoked Auditory Test,Limited (92587) $527.50 $1,055 2.5×
Exercise test for bronchospasm (94617) $356 $712 2.8×
External ECG rec>48hr<7d recording (93242) $237.50 $475 6.6×
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines
$132.50–$142.50 $265–$285 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$555.50–$597 $1,111–$1,194 varies
Extracranial Uni/Ltd Study (93882) $284 $568 2.8×
Gi tract capsule endoscopy (91110) $966 $1,932 1.1×
Group Therapeutic Procedures (97150) $90.50 $181 5.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,695 $13,390 2.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,511 $3,022 2.3×
Holter monitor recording (93225) $258.50 $517 2.0×
Icd Device Interrogate (93289) $47.50 $95 1.3×
Icd device progr eval dual (93283) $59.50 $119 1.7×
Icd Device Progr Eval Mult (93284) $65 $130 1.8×
Icm Device Eval (93290) $23 $46 0.6×
Ilr Device Eval Progr (93285) $30 $60 0.8×
Ilr Device Interrogate (93291) $26 $52 0.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $37 $74 0.5×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $29.50 $59 0.5×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $29.50 $59 0.5×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $19.50 $39 0.5×
Immunization administration (90471)
range across 3 matching MRF lines
$9.50–$176.50 $19–$353 varies
Insert/Place Heart Catheter (93503) $1,809.50 $3,619 1.2×
Interrogate Subq Defib (93261) $42 $84 1.2×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$64–$67 $128–$134 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$128.50–$138 $257–$276 varies
IV infusion hydration each additional hour (96361)
range across 5 matching MRF lines
$109–$2,519 $218–$5,038 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$447–$469.50 $894–$939 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$192.50–$202 $385–$404 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$145–$610 $290–$1,220 varies
IV push initial (96374) $517 $1,034 2.5×
L Hrt Art/Grft Angio (93459)
range across 2 matching MRF lines
$6,695–$7,197 $13,390–$14,394 varies
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$216–$232 $432–$464 varies
Lwr Xtr Vasc Stdy Bilat (93924) $248 $496 1.2×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,632 $3,264 1.2×
Mechanical chest wall oscillation per session (94669) $251.50 $503 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$87.50–$94 $175–$188 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines
$103–$412 $206–$824 varies
Methacholine challenge (94070) $611 $1,222 1.7×
Motion Fluoroscopy/Swallow (92611) $278.50 $557 3.0×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $449 $898 1.0×
Multiple Sleep Latency Test (95805) $2,079 $4,158 2.5×
Muscle Test 2 Limbs (95861) $611 $1,222 4.8×
Muscle Test One Limb (95860) $611 $1,222 4.8×
Nasopharyngoscopy (92511) $218.50 $437 1.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $350.50 $701 1.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $350.50 $701 1.7×
Needle electromyography larynx (95865) $145 $290 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $37.50 $75 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$414.50–$445.50 $829–$891 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $449.50 $899 1.2×
Nerve Conduction Studies 1-2 Studies (95907)
range across 3 matching MRF lines
$176–$346.50 $352–$693 varies
Nerve Conduction Studies 11-12 Studies (95912) $1,094.50 $2,189 3.1×
Nerve conduction studies 13 or more studies (95913)
range across 3 matching MRF lines
$597–$1,211 $1,194–$2,422 varies
Nerve Conduction Studies 3-4 Studies (95908) $657 $1,314 3.2×
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$611–$657 $1,222–$1,314 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$859–$923.50 $1,718–$1,847 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$995.50–$1,070 $1,991–$2,140 varies
Neurobehavioral Status Exam (96116) $77.50 $155 0.4×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $176 $352 1.4×
Neuromuscular Reeducation (97112)
range across 5 matching MRF lines
$92.50–$277.50 $185–$555 varies
Oral Function Therapy (92526) $224.50 $449 2.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $79 $158 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $88 $176 1.9×
Ot eval high complexity (97167) $270 $540 2.7×
Ot Eval Low Complex (97165) $250.50 $501 2.5×
Ot Eval Moderate Complexity (97166) $257.50 $515 2.6×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$80–$84 $160–$168 varies
Ot paraffin bath (97018) $47.50 $95 7.9×
Ot Re-Eval Est Plan Care (97168) $190 $380 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$268–$288 $536–$576 varies
Patch/Application Test Specify Number Tests (95044) $4 $8 0.0×
Peripheral arterial disease rehab per session (93668) $138 $276 2.4×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $29,710 $59,420 1.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,939.50 $23,879 2.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $24,725 $49,450 2.2×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$258.50–$278 $517–$556 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626)
range across 2 matching MRF lines
$139–$149.50 $278–$299 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 2 matching MRF lines
$139–$149.50 $278–$299 varies
Physical Performance Test (97750)
range across 3 matching MRF lines
$123–$984 $246–$1,968 varies
Pm device eval in person (93288) $36.50 $73 1.0×
Pm device progr eval dual (93280) $42.50 $85 1.2×
Pm device progr eval multi (93281) $49 $98 1.4×
Pm Device Progr Eval Sngl (93279) $36 $72 1.0×
Pm/Icd Remote Tech Serv (93296) $19 $38 0.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$2,124.50–$2,284 $4,249–$4,568 varies
Polysom <6 yrs 4/> paramtrs (95782) $2,284 $4,568 2.8×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,124.50 $4,249 2.6×
Positional nystagmus test (92542) $19.50 $39 0.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $46 $92 1.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $10 $20 0.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $14 $28 0.3×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$24,496.50–$25,721.50 $48,993–$51,443 varies
Prq Card Stent/Ath/Angio (92933) $42,603 $85,206 2.4×
Prq Revasc Byp Graft 1 Vsl (92937) $24,496.50 $48,993 2.2×
Pt Eval High Complex (97163)
range across 3 matching MRF lines
$261–$274 $522–$548 varies
Pt eval low complex 20 min (97161)
range across 3 matching MRF lines
$261–$274 $522–$548 varies
Pt Eval Mod Complex (97162)
range across 3 matching MRF lines
$261–$274 $522–$548 varies
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$79.50–$83.50 $159–$167 varies
Pt mechanical traction (97012)
range across 3 matching MRF lines
$46.50–$49 $93–$98 varies
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$175.50–$184.50 $351–$369 varies
Pulm function test by gas (94727)
range across 2 matching MRF lines
$322.50–$346.50 $645–$693 varies
Pulmonary service/procedure (94799) $322.50 $645 2.6×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$258.50–$278 $517–$556 varies
Pure Tone Audiometry Air (92552) $23.50 $47 0.2×
R Hrt Art/Grft Angio (93457) $3,076 $6,152 1.0×
R hrt coronary artery angio (93456) $7,197 $14,394 2.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,076 $6,152 1.0×
Rem interrog icpms <30 d phys/qhp (93297) $20.50 $41 0.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $26 $52 0.7×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $42 $84 1.2×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $43 $86 1.2×
Remote 30 Day Ecg Rev/Report (93270) $83.50 $167 2.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $156.50 $313 2.8×
Right Heart Cath (93451) $5,534 $11,068 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$223.50–$265.50 $447–$531 varies
Self Care Mngment Training (97535) $89.50 $179 2.8×
Sensory Integration Ea 15 Min (97533) $132 $264 2.2×
Sleep study unattended (95806)
range across 2 matching MRF lines
$322.50–$346.50 $645–$693 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $248 $496 1.2×
Speech Audiometry Complete (92556) $27 $54 0.5×
Speech audiometry threshold (92555) $17.50 $35 0.3×
Speech sound lang comprehen (92523) $622.50 $1,245 2.7×
Spin/Brain Pump Refil & Main (95991) $624 $1,248 2.1×
Spirometry (94010)
range across 2 matching MRF lines
$322.50–$346.50 $645–$693 varies
Spontaneous Nystagmus Test (92541) $47 $94 0.4×
Stress Tte Only (93350) $1,115 $2,230 2.1×
Temp transcutaneous pacing (92953) $1,297.50 $2,595 2.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $64 $128 2.9×
Ther Ivntj Ea Addl 15 Min (97130) $62 $124 2.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $111 $222 3.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $78 $156 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $299 $598 2.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$202–$404 $404–$808 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$492.50–$517 $985–$1,034 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$102–$107 $204–$214 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 3 matching MRF lines
$1,126.50–$1,211 $2,253–$2,422 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $43 $86 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$10.50–$42 $21–$84 varies
Trans Care Mgmt 14 Day Disch (99495) $151 $302 1.2×
Trans Care Mgmt 7 Day Disch (99496) $215 $430 1.7×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$1,115–$1,659.50 $2,230–$3,319 varies
Tte W/O Doppler Complete (93307) $274 $548 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $231.50 $463 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$152.50–$457.50 $305–$915 varies
Tympanometry (92567) $20 $40 0.6×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$249.50–$272 $499–$544 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$258.50–$278 $517–$556 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $322.50 $645 1.6×
Vasopneumatic device (97016)
range across 3 matching MRF lines
$49–$51.50 $98–$103 varies
Vent Mgmt Inpat Init Day (94002)
range across 3 matching MRF lines
$1,120–$1,204 $2,240–$2,408 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$1,120–$1,204 $2,240–$2,408 varies
Visual field xm uni/bi w/interpretj limited exam (92081) $8 $16 0.1×
Wheelchair Mgmt Ea 15 Min (97542) $115.50 $231 3.7×
Whirlpool Therapy (97022) $57.50 $115 3.7×

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.