Visits & medical services prices at West Chester Hospital
West Chester, OH · every code in this section with a posted price and a Medicare benchmark.
475 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) range across 2 matching MRF lines |
$109.80–$169.20 | $183–$282 | varies |
| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) | $162.60 | $271 | 0.5× |
| Ablate Heart Dysrhythm Focus (93650) range across 3 matching MRF lines |
$5,711.40–$7,837.20 | $9,519–$13,062 | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 3 matching MRF lines |
$237–$571.20 | $395–$952 | varies |
| Acoustic Reflex Testing (92568) range across 3 matching MRF lines |
$101.40–$128.40 | $169–$214 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$510.60–$541.20 | $851–$902 | varies |
| Actinotherapy Ultraviolet Light (96900) range across 3 matching MRF lines |
$76.80–$339.60 | $128–$566 | varies |
| Acupunct W/Stimul 15 Min (97813) | $54 | $90 | 1.9× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $54 | $90 | 1.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $105 | $175 | 2.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $205.20 | $342 | 1.0× |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$369.60–$388.80 | $616–$648 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) | $369.60 | $616 | 1.8× |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$167.40–$325.20 | $279–$542 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$233.40–$285 | $389–$475 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $84.60 | $141 | 2.3× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $84 | $140 | 3.0× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$388.80–$392.40 | $648–$654 | varies |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $196.80 | $328 | 1.6× |
| Analyze neurostim complex (95972) range across 3 matching MRF lines |
$339–$1,599.60 | $565–$2,666 | varies |
| Analyze neurostim no prog (95970) range across 5 matching MRF lines |
$147–$1,329.60 | $245–$2,216 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$2,455.80–$2,608.20 | $4,093–$4,347 | varies |
| Analyze Pacemaker System (93724) range across 3 matching MRF lines |
$720.60–$1,026 | $1,201–$1,710 | varies |
| Ans parasymp & symp w/tilt (95924) | $253.80 | $423 | 1.2× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) range across 2 matching MRF lines |
$151.20–$265.20 | $252–$442 | varies |
| Ant sgm imaging w/microscopy endothelial analy (92286) range across 2 matching MRF lines |
$276.60–$278.40 | $461–$464 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 6 matching MRF lines |
$31.20–$70.80 | $52–$118 | varies |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$37.80–$48.60 | $63–$81 | varies |
| Application on-body injector (96377) | $30.60 | $51 | 0.7× |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$3,699.60–$4,176 | $6,166–$6,960 | varies |
| Art pressure waveform analys (93050) | $91.80 | $153 | 3.3× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$288–$290.40 | $480–$484 | varies |
| Assessment of tinnitus (92625) range across 2 matching MRF lines |
$187.80–$202.80 | $313–$338 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$133.80–$206.40 | $223–$344 | varies |
| Audiometry Air & Bone (92553) range across 3 matching MRF lines |
$165.60–$232.80 | $276–$388 | varies |
| Auditory Function, 60 Min (92620) range across 2 matching MRF lines |
$254.40–$256.80 | $424–$428 | varies |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$427.80–$438.60 | $713–$731 | varies |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$271.20–$294 | $452–$490 | varies |
| Bioimpedance Cv Analysis (93701) range across 2 matching MRF lines |
$318.60–$381.60 | $531–$636 | varies |
| Bis Xtracell Fluid Analysis (93702) | $352.20 | $587 | 2.8× |
| Blink reflex test (95933) range across 5 matching MRF lines |
$147–$578.40 | $245–$964 | varies |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$924–$1,123.80 | $1,540–$1,873 | varies |
| Brief Emotional/Behav Assmt (96127) | $46.80 | $78 | 1.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$377.40–$557.40 | $629–$929 | varies |
| Bundle of his recording (93600) range across 2 matching MRF lines |
$3,569.40–$3,694.20 | $5,949–$6,157 | varies |
| C motor evoked uppr limbs (95928) range across 4 matching MRF lines |
$736.80–$1,108.20 | $1,228–$1,847 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$1,021.80–$1,279.80 | $1,703–$2,133 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $373.80 | $623 | 1.8× |
| Caloric Vstblr Test W/Rec (92537) | $443.40 | $739 | 3.5× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$97.20–$109.80 | $162–$183 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$789.60–$1,302 | $1,316–$2,170 | varies |
| Cardiopulmonary exercise testing (94621) range across 3 matching MRF lines |
$712.80–$1,989 | $1,188–$3,315 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$825.60–$849 | $1,376–$1,415 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$3,706.80–$5,331.60 | $6,178–$8,886 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$981.60–$1,144.20 | $1,636–$1,907 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$49.80–$76.80 | $83–$128 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $45 | $75 | 1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $112.20 | $187 | 4.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$15,793.20–$17,830.20 | $26,322–$29,717 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$14,577.60–$16,457.40 | $24,296–$27,429 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$375–$385.80 | $625–$643 | varies |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) range across 2 matching MRF lines |
$395.40–$608.40 | $659–$1,014 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $468 | $780 | 2.2× |
| Cervical Vemp Testing W/I&R (92517) | $247.20 | $412 | 2.0× |
| Chemo Admin Peritoneal Cavity (96446) | $1,646.40 | $2,744 | 5.1× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$249–$460.20 | $415–$767 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$460.20–$498 | $767–$830 | varies |
| Chemo Ia Push (96420) range across 2 matching MRF lines |
$1,042.80–$1,114.80 | $1,738–$1,858 | varies |
| Chemo Intralesional Over 7 (96406) | $460.80 | $768 | 2.2× |
| Chemo intralesional up to 7 (96405) | $671.40 | $1,119 | 9.6× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$348.60–$1,017.60 | $581–$1,696 | varies |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$448.80–$820.80 | $748–$1,368 | varies |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$1,426.20–$1,831.80 | $2,377–$3,053 | varies |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $1,011.60 | $1,686 | 3.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$601.20–$1,569 | $1,002–$2,615 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$702–$1,852.20 | $1,170–$3,087 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 3 matching MRF lines |
$448.80–$1,281.60 | $748–$2,136 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$880.20–$942 | $1,467–$1,570 | varies |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$168.60–$246 | $281–$410 | varies |
| Chiropract manj 3-4 regions (98941) | $75.60 | $126 | 3.6× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $67.80 | $113 | 3.2× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $81.60 | $136 | 3.9× |
| Chron Care Mgmt Srvc 20 Min (99490) | $81 | $135 | 0.8× |
| Cmptr ophth dx img ant segmt (92132) range across 3 matching MRF lines |
$96–$142.20 | $160–$237 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 2 matching MRF lines |
$134.40–$207 | $224–$345 | varies |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$895.80–$2,061 | $1,493–$3,435 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$710.40–$1,369.80 | $1,184–$2,283 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$64.20–$66 | $107–$110 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $130.80 | $218 | 0.8× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) range across 2 matching MRF lines |
$783–$955.20 | $1,305–$1,592 | varies |
| Comprehensive Hearing Test (92557) range across 4 matching MRF lines |
$168–$465 | $280–$775 | varies |
| Computerized dynamic posturography (92548) range across 3 matching MRF lines |
$230.40–$538.80 | $384–$898 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$121.20–$142.20 | $202–$237 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 3 matching MRF lines |
$131.40–$208.80 | $219–$348 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 3 matching MRF lines |
$312–$438 | $520–$730 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $167.40 | $279 | 2.9× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $159 | $265 | 1.2× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$289.80–$397.80 | $483–$663 | varies |
| Corneal Topography (92025) range across 2 matching MRF lines |
$245.40–$783.60 | $409–$1,306 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$8,961–$10,116.60 | $14,935–$16,861 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$7,656.60–$8,642.40 | $12,761–$14,404 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines |
$327.60–$459.60 | $546–$766 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$287.40–$315 | $479–$525 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$4,357.80–$5,215.20 | $7,263–$8,692 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 4 matching MRF lines |
$619.80–$935.40 | $1,033–$1,559 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$243–$462.60 | $405–$771 | varies |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$586.80–$891 | $978–$1,485 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$230.40–$357.60 | $384–$596 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 6 matching MRF lines |
$607.20–$1,754.40 | $1,012–$2,924 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$666–$1,441.20 | $1,110–$2,402 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$954–$2,066.40 | $1,590–$3,444 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$685.20–$1,351.20 | $1,142–$2,252 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$1,057.80–$2,254.80 | $1,763–$3,758 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 7 matching MRF lines |
$710.40–$2,735.40 | $1,184–$4,559 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $320.40 | $534 | 1.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $153.60 | $256 | 1.5× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$497.40–$523.20 | $829–$872 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$933.60–$2,023.20 | $1,556–$3,372 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$685.20–$1,482.60 | $1,142–$2,471 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 6 matching MRF lines |
$271.80–$315 | $453–$525 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 3 matching MRF lines |
$271.80–$456 | $453–$760 | varies |
| ECG/monitoring and analysis (93271) range across 3 matching MRF lines |
$624.60–$937.80 | $1,041–$1,563 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$409.80–$576 | $683–$960 | varies |
| Echo transesophageal (93312) range across 10 matching MRF lines |
$798–$1,652.40 | $1,330–$2,754 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$1,748.40–$2,341.20 | $2,914–$3,902 | varies |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $74.40 | $124 | 2.0× |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$1,149–$1,836 | $1,915–$3,060 | varies |
| EEG awake and asleep (95819) range across 6 matching MRF lines |
$868.80–$1,339.80 | $1,448–$2,233 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$827.40–$1,532.40 | $1,379–$2,554 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$1,365.60–$1,380 | $2,276–$2,300 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $652.20 | $1,087 | 3.1× |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$1,418.40–$2,745.60 | $2,364–$4,576 | varies |
| Eeg Sleep Only (95822) range across 4 matching MRF lines |
$1,548–$1,843.20 | $2,580–$3,072 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $652.20 | $1,087 | 3.1× |
| EEG w/o vid 2-12hr cont mntr (95707) | $652.20 | $1,087 | 3.1× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,297.80 | $2,163 | 3.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,525.80 | $2,543 | 4.2× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $652.20 | $1,087 | 3.1× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,297.80 | $2,163 | 3.6× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) range across 3 matching MRF lines |
$332.40–$1,047.60 | $554–$1,746 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 3 matching MRF lines |
$332.40–$790.20 | $554–$1,317 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$593.40–$708 | $989–$1,180 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 6 matching MRF lines |
$47.40–$72 | $79–$120 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$175.80–$273 | $293–$455 | varies |
| Electrocochleography (92584) range across 4 matching MRF lines |
$394.80–$652.20 | $658–$1,087 | varies |
| Electroconvulsive Therapy (90870) | $1,509 | $2,515 | 1.8× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $592.80 | $988 | 2.8× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $592.80 | $988 | 4.6× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) range across 2 matching MRF lines |
$3,997.20–$4,219.80 | $6,662–$7,033 | varies |
| Electrophysiology Evaluation (93642) range across 3 matching MRF lines |
$2,439.60–$6,175.20 | $4,066–$10,292 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$558–$610.20 | $930–$1,017 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$1,007.40–$1,218 | $1,679–$2,030 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$1,358.40–$1,917.60 | $2,264–$3,196 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$532.20–$1,573.20 | $887–$2,622 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$1,394.40–$2,053.20 | $2,324–$3,422 | varies |
| Endomyocardial Biopsy (93505) range across 2 matching MRF lines |
$2,738.40–$3,189.60 | $4,564–$5,316 | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$16,603.20–$16,615.80 | $27,672–$27,693 | varies |
| Ep & ablate ventric tachy (93654) | $22,151.40 | $36,919 | 0.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$8,198.40–$9,397.80 | $13,664–$15,663 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 2 matching MRF lines |
$7,112.40–$8,288.40 | $11,854–$13,814 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$285–$351.60 | $475–$586 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$2,466–$3,945.60 | $4,110–$6,576 | varies |
| Ergonovine provocation test (93024) | $795.60 | $1,326 | 1.8× |
| Esophageal Capsule Endoscopy (91111) range across 2 matching MRF lines |
$3,926.40–$4,680 | $6,544–$7,800 | varies |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $2,629.80 | $4,383 | 7.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 3 matching MRF lines |
$248.40–$282 | $414–$470 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$195–$342 | $325–$570 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$271.20–$294 | $452–$490 | varies |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$202.80–$346.80 | $338–$578 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$271.20–$294 | $452–$490 | varies |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$192.60–$364.20 | $321–$607 | varies |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $1,944 | $3,240 | 9.9× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $1,587 | $2,645 | 8.1× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$259.80–$303 | $433–$505 | varies |
| Exhaled Air Analysis O2 (94680) range across 2 matching MRF lines |
$480–$482.40 | $800–$804 | varies |
| External ECG rec>48hr<7d recording (93242) | $493.80 | $823 | 13.6× |
| External ECG rec>7d<15d recording (93246) | $493.80 | $823 | 13.6× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$694.20–$788.40 | $1,157–$1,314 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$606.60–$957.60 | $1,011–$1,596 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$430.80–$697.20 | $718–$1,162 | varies |
| Eye Exam With Photos (92230) | $861.60 | $1,436 | 2.4× |
| Facial nerve function studies (92516) range across 3 matching MRF lines |
$230.40–$1,198.20 | $384–$1,997 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 5 matching MRF lines |
$348–$391.80 | $580–$653 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) range across 6 matching MRF lines |
$246.60–$403.20 | $411–$672 | varies |
| Fluorescein angiography (92235) range across 6 matching MRF lines |
$430.20–$854.40 | $717–$1,424 | varies |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $1,215 | $2,025 | 5.8× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,791.20 | $4,652 | 3.3× |
| Fundus photography (92250) range across 3 matching MRF lines |
$154.80–$191.40 | $258–$319 | varies |
| Gastric motility studies (91020) range across 2 matching MRF lines |
$2,356.20–$2,865 | $3,927–$4,775 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$3,126.60–$3,804 | $5,211–$6,340 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $655.20 | $1,092 | 3.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$3,953.40–$4,813.80 | $6,589–$8,023 | varies |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$1,780.20–$3,469.20 | $2,967–$5,782 | varies |
| Gi wireless capsule measure (91112) | $1,291.20 | $2,152 | 1.5× |
| Gonioscopy (92020) range across 3 matching MRF lines |
$120–$138 | $200–$230 | varies |
| Group Therapeutic Procedures (97150) range across 8 matching MRF lines |
$43.20–$74.40 | $72–$124 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $421.20 | $702 | 4.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $421.20 | $702 | 11.5× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $210.60 | $351 | 5.8× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $421.20 | $702 | 2.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$17,097–$19,301.40 | $28,495–$32,169 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$689.40–$1,042.80 | $1,149–$1,738 | varies |
| High altitude simulation test (94452) range across 2 matching MRF lines |
$533.40–$539.40 | $889–$899 | varies |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) range across 2 matching MRF lines |
$456–$462.60 | $760–$771 | varies |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$243.60–$819 | $406–$1,365 | varies |
| Hubbard tank 15 min (97036) range across 3 matching MRF lines |
$83.40–$85.20 | $139–$142 | varies |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$105–$434.40 | $175–$724 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$116.40–$433.20 | $194–$722 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$116.40–$433.20 | $194–$722 | varies |
| Icm Device Eval (93290) range across 3 matching MRF lines |
$105–$237 | $175–$395 | varies |
| Ilr Device Eval Progr (93285) range across 3 matching MRF lines |
$116.40–$192.60 | $194–$321 | varies |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$105–$250.80 | $175–$418 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$30.60–$35.40 | $51–$59 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$35.40–$60 | $59–$100 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $1,148.40 | $1,914 | 5.5× |
| Ingestion challenge test initial 120 minutes (95076) | $1,035 | $1,725 | 2.8× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $631.80 | $1,053 | 1.7× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$2,068.20–$2,409.60 | $3,447–$4,016 | varies |
| Interrogate Subq Defib (93261) | $74.40 | $124 | 2.0× |
| Interrogation vad in person (93750) range across 3 matching MRF lines |
$358.20–$510.60 | $597–$851 | varies |
| Intra-atrial pacing (93610) range across 2 matching MRF lines |
$3,083.40–$3,288.60 | $5,139–$5,481 | varies |
| Intra-atrial recording (93602) range across 2 matching MRF lines |
$3,329.40–$3,438.60 | $5,549–$5,731 | varies |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$1,261.80–$1,432.20 | $2,103–$2,387 | varies |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$114.60–$138.60 | $191–$231 | varies |
| Intraventricular pacing (93612) range across 2 matching MRF lines |
$3,243.60–$3,425.40 | $5,406–$5,709 | varies |
| Io ga n-stim subsq w/reprog (95982) range across 2 matching MRF lines |
$193.80–$298.20 | $323–$497 | varies |
| Iontophoresis 15 min (97033) range across 6 matching MRF lines |
$77.40–$85.20 | $129–$142 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$150.60–$309 | $251–$515 | varies |
| Ischemic limb exercise test (95875) | $711.60 | $1,186 | 5.7× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$114–$158.40 | $190–$264 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$225.60–$385.80 | $376–$643 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$283.20–$452.40 | $472–$754 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$187.80–$456 | $313–$760 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$114–$343.20 | $190–$572 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$15,885–$17,934 | $26,475–$29,890 | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $5,077.80 | $8,463 | 1.6× |
| Laryngeal Function Studies (92520) range across 6 matching MRF lines |
$165–$427.80 | $275–$713 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $753.60 | $1,256 | 6.0× |
| Low frequency non-thermal us (97610) | $265.20 | $442 | 1.4× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$217.20–$218.40 | $362–$364 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$1,591.20–$1,689 | $2,652–$2,815 | varies |
| Mechanical chest wall oscillation per session (94669) | $199.20 | $332 | 0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$61.20–$233.40 | $102–$389 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$96–$202.80 | $160–$338 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$63–$139.80 | $105–$233 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$1,221–$1,566 | $2,035–$2,610 | varies |
| Microvolt T-Wave Assess (93025) range across 2 matching MRF lines |
$1,725.60–$1,744.20 | $2,876–$2,907 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$1,897.80–$2,543.40 | $3,163–$4,239 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$250.80–$325.80 | $418–$543 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$285–$288 | $475–$480 | varies |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$2,409–$3,894.60 | $4,015–$6,491 | varies |
| Muscle Test 2 Limbs (95861) range across 5 matching MRF lines |
$532.20–$1,405.20 | $887–$2,342 | varies |
| Muscle Test Hemidiaphragm (95866) range across 2 matching MRF lines |
$147–$410.40 | $245–$684 | varies |
| Muscle Test Nonparaspinal (95870) range across 5 matching MRF lines |
$224.40–$602.40 | $374–$1,004 | varies |
| Muscle Test One Limb (95860) range across 5 matching MRF lines |
$209.40–$1,127.40 | $349–$1,879 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$442.80–$909 | $738–$1,515 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$1,009.80–$1,234.80 | $1,683–$2,058 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 3 matching MRF lines |
$933–$1,141.20 | $1,555–$1,902 | varies |
| Needle electromyography larynx (95865) range across 3 matching MRF lines |
$155.40–$427.20 | $259–$712 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $508.80 | $848 | 2.4× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $759.60 | $1,266 | 3.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $735 | $1,225 | 1.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $735 | $1,225 | 1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$279–$441.60 | $465–$736 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$345.60–$660.60 | $576–$1,101 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$105–$396.60 | $175–$661 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$196.20–$1,414.80 | $327–$2,358 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$853.20–$1,754.40 | $1,422–$2,924 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$105–$492.60 | $175–$821 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$105–$718.20 | $175–$1,197 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$105–$915 | $175–$1,525 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$196.20–$1,153.80 | $327–$1,923 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$337.80–$533.40 | $563–$889 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 4 matching MRF lines |
$427.20–$533.40 | $712–$889 | varies |
| Neuromuscular Reeducation (97112) range across 8 matching MRF lines |
$73.20–$100.80 | $122–$168 | varies |
| Newborn resuscitation (99465) | $579.60 | $966 | 0.9× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$69.60–$106.80 | $116–$178 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$34.20–$52.20 | $57–$87 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $439.80 | $733 | 1.2× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$676.80–$685.20 | $1,128–$1,142 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 3 matching MRF lines |
$280.20–$432.60 | $467–$721 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$159.60–$238.80 | $266–$398 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$150–$231 | $250–$385 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$132.60–$204 | $221–$340 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$139.80–$215.40 | $233–$359 | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $101.40 | $169 | 1.8× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $109.80 | $183 | 1.9× |
| Optokinetic Nystagmus Test (92544) range across 3 matching MRF lines |
$230.40–$259.80 | $384–$433 | varies |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$187.20–$243.60 | $312–$406 | varies |
| Oral Speech Device Eval (92597) range across 3 matching MRF lines |
$292.20–$356.40 | $487–$594 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 6 matching MRF lines |
$58.20–$81 | $97–$135 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 6 matching MRF lines |
$70.80–$81 | $118–$135 | varies |
| Oscillating Tracking Test (92545) range across 3 matching MRF lines |
$230.40–$411.60 | $384–$686 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $127.20 | $212 | 6.0× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $127.80 | $213 | 6.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $131.40 | $219 | 6.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $146.40 | $244 | 7.0× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $121.80 | $203 | 5.8× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$179.40–$184.80 | $299–$308 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$145.80–$151.80 | $243–$253 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$162.60–$168 | $271–$280 | varies |
| Ot manual therapy 15 min (97140) range across 9 matching MRF lines |
$67.80–$76.80 | $113–$128 | varies |
| Ot paraffin bath (97018) range across 6 matching MRF lines |
$22.80–$56.40 | $38–$94 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$69–$69.60 | $115–$116 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$118.20–$127.20 | $197–$212 | varies |
| Ot rom hand (95852) range across 3 matching MRF lines |
$73.20–$86.40 | $122–$144 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$190.80–$235.80 | $318–$393 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $144 | $240 | 1.1× |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$471.60–$474.60 | $786–$791 | varies |
| Patch/Application Test Specify Number Tests (95044) range across 2 matching MRF lines |
$22.20–$114.60 | $37–$191 | varies |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $193.80 | $323 | 0.4× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $684 | $1,140 | 3.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$438.60–$696.60 | $731–$1,161 | varies |
| Percutaneous tests w/allergenic extracts (95004) range across 3 matching MRF lines |
$90–$126 | $150–$210 | varies |
| Peripheral arterial disease rehab per session (93668) | $115.20 | $192 | 2.0× |
| Perq transcath closure pda (93582) unusually low: confirm this is the full procedure |
$8,928 | $14,880 | 0.5× |
| Perq Transcath Cls Aortic (93591) | $12,714.60 | $21,191 | 0.7× |
| Perq Transcath Cls Mitral (93590) | $12,714.60 | $21,191 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$8,350.20–$8,626.20 | $13,917–$14,377 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $30,671.40 | $51,119 | 2.7× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$303–$586.80 | $505–$978 | varies |
| Photo Tests (95056) | $325.20 | $542 | 2.5× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) range across 2 matching MRF lines |
$156.60–$361.20 | $261–$602 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) range across 2 matching MRF lines |
$156.60–$333 | $261–$555 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $100.80 | $168 | 1.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $106.80 | $178 | 1.9× |
| Physical Performance Test (97750) range across 12 matching MRF lines |
$67.80–$82.20 | $113–$137 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$168–$322.80 | $280–$538 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$105–$310.80 | $175–$518 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$126–$289.20 | $210–$482 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$116.40–$259.80 | $194–$433 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$116.40–$231 | $194–$385 | varies |
| Pm/Icd Remote Tech Serv (93296) | $200.40 | $334 | 5.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 6 matching MRF lines |
$1,806.60–$5,877 | $3,011–$9,795 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$3,576.60–$3,612 | $5,961–$6,020 | varies |
| Positional nystagmus test (92542) range across 3 matching MRF lines |
$165–$291 | $275–$485 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $28.20 | $47 | 0.6× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 2 matching MRF lines |
$49.80–$76.20 | $83–$127 | varies |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) range across 2 matching MRF lines |
$180–$181.20 | $300–$302 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $74.40 | $124 | 2.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$116.40–$255 | $194–$425 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 2 matching MRF lines |
$79.20–$122.40 | $132–$204 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $28.20 | $47 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$45.60–$57.60 | $76–$96 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$9,154.80–$15,922.80 | $15,258–$26,538 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$10,285.20–$10,624.80 | $17,142–$17,708 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) | $19,511.40 | $32,519 | 1.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) unusually low: confirm this is the full procedure |
$7,560 | $12,600 | 0.4× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) unusually low: confirm this is the full procedure |
$4,913.40 | $8,189 | 0.4× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$171–$204.60 | $285–$341 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$180–$219 | $300–$365 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $439.80 | $733 | 2.1× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $439.80 | $733 | 15.6× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $439.80 | $733 | 1.0× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $439.80 | $733 | 3.4× |
| Psytx Crisis Initial 60 Min (90839) | $378 | $630 | 2.2× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$184.80–$192 | $308–$320 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$151.80–$156.60 | $253–$261 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$168–$174.60 | $280–$291 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$69.60–$78.60 | $116–$131 | varies |
| Pt group caregiver training (97552) | $112.20 | $187 | 5.1× |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$39.60–$69.60 | $66–$116 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$127.20–$135.60 | $212–$226 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $45 | $75 | 1.2× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$168–$288 | $280–$480 | varies |
| Pulmonary service/procedure (94799) range across 8 matching MRF lines |
$137.40–$992.40 | $229–$1,654 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$259.80–$303 | $433–$505 | varies |
| Pure Tone Audiometry Air (92552) range across 3 matching MRF lines |
$96–$169.80 | $160–$283 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) range across 2 matching MRF lines |
$47.40–$72.60 | $79–$121 | varies |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$15,331.20–$17,308.80 | $25,552–$28,848 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $5,077.80 | $8,463 | 1.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $5,077.80 | $8,463 | 1.6× |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$12,403.80–$14,004 | $20,673–$23,340 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $5,077.80 | $8,463 | 1.6× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $5,077.80 | $8,463 | 1.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$8,620.20–$9,192.60 | $14,367–$15,321 | varies |
| Rapid Desensitization Procedure Each Hour (95180) | $175.20 | $292 | 0.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $417.60 | $696 | 1.3× |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$713.40–$744 | $1,189–$1,240 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $835.80 | $1,393 | 4.0× |
| Rem interrog icpms <30 d phys/qhp (93297) | $144.60 | $241 | 4.0× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $154.80 | $258 | 4.3× |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$116.40–$426 | $194–$710 | varies |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $448.80 | $748 | 2.1× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $426.60 | $711 | 2.0× |
| Replacement of contact lens (92326) | $141.60 | $236 | 2.5× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$259.80–$376.80 | $433–$628 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$173.40–$214.80 | $289–$358 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$5,362.20–$5,542.80 | $8,937–$9,238 | varies |
| Right ventricular recording (93603) range across 2 matching MRF lines |
$2,786.40–$2,942.40 | $4,644–$4,904 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$225.60–$357 | $376–$595 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 3 matching MRF lines |
$78–$79.20 | $130–$132 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 3 matching MRF lines |
$304.80–$330.60 | $508–$551 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 3 matching MRF lines |
$145.80–$174.60 | $243–$291 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $2,296.80 | $3,828 | 6.3× |
| Self Care Mngment Training (97535) range across 11 matching MRF lines |
$73.80–$94.80 | $123–$158 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 2 matching MRF lines |
$143.40–$144.60 | $239–$241 | varies |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$63.60–$79.80 | $106–$133 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 4 matching MRF lines |
$1,386–$1,709.40 | $2,310–$2,849 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 4 matching MRF lines |
$1,386–$1,709.40 | $2,310–$2,849 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 3 matching MRF lines |
$427.80–$441 | $713–$735 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$1,046.40–$1,171.80 | $1,744–$1,953 | varies |
| Slp caregiver training 1st 30 min (97550) | $112.20 | $187 | 2.1× |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$1,705.80–$2,136 | $2,843–$3,560 | varies |
| Speech Audiometry Complete (92556) range across 3 matching MRF lines |
$105–$178.80 | $175–$298 | varies |
| Speech audiometry threshold (92555) range across 3 matching MRF lines |
$101.40–$118.80 | $169–$198 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$271.20–$294 | $452–$490 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$582.60–$819 | $971–$1,365 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$259.80–$418.20 | $433–$697 | varies |
| Spontaneous Nystagmus Test (92541) range across 3 matching MRF lines |
$230.40–$285 | $384–$475 | varies |
| Ssep lower limbs (95926) range across 4 matching MRF lines |
$1,386–$1,709.40 | $2,310–$2,849 | varies |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$287.40–$289.20 | $479–$482 | varies |
| Stenger Test, Pure Tone (92565) range across 3 matching MRF lines |
$101.40–$142.80 | $169–$238 | varies |
| Stress Tte Only (93350) range across 5 matching MRF lines |
$1,311.60–$1,667.40 | $2,186–$2,779 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $316.20 | $527 | 6.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $501 | $835 | 2.4× |
| Subq Infusion Additional Pump Infusion Site (96371) | $359.40 | $599 | 5.1× |
| Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines |
$88.20–$88.80 | $147–$148 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$2,375.40–$2,892 | $3,959–$4,820 | varies |
| Testing Autonomic Nervous System Function (95923) range across 2 matching MRF lines |
$532.80–$538.80 | $888–$898 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 6 matching MRF lines |
$66–$81 | $110–$135 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 6 matching MRF lines |
$33–$39.60 | $55–$66 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 5 matching MRF lines |
$73.20–$91.80 | $122–$153 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$66–$66.60 | $110–$111 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$187.20–$188.40 | $312–$314 | varies |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$229.20–$352.80 | $382–$588 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$38.40–$138 | $64–$230 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$394.20–$810.60 | $657–$1,351 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $426.60 | $711 | 2.0× |
| Therapeutic Activities (97530) range across 8 matching MRF lines |
$77.40–$85.20 | $129–$142 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$1,518–$1,660.80 | $2,530–$2,768 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$53.40–$63.60 | $89–$106 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$43.20–$54 | $72–$90 | varies |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$8,100–$9,439.80 | $13,500–$15,733 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$477–$733.80 | $795–$1,223 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) range across 2 matching MRF lines |
$393–$397.20 | $655–$662 | varies |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) range across 2 matching MRF lines |
$501–$507 | $835–$845 | varies |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$1,371.60–$1,836.60 | $2,286–$3,061 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$899.40–$964.80 | $1,499–$1,608 | varies |
| Tx atrial fib pulm vein isol (93656) | $27,778.80 | $46,298 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$192.60–$249.60 | $321–$416 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 3 matching MRF lines |
$79.80–$88.20 | $133–$147 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$114–$343.20 | $190–$572 | varies |
| Tympanometry (92567) range across 6 matching MRF lines |
$96–$177 | $160–$295 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 3 matching MRF lines |
$237–$356.40 | $395–$594 | varies |
| Unlis neurological/neuromuscular dx px (95999) | $2,091 | $3,485 | 16.7× |
| Unlisted cardiovascular service/procedure (93799) range across 7 matching MRF lines |
$502.20–$8,052 | $837–$13,420 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 4 matching MRF lines |
$1,144.20–$2,704.20 | $1,907–$4,507 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $393 | $655 | 13.9× |
| Unlisted otorhinolaryngological service (92700) | $232.80 | $388 | 8.3× |
| Unlisted Psychiatric Service/Procedure (90899) range across 2 matching MRF lines |
$305.40–$470.40 | $509–$784 | varies |
| Unlisted Special Dermatological Service/Px (96999) range across 2 matching MRF lines |
$231–$354.60 | $385–$591 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 5 matching MRF lines |
$542.40–$820.80 | $904–$1,368 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$820.80–$1,370.40 | $1,368–$2,284 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$6,671.40–$7,773 | $11,119–$12,955 | varies |
| Valvuloplasty mitral valve (92987) | $8,833.20 | $14,722 | 0.8× |
| Valvuloplasty pulmonary valve (92990) | $7,563.60 | $12,606 | 0.7× |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$63.60–$64.20 | $106–$107 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,297.80 | $2,163 | 3.6× |
| Veeg 2-12 hr intmt mntr (95712) | $652.20 | $1,087 | 1.8× |
| Veeg 2-12 hr unmonitored (95711) | $652.20 | $1,087 | 3.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,297.80 | $2,163 | 3.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,297.80 | $2,163 | 3.6× |
| Veeg ea 12-26hr cont mntr (95716) | $2,429.40 | $4,049 | 2.9× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$962.40–$984.60 | $1,604–$1,641 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$816.60–$861.60 | $1,361–$1,436 | varies |
| Visual Evoked Potential Test (95930) range across 5 matching MRF lines |
$901.20–$1,709.40 | $1,502–$2,849 | varies |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$193.20–$219.60 | $322–$366 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 3 matching MRF lines |
$154.20–$175.20 | $257–$292 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $145.20 | $242 | 2.5× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$93.42–$203.40 | $155.70–$339 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $3,417 | $5,695 | 4.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 5 matching MRF lines |
$53.40–$78.60 | $89–$131 | varies |
| Whirlpool Therapy (97022) | $84.60 | $141 | 5.4× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 3 matching MRF lines |
$141–$158.40 | $235–$264 | varies |
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.