Visits & medical services prices at Wellstar Cobb Medical Center
Austell, GA · every code in this section with a posted price and a Medicare benchmark.
454 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $6,856.20 | $17,580 | 0.9× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $312.78 | $802 | 2.4× |
| Acoustic Reflex Testing (92568) | $169.26 | $434 | 4.5× |
| Actigraphy Testing Recording Analysis I&R (95803) | $89.70 | $230 | 1.5× |
| Actinotherapy Ultraviolet Light (96900) | $63.96 | $164 | 1.7× |
| Acupunct W/Stimul 15 Min (97813) | $56.16 | $144 | 1.9× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $42.90 | $110 | 1.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$16.38–$59.05 | $42–$151.42 | varies |
| Advncd Care Plan 30 Min (99497) | $123.24 | $316 | 1.2× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $241.41 | $619 | 1.1× |
| Aep neurodiagnostic i&r (92653) | $379.08 | $972 | 1.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $379.08 | $972 | 1.7× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$188.76–$379.08 | $484–$972 | varies |
| Airway resistance by oscillometry (94728) | $484.38 | $1,242 | 3.7× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $41.34 | $106 | 1.1× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $41.34 | $106 | 1.4× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $174.33 | $447 | 1.3× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $161.46 | $414 | 1.2× |
| Analyze neurostim complex (95972) | $1,743.30 | $4,470 | 18.1× |
| Analyze neurostim no prog (95970) | $567.06 | $1,454 | 4.2× |
| Analyze Neurostim Simple (95971) | $1,692.21 | $4,339 | 17.5× |
| Analyze Pacemaker System (93724) | $360.75 | $925 | 1.2× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $106.86 | $274 | 0.5× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $49.92 | $128 | 1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $58.11 | $149 | 4.0× |
| Application Modality 1/> Areas Diathermy (97024) | $50.31 | $129 | 6.8× |
| Application on-body injector (96377) | $78.78 | $202 | 1.7× |
| Arrhythmia Induction (93618) | $2,753.40 | $7,060 | 2.2× |
| Assessment of aphasia per hr (96105) | $195 | $500 | 2.0× |
| Assessment of tinnitus (92625) | $181.74 | $466 | 1.4× |
| Assmt & care planning pt w/cognitive impairment (99483) | $99.06 | $254 | 1.0× |
| Audiometry Air & Bone (92553) | $134.16 | $344 | 1.0× |
| Basic vestibular evaluation (92540) | $187.20 | $480 | 0.9× |
| Behavral qualit analys voice (92524) | $244.14 | $626 | 2.2× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $129.87 | $333 | 1.6× |
| Bfb training ea addl 15 min (90913) | $92.82 | $238 | 2.8× |
| Biofeedback training any modality (90901) | $72.93 | $187 | 1.8× |
| Bis Xtracell Fluid Analysis (93702) | $212.55 | $545 | 1.6× |
| Blink reflex test (95933) | $127.14 | $326 | 2.1× |
| Breath hydrogen/methane test (91065) | $459.81 | $1,179 | 2.1× |
| Brief Emotional/Behav Assmt (96127) | $43.29 | $111 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $731.64 | $1,876 | 1.9× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$2,873.13 | $7,367 | 0.4× |
| C motor evoked uppr limbs (95928) | $670.02 | $1,718 | 0.8× |
| C motor evoked upr&lwr limbs (95939) | $670.02 | $1,718 | 0.8× |
| Canalith repositioning proc (95992) | $241.02 | $618 | 5.9× |
| Car seat/bed test 60 min (94780) | $232.05 | $595 | 6.1× |
| Cardiac Stress Tst,Tracing Only (93017) range across 7 matching MRF lines |
$58.50–$1,275.30 | $150–$3,270 | varies |
| Cardiopulmonary exercise testing (94621) | $807.30 | $2,070 | 2.1× |
| Cardiopulmonary resuscitation (92950) | $904.80 | $2,320 | 4.1× |
| Cardioversion (92960) | $2,476.89 | $6,351 | 3.7× |
| Cardioversion elective internal (92961) | $1,501.11 | $3,849 | 2.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $32.76 | $84 | 1.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $11,036.61 | $28,299 | 3.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,933.30 | $25,470 | 3.0× |
| Cbt 1st hour (94644) | $975.78 | $2,502 | 7.2× |
| Chemo Admin Peritoneal Cavity (96446) | $437.19 | $1,121 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $495.69 | $1,271 | 6.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $442.26 | $1,134 | 6.0× |
| Chemo Ia Push (96420) | $618.93 | $1,587 | 1.8× |
| Chemo Intralesional Over 7 (96406) | $757.38 | $1,942 | 3.5× |
| Chemo intralesional up to 7 (96405) | $618.93 | $1,587 | 8.5× |
| Chemo IV infusion addl hr (96415) | $198.51 | $509 | 2.7× |
| Chemo IV push addl drug (96411) | $395.46 | $1,014 | 5.4× |
| Chemother Prolong Infuse W/Pump (96416) | $714.87 | $1,833 | 2.1× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $604.89 | $1,551 | 1.8× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $198.51 | $509 | 4.2× |
| Chemotherapy Into Cns (96450) | $437.19 | $1,121 | 1.3× |
| Chemotherapy Intracavitary (96440) | $437.19 | $1,121 | 1.3× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $570.57 | $1,463 | 1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $456.30 | $1,170 | 6.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $695.37 | $1,783 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $437.19 | $1,121 | 1.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $482.04 | $1,236 | 1.4× |
| Chest Wall Manipulation (94668) | $401.31 | $1,029 | 3.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $145.86 | $374 | 1.4× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,454.31 | $3,729 | 3.8× |
| Cmptr ophth dx img ant segmt (92132) | $79.17 | $203 | 1.3× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$97.50–$776.49 | $250–$1,991 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$97.50–$278.07 | $250–$713 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $59.28 | $152 | 1.8× |
| Comprehensive Hearing Test (92557) | $394.29 | $1,011 | 3.0× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $79.56 | $204 | 1.3× |
| Computerized Ophthalmic Imaging Retina (92134) | $79.56 | $204 | 1.3× |
| Conditioning Play Audiometry (92582) | $189.15 | $485 | 1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $56.16 | $144 | 0.4× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $73.32 | $188 | 1.2× |
| Continuous Pulse Ox (94762) | $394.29 | $1,011 | 3.0× |
| Corneal Topography (92025) | $111.93 | $287 | 1.9× |
| Coronary Art/Grft Angio S&I (93455) | $6,590.61 | $16,899 | 2.0× |
| Coronary Artery Angio S&I (93454) | $5,981.82 | $15,338 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,653.60 | $4,240 | 7.4× |
| Cpt initial (94667) | $514.41 | $1,319 | 3.8× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$2,308.02–$5,251.74 | $5,918–$13,466 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $571.74 | $1,466 | 1.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $852.93 | $2,187 | 4.2× |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $241.80 | $620 | 1.2× |
| Developmental tst admin phys/qhp 1st hour (96112) | $393.12 | $1,008 | 3.0× |
| Dialysis One Evaluation (90945) | $827.97 | $2,123 | 2.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $514.80 | $1,320 | 1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$97.50–$643.50 | $250–$1,650 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$97.50–$222.30 | $250–$570 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$97.50–$326.82 | $250–$838 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$97.50–$708.63 | $250–$1,817 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$97.50–$474.63 | $250–$1,217 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$97.50–$984.75 | $250–$2,525 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$97.50–$633.36 | $250–$1,624 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,034.28 | $2,652 | 4.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $689.91 | $1,769 | 6.5× |
| Duplex Scan Hemodialysis Access (93990) | $752.70 | $1,930 | 7.1× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$97.50–$688.74 | $250–$1,766 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$97.50–$469.17 | $250–$1,203 | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $268.71 | $689 | 1.2× |
| ECG/monitoring and analysis (93271) | $120.12 | $308 | 1.2× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$171.60–$1,220.31 | $440–$3,129 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$100.62–$615.42 | $258–$1,578 | varies |
| Echo r-t 2d w/probe placement only (93313) | $405.60 | $1,040 | 0.7× |
| Echo transesophag montr cardiac pump functj (93318) | $1,093.17 | $2,803 | 2.0× |
| Echo transesophageal (93312) | $1,404 | $3,600 | 2.5× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $923.13 | $2,367 | 1.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$195–$1,196.13 | $500–$3,067 | varies |
| Eeg 41-60 Minutes (95812) | $934.05 | $2,395 | 4.3× |
| EEG awake and asleep (95819) | $937.95 | $2,405 | 4.3× |
| EEG awake drowsy (95816) | $861.12 | $2,208 | 3.9× |
| EEG cerebral death evaluation (95824) | $1,203.15 | $3,085 | 3.2× |
| EEG cont rec w/video by tech min 8 channels (95700) | $441.09 | $1,131 | 2.0× |
| EEG extended monitoring 61-119 minutes (95813) | $1,279.20 | $3,280 | 5.8× |
| Eeg Sleep Only (95822) | $1,215.63 | $3,117 | 5.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $441.09 | $1,131 | 2.0× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,233.96 | $3,164 | 5.6× |
| EEG w/o vid ea 12-26hr intmt (95709) | $3,530.67 | $9,053 | 9.3× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $3,530.67 | $9,053 | 9.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,233.96 | $3,164 | 5.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $3,530.67 | $9,053 | 9.3× |
| EKG signal averaged (93278) | $813.93 | $2,087 | 13.6× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $73.71 | $189 | 0.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $340.47 | $873 | 3.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $107.64 | $276 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) | $92.43 | $237 | 6.3× |
| Electrocardiogram Tracing (93005) | $305.76 | $784 | 5.1× |
| Electrocochleography (92584) | $427.44 | $1,096 | 3.3× |
| Electroconvulsive Therapy (90870) | $4,517.37 | $11,583 | 5.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,384.81 | $8,679 | 0.4× |
| Electrophysiology Evaluation (93642) | $3,911.70 | $10,030 | 3.2× |
| Emergency Dept Visit Level 2 (99282) | $341.25 | $875 | 2.2× |
| Emergency Dept Visit Level 3 (99283) | $643.50 | $1,650 | 2.3× |
| Emergency Dept Visit Level 4 (99284) | $875.16 | $2,244 | 2.1× |
| Emg 3 Extremities (95863) | $888.81 | $2,279 | 6.8× |
| Emg 4 Extremities (95864) | $1,228.89 | $3,151 | 9.4× |
| Endomyocardial Biopsy (93505) | $4,466.67 | $11,453 | 1.4× |
| Ep & ablate supravent arrhyt (93653) | $20,039.37 | $51,383 | 0.8× |
| Ep & ablate ventric tachy (93654) | $20,039.37 | $51,383 | 0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,683.78 | $19,702 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,675.71 | $11,989 | 0.6× |
| Er level 1 (99281) | $224.25 | $575 | 2.6× |
| Er level v (99285) range across 5 matching MRF lines |
$1,204.71–$4,258.80 | $3,089–$10,920 | varies |
| Esophageal Capsule Endoscopy (91111) | $1,545.57 | $3,963 | 1.7× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $613.86 | $1,574 | 1.6× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $603.72 | $1,548 | 1.6× |
| Evaluate pt use of inhaler (94664) | $229.32 | $588 | 1.0× |
| Evaluate Speech Production (92522) | $244.14 | $626 | 2.2× |
| Evaluate Swallowing Function (92610) | $244.14 | $626 | 2.9× |
| Evaluation of speech fluency (92521) | $244.14 | $626 | 1.8× |
| Evoked Auditory Test,Limited (92587) | $340.47 | $873 | 1.6× |
| Exercise test for bronchospasm (94617) | $424.32 | $1,088 | 3.1× |
| External ECG rec>48hr<7d recording (93242) | $58.50 | $150 | 1.5× |
| External ECG rec>7d<15d recording (93246) | $96.72 | $248 | 2.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $63.57 | $163 | 0.5× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$212.94–$584.22 | $546–$1,498 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$97.50–$1,387.23 | $250–$3,557 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$97.50–$809.25 | $250–$2,075 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$171.60–$585.39 | $440–$1,501 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $330.33 | $847 | 1.7× |
| Fluorescein angiography (92235) | $194.22 | $498 | 0.9× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $882.18 | $2,262 | 4.0× |
| Full Field Electroretinography W/I&R (92273) | $393.12 | $1,008 | 1.8× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,265.90 | $5,810 | 2.6× |
| Fundus photography (92250) | $214.50 | $550 | 1.6× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $4,235.01 | $10,859 | 11.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $733.20 | $1,880 | 3.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $613.86 | $1,574 | 0.7× |
| Gi tract capsule endoscopy (91110) | $3,224.91 | $8,269 | 3.5× |
| Gi wireless capsule measure (91112) | $1,049.49 | $2,691 | 1.1× |
| Gonioscopy (92020) | $145.86 | $374 | 1.1× |
| Group Therapeutic Procedures (97150) | $63.57 | $163 | 3.5× |
| Health Behavior Assessment/Re-Assessment (96156) | $350.22 | $898 | 3.4× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $350.22 | $898 | 9.2× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $350.22 | $898 | 9.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $350.22 | $898 | 1.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $11,645.40 | $29,860 | 3.5× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $154.05 | $395 | 1.1× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$269.49–$461.76 | $691–$1,184 | varies |
| Icd Device Interrogate (93289) | $107.25 | $275 | 2.8× |
| Icd device progr eval dual (93283) | $83.85 | $215 | 2.2× |
| Icd Device Progr Eval Mult (93284) | $90.48 | $232 | 2.4× |
| Icm Device Eval (93290) | $74.49 | $191 | 2.0× |
| Ilr Device Eval Progr (93285) | $62.40 | $160 | 1.6× |
| Ilr Device Interrogate (93291) | $124.80 | $320 | 4.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$9.67–$62.79 | $24.80–$161 | varies |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $76.05 | $195 | 1.3× |
| Immunization administration (90471) range across 10 matching MRF lines |
$9.67–$62.79 | $24.80–$161 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $854.88 | $2,192 | 2.3× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $746.46 | $1,914 | 2.0× |
| Insert/Place Heart Catheter (93503) | $1,954.68 | $5,012 | 1.2× |
| Interrogate Subq Defib (93261) | $44.46 | $114 | 1.2× |
| Interrogation vad in person (93750) | $324.87 | $833 | 3.4× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$2,873.13 | $7,367 | 0.4× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$2,873.13 | $7,367 | 0.4× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$97.50–$1,652.43 | $250–$4,237 | varies |
| Intracutaneous tests w/allergenic extracts (95024) | $87.75 | $225 | 1.5× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$2,873.13 | $7,367 | 0.4× |
| Io anal gast n-stim subsq (95981) | $187.20 | $480 | 3.1× |
| Io ga n-stim subsq w/reprog (95982) | $305.76 | $784 | 8.1× |
| Iontophoresis 15 min (97033) | $78.39 | $201 | 4.1× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$106.47–$329.16 | $273–$844 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$51.87–$110.76 | $133–$284 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$290.16–$427.05 | $744–$1,095 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$120.90–$427.05 | $310–$1,095 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$51.87–$106.47 | $133–$272.99 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$266.21–$306.54 | $682.58–$786 | varies |
| L Hrt Art/Grft Angio (93459) | $10,540.92 | $27,028 | 3.2× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $4,048.20 | $10,380 | 1.2× |
| Laryngeal Function Studies (92520) | $708.63 | $1,817 | 5.2× |
| Liver Elastography W/O Imag W/I&R (91200) | $258.18 | $662 | 2.0× |
| Low frequency non-thermal us (97610) | $272.22 | $698 | 1.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $182.91 | $469 | 3.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$97.50–$1,104.09 | $250–$2,831 | varies |
| Mechanical chest wall oscillation per session (94669) | $566.28 | $1,452 | 2.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $36.27 | $93 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $36.27 | $93 | 1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $33.54 | $86 | 2.0× |
| Methacholine challenge (94070) | $875.94 | $2,246 | 2.3× |
| Microvolt T-Wave Assess (93025) | $785.46 | $2,014 | 6.0× |
| Motility study esophagus (91010) | $2,431.26 | $6,234 | 6.4× |
| Motion Fluoroscopy/Swallow (92611) | $334.23 | $857 | 3.7× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $337.74 | $866 | 0.7× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$468–$1,531.14 | $1,200–$3,926 | varies |
| Muscle Test 2 Limbs (95861) | $622.83 | $1,597 | 4.6× |
| Muscle Test Hemidiaphragm (95866) | $121.68 | $312 | 0.9× |
| Muscle Test Nonparaspinal (95870) | $163.41 | $419 | 1.2× |
| Muscle Test One Limb (95860) | $436.02 | $1,118 | 3.2× |
| Nasopharyngoscopy (92511) | $595.14 | $1,526 | 2.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $565.89 | $1,451 | 2.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $377.52 | $968 | 1.7× |
| Needle electromyography larynx (95865) | $317.07 | $813 | 2.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $184.86 | $474 | 0.8× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $273 | $700 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$473.85–$695.37 | $1,215–$1,783 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $689.91 | $1,769 | 1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $211.38 | $542 | 1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $352.56 | $904 | 0.9× |
| Nerve Conduction Studies 1-2 Studies (95907) | $878.28 | $2,252 | 4.0× |
| Nerve Conduction Studies 11-12 Studies (95912) | $3,110.64 | $7,976 | 8.2× |
| Nerve conduction studies 13 or more studies (95913) | $3,572.01 | $9,159 | 9.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,756.17 | $4,503 | 8.0× |
| Nerve conduction studies 5-6 studies (95909) | $2,633.67 | $6,753 | 12.0× |
| Nerve conduction studies 7-8 studies (95910) | $3,510.78 | $9,002 | 9.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $4,387.50 | $11,250 | 11.6× |
| Neurobehavioral Status Exam (96116) | $556.14 | $1,426 | 2.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $484.77 | $1,243 | 3.7× |
| Neuromuscular Reeducation (97112) | $88.14 | $226 | 2.7× |
| Newborn resuscitation (99465) | $1,819.74 | $4,666 | 2.7× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $380.64 | $976 | 1.0× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$417.30–$652.86 | $1,070–$1,674 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $88.53 | $227 | 0.7× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $146.64 | $376 | 1.1× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $113.10 | $290 | 0.8× |
| Ophth medical xm&eval intermediate estab pt (92012) | $161.46 | $414 | 1.2× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $162.24 | $416 | 1.2× |
| Oral Function Therapy (92526) | $129.87 | $333 | 1.5× |
| Oral Speech Device Eval (92597) | $193.44 | $496 | 2.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $68.25 | $175 | 1.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $60.06 | $154 | 1.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $55.77 | $143 | 2.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $46.80 | $120 | 2.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $46.80 | $120 | 2.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $101.40 | $260 | 4.6× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $95.16 | $244 | 4.3× |
| Ot eval high complexity (97167) | $152.49 | $391 | 1.5× |
| Ot Eval Low Complex (97165) | $149.37 | $383 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $150.54 | $386 | 1.5× |
| Ot manual therapy 15 min (97140) | $97.50 | $250 | 3.5× |
| Ot paraffin bath (97018) | $62.01 | $159 | 10.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $99.45 | $255 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) | $96.33 | $247 | 1.4× |
| Ot rom hand (95852) | $165.36 | $424 | 7.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 4 matching MRF lines |
$97.50–$686.40 | $250–$1,760 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 5 matching MRF lines |
$20.28–$138.45 | $52–$355 | varies |
| Oxygen Uptake Rest Indirect (94690) | $521.04 | $1,336 | 8.7× |
| Patch/Application Test Specify Number Tests (95044) | $39 | $100 | 0.0× |
| Patient-initiated spirometric recording (94015) | $338.52 | $868 | 1.5× |
| Pdt dstr prmlg les phys/qhp (96573) | $241.80 | $620 | 1.2× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $282.36 | $724 | 1.4× |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$97.50–$192.66 | $250–$494 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $697.32 | $1,788 | 3.1× |
| Percutaneous tests w/allergenic extracts (95004) | $53.43 | $137 | 0.1× |
| Peripheral arterial disease rehab per session (93668) | $183.30 | $470 | 3.1× |
| Perq transcath closure pda (93582) | $13,110.63 | $33,617 | 0.7× |
| Perq Transcath Cls Aortic (93591) | $22,633.26 | $58,034 | 1.2× |
| Perq Transcath Cls Mitral (93590) | $22,633.26 | $58,034 | 1.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $4,644.51 | $11,909 | 0.8× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $14,749.41 | $37,819 | 1.3× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$100.23–$695.37 | $257–$1,783 | varies |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) | $495.30 | $1,270 | 1.2× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $56.94 | $146 | 1.0× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $58.11 | $149 | 1.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $133.77 | $343 | 2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $133.77 | $343 | 2.2× |
| Physical Performance Test (97750) | $49.92 | $128 | 1.5× |
| Plethysmography (94726) | $532.35 | $1,365 | 1.4× |
| Pm device eval in person (93288) | $124.80 | $320 | 3.3× |
| Pm device progr eval dual (93280) | $109.20 | $280 | 2.9× |
| Pm device progr eval multi (93281) | $67.47 | $173 | 1.8× |
| Pm Device Progr Eval Sngl (93279) | $102.96 | $264 | 2.7× |
| Pm/Icd Remote Tech Serv (93296) | $74.49 | $191 | 2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$468–$3,343.86 | $1,200–$8,574 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,557.58 | $9,122 | 4.1× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,557.58 | $9,122 | 4.1× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,203.93 | $3,087 | 1.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $44.46 | $114 | 1.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $67.08 | $172 | 1.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $51.48 | $132 | 1.1× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $37.44 | $96 | 0.8× |
| Prq Card Angio/Athrect 1 Art (92924) | $7,809.36 | $20,024 | 0.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $9,761.70 | $25,030 | 0.8× |
| Prq Card Stent/Ath/Angio (92933) | $11,115.78 | $28,502 | 0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $10,496.07 | $26,913 | 0.9× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $13,110.63 | $33,617 | 0.7× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) unusually low: confirm this is the full procedure |
$5,026.71 | $12,889 | 0.4× |
| Psych diag eval w/med srvcs (90792) | $198.12 | $508 | 1.1× |
| Psychiatric diagnostic evaluation (90791) | $536.25 | $1,375 | 3.0× |
| Psychological tst eval svc phys/qhp first hour (96130) | $228.93 | $587 | 1.0× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $371.67 | $953 | 0.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $286.26 | $734 | 2.1× |
| Psytx Crisis Initial 60 Min (90839) | $536.25 | $1,375 | 3.0× |
| Pt Eval High Complex (97163) | $146.25 | $375 | 1.5× |
| Pt eval low complex 20 min (97161) | $126.75 | $325 | 1.3× |
| Pt Eval Mod Complex (97162) | $136.50 | $350 | 1.4× |
| Pt gait training 15 min (97116) | $83.07 | $213 | 2.9× |
| Pt group caregiver training (97552) | $30.03 | $77 | 1.4× |
| Pt mechanical traction (97012) | $78.39 | $201 | 5.5× |
| Pt Re-Eval Est Plan Care (97164) | $107.25 | $275 | 1.6× |
| Pulm function test by gas (94727) | $574.86 | $1,474 | 2.6× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$179.01–$424.32 | $459–$1,088 | varies |
| Pure Tone Audiometry Air (92552) | $81.12 | $208 | 0.6× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $53.82 | $138 | 2.3× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $82.68 | $212 | 2.4× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $30.42 | $78 | 2.5× |
| R Hrt Art/Grft Angio (93457) | $9,172.02 | $23,518 | 2.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $4,880.85 | $12,515 | 1.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $4,880.85 | $12,515 | 1.5× |
| R hrt coronary artery angio (93456) | $8,563.62 | $21,958 | 2.6× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $4,880.85 | $12,515 | 1.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $4,880.85 | $12,515 | 1.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,832.72 | $22,648 | 2.7× |
| Rapid Desensitization Procedure Each Hour (95180) | $605.67 | $1,553 | 1.3× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $422.37 | $1,083 | 1.3× |
| Refill/Maint Portable Pump (96521) | $712.14 | $1,826 | 3.3× |
| Refill/Maint Pump/Resvr Syst (96522) | $460.98 | $1,182 | 2.1× |
| Rem interrog icpms <30 d phys/qhp (93297) | $45.63 | $117 | 1.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $45.63 | $117 | 1.2× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $50.70 | $130 | 1.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $153.27 | $393 | 1.1× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$48.36–$63.18 | $124–$162 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $390 | $1,000 | 1.0× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $386.88 | $992 | 1.8× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $386.88 | $992 | 1.8× |
| Respiratory flow volume loop (94375) | $467.61 | $1,199 | 2.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $118.56 | $304 | 2.0× |
| Right Heart Cath (93451) | $4,786.86 | $12,274 | 1.5× |
| Right ventricular recording (93603) | $625.56 | $1,604 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $199.68 | $512 | 1.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $186.03 | $477 | 7.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $245.31 | $629 | 2.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $114.66 | $294 | 2.4× |
| Self Care Mngment Training (97535) | $83.46 | $214 | 2.6× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $64.35 | $165 | 1.1× |
| Sensory Integration Ea 15 Min (97533) | $48.75 | $125 | 0.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $1,316.25 | $3,375 | 6.0× |
| Short-latency somatosens ep std upr limbs (95925) | $2,475.72 | $6,348 | 11.3× |
| Sleep study attended (95807) | $1,237.08 | $3,172 | 3.3× |
| Sleep study unattended (95806) | $430.95 | $1,105 | 2.0× |
| Slp caregiver training 1st 30 min (97550) | $70.98 | $182 | 1.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$97.50–$430.95 | $250–$1,105 | varies |
| Somatosensory Testing (95938) | $3,985.41 | $10,219 | 4.6× |
| Speech Audiometry Complete (92556) | $172.77 | $443 | 2.9× |
| Speech audiometry threshold (92555) | $130.26 | $334 | 2.2× |
| Speech sound lang comprehen (92523) | $244.14 | $626 | 1.1× |
| Spin/Brain Pump Refil & Main (95991) | $366.60 | $940 | 1.2× |
| Spirometry (94010) | $415.35 | $1,065 | 1.9× |
| Ssep lower limbs (95926) | $2,308.02 | $5,918 | 10.5× |
| Standardized Cognitive Performance Testing (96125) | $140.01 | $359 | 1.4× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$171.60–$2,299.44 | $440–$5,896 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $58.89 | $151 | 1.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $266.37 | $683 | 1.2× |
| Surfactant Admin Thru Tube (94610) | $358.80 | $920 | 1.6× |
| Temp transcutaneous pacing (92953) | $2,132.91 | $5,469 | 3.2× |
| Testing Autonomic Nervous System Function (95923) | $365.04 | $936 | 2.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $72.54 | $186 | 3.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $57.72 | $148 | 2.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $76.44 | $196 | 2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $83.07 | $213 | 2.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $115.05 | $295 | 1.1× |
| Ther/Proph/Diag Inj Ia (96373) | $669.24 | $1,716 | 3.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$78.78–$121.29 | $202–$311 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$291.72–$427.05 | $748–$1,095 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $389.22 | $998 | 1.8× |
| Therapeutic Activities (97530) | $78.39 | $201 | 2.2× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,488.24 | $3,816 | 3.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $43.68 | $112 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $51.87 | $133 | 1.4× |
| Tone Decay Test (92563) | $152.49 | $391 | 4.0× |
| Trans Care Mgmt 14 Day Disch (99495) | $156.78 | $402 | 1.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $156.39 | $401 | 1.2× |
| Transcath Closure of Asd (93580) | $13,110.63 | $33,617 | 0.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$97.50–$1,069.77 | $250–$2,743 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $485.55 | $1,245 | 3.7× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$171.60–$1,835.34 | $440–$4,706 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$171.60–$661.83 | $440–$1,697 | varies |
| Tx atrial fib pulm vein isol (93656) | $14,880.45 | $38,155 | 0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $172.77 | $443 | 2.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $108.81 | $279 | 4.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$125.58–$191.88 | $322–$492 | varies |
| Tympanometry (92567) | $157.95 | $405 | 4.2× |
| Tympanometry and reflex threshold measurements (92550) | $184.86 | $474 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) range across 5 matching MRF lines |
$78–$906.75 | $200–$2,325 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $608.01 | $1,559 | 20.7× |
| Unlisted Psychiatric Service/Procedure (90899) | $418.08 | $1,072 | 11.0× |
| Unlisted Special Dermatological Service/Px (96999) | $173.55 | $445 | 0.9× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$97.50–$798.33 | $250–$2,047 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$97.50–$486.33 | $250–$1,247 | varies |
| Valvuloplasty aortic valve (92986) | $4,057.56 | $10,404 | 0.7× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$5,573.10 | $14,290 | 0.5× |
| Valvuloplasty pulmonary valve (92990) | $7,809.36 | $20,024 | 0.7× |
| Vasopneumatic device (97016) | $67.86 | $174 | 5.6× |
| Veeg 2-12 Hr Cont Mntr (95713) | $841.23 | $2,157 | 2.2× |
| Veeg 2-12 hr intmt mntr (95712) | $645.06 | $1,654 | 1.7× |
| Veeg 2-12 hr unmonitored (95711) | $441.09 | $1,131 | 2.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,176.59 | $5,581 | 5.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $822.90 | $2,110 | 2.2× |
| Veeg ea 12-26hr cont mntr (95716) | $3,530.67 | $9,053 | 4.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$2,280.33–$2,465.58 | $5,847–$6,322 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$1,097.07–$2,304.51 | $2,813–$5,909 | varies |
| Visual Evoked Potential Test (95930) | $1,584.57 | $4,063 | 7.2× |
| Visual Field Exam Extended (92083) | $78 | $200 | 0.6× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $73.32 | $188 | 1.2× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $73.32 | $188 | 1.2× |
| Visual reinforcement audiometry (vra) (92579) | $189.15 | $485 | 0.9× |
| Vital capacity, total (94150) | $223.08 | $572 | 1.7× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,600.95 | $4,105 | 1.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $117.78 | $302 | 3.8× |
| Whirlpool Therapy (97022) | $84.63 | $217 | 5.4× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $424.32 | $1,088 | 7.1× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $62.40 | $160 | 1.6× |
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.