Visits & medical services prices at J.W. Ruby Memorial Hospital
Morgantown, WV · every code in this section with a posted price and a Medicare benchmark.
503 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 |
$130–$214 | $260–$428 | varies |
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$6,878.50–$7,394.50 | $13,757–$14,789 | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $100.50 | $201 | 0.8× |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$78.50–$91.50 | $157–$183 | varies |
| Actinotherapy Ultraviolet Light (96900) range across 2 matching MRF lines |
$48.50–$65 | $97–$130 | varies |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$40.50–$44 | $81–$88 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$40.50–$44 | $81–$88 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $52.50 | $105 | 1.3× |
| Advncd Care Plan 30 Min (99497) range across 4 matching MRF lines |
$64–$141.50 | $128–$283 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 3 matching MRF lines |
$131–$284.50 | $262–$569 | varies |
| Aep neurodiagnostic i&r (92653) range across 3 matching MRF lines |
$475–$582.50 | $950–$1,165 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 3 matching MRF lines |
$511–$898.67 | $1,022–$1,797.33 | varies |
| Airway Inhalation Treatment (94640) range across 15 matching MRF lines |
$103.50–$1,129 | $207–$2,258 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$210.50–$226.50 | $421–$453 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 4 matching MRF lines |
$59–$272.50 | $118–$545 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 2 matching MRF lines |
$38.50–$177.50 | $77–$355 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$301–$324 | $602–$648 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 2 matching MRF lines |
$212–$228 | $424–$456 | varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 2 matching MRF lines |
$201–$216.50 | $402–$433 | varies |
| Analyze neurostim complex (95972) range across 3 matching MRF lines |
$338.50–$4,353.67 | $677–$8,707.33 | varies |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$246–$264.50 | $492–$529 | varies |
| Analyze Neurostim Simple (95971) range across 4 matching MRF lines |
$338.50–$2,148.50 | $677–$4,297 | varies |
| Analyze Pacemaker System (93724) | $757 | $1,514 | 2.5× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $258.50 | $517 | 1.3× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $476.50 | $953 | 1.3× |
| Ans parasymp & symp w/tilt (95924) | $276.50 | $553 | 1.3× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $345 | $690 | 2.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 6 matching MRF lines |
$25–$82.50 | $50–$165 | varies |
| Application on-body injector (96377) range across 2 matching MRF lines |
$156–$165.50 | $312–$331 | varies |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$2,835.50–$3,048.50 | $5,671–$6,097 | varies |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$112.50–$193 | $225–$386 | varies |
| Assessment of tinnitus (92625) range across 2 matching MRF lines |
$247–$266 | $494–$532 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) | $197 | $394 | 2.0× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$142–$166.50 | $284–$333 | varies |
| Auditory Function, 60 Min (92620) | $142 | $284 | 1.1× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$309–$332.50 | $618–$665 | varies |
| Behavral qualit analys voice (92524) range across 5 matching MRF lines |
$274–$330 | $548–$660 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $186.50 | $373 | 2.3× |
| Bfb training ea addl 15 min (90913) | $93.50 | $187 | 2.9× |
| Biofeedback training any modality (90901) | $140 | $280 | 3.4× |
| Bioimpedance Cv Analysis (93701) | $585.50 | $1,171 | 4.5× |
| Bis Xtracell Fluid Analysis (93702) | $210.50 | $421 | 1.7× |
| Blink reflex test (95933) | $187 | $374 | 3.3× |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$366–$393.50 | $732–$787 | varies |
| Brief Emotional/Behav Assmt (96127) range across 5 matching MRF lines |
$17.50–$35 | $35–$70 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$477–$570 | $954–$1,140 | varies |
| Bundle of his recording (93600) | $6,693.50 | $13,387 | 0.9× |
| C motor evoked uppr limbs (95928) | $1,274 | $2,548 | 1.5× |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$2,326–$2,500.50 | $4,652–$5,001 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $52 | $104 | 0.2× |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$102–$166.50 | $204–$333 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$106–$127 | $212–$254 | varies |
| Car seat/bed test 60 min (94780) | $47 | $94 | 1.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$580–$1,916.50 | $1,160–$3,833 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$765–$822.50 | $1,530–$1,645 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$561–$757 | $1,122–$1,514 | varies |
| Cardioversion (92960) range across 6 matching MRF lines |
$1,043.50–$16,829.50 | $2,087–$33,659 | varies |
| Cardioversion elective internal (92961) | $1,074 | $2,148 | 1.7× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $48 | $96 | 1.3× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $48 | $96 | 1.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $27.50 | $55 | 1.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$14,244.50–$15,084 | $28,489–$30,168 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$10,359.50–$14,244.50 | $20,719–$28,489 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$339–$364.50 | $678–$729 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $505 | $1,010 | 2.4× |
| Cervical Vemp Testing W/I&R (92517) range across 2 matching MRF lines |
$247–$266 | $494–$532 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$165.50–$178 | $331–$356 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$165.50–$178 | $331–$356 | varies |
| Chemo Ia Push (96420) range across 3 matching MRF lines |
$309–$495.50 | $618–$991 | varies |
| Chemo Intralesional Over 7 (96406) | $460.50 | $921 | 2.2× |
| Chemo intralesional up to 7 (96405) range across 4 matching MRF lines |
$92–$151.50 | $184–$303 | varies |
| Chemo IV infusion addl hr (96415) range across 4 matching MRF lines |
$328.50–$1,060.50 | $657–$2,121 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$165.50–$178 | $331–$356 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$414.50–$541 | $829–$1,082 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $495.50 | $991 | 1.6× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $69.50 | $139 | 1.5× |
| Chemotherapy Into Cns (96450) range across 5 matching MRF lines |
$894–$3,415.50 | $1,788–$6,831 | varies |
| Chemotherapy Intracavitary (96440) | $495.50 | $991 | 1.6× |
| Chemotherapy Unspecified (96549) range across 2 matching MRF lines |
$111–$618.50 | $222–$1,237 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$328.50–$657 | $657–$1,314 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$328.50–$657 | $657–$1,314 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$165.50–$178 | $331–$356 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$186.50–$200.50 | $373–$401 | varies |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$166.50–$565 | $333–$1,130 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$59–$83.50 | $118–$167 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $915 | $1,830 | 2.5× |
| Cmptr ophth dx img ant segmt (92132) range across 3 matching MRF lines |
$127–$141.50 | $254–$283 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 2 matching MRF lines |
$120.50–$130 | $241–$260 | varies |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$696.50–$783 | $1,393–$1,566 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$514.50–$553.50 | $1,029–$1,107 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $77 | $154 | 2.4× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$112–$227 | $224–$454 | varies |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $1,367 | $2,734 | 1.6× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$142–$510.50 | $284–$1,021 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$199–$688 | $398–$1,376 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 5 matching MRF lines |
$199.50–$641 | $399–$1,282 | varies |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$142–$166.50 | $284–$333 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$203–$364 | $406–$728 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 3 matching MRF lines |
$82.50–$106 | $165–$212 | varies |
| Contact Lens Fit,Corneoscleral Lens (92313) range across 2 matching MRF lines |
$170–$173.50 | $340–$347 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$131–$164.50 | $262–$329 | varies |
| Cornea hysteresis determin impulse stimj uni/bi (92145) range across 2 matching MRF lines |
$78.50–$84.50 | $157–$169 | varies |
| Corneal Topography (92025) range across 2 matching MRF lines |
$107.50–$203.50 | $215–$407 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$5,682.50–$6,109 | $11,365–$12,218 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$6,475–$10,359.50 | $12,950–$20,719 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$1,100–$1,210 | $2,200–$2,420 | varies |
| Cpt initial (94667) range across 4 matching MRF lines |
$175.50–$565 | $351–$1,130 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$1,975.50–$3,119 | $3,951–$6,238 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,202.50 | $2,405 | 3.3× |
| Dark Adaptation Eye Exam (92284) range across 2 matching MRF lines |
$148–$159.50 | $296–$319 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$226.50–$3,843.50 | $453–$7,687 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 2 matching MRF lines |
$201–$203.50 | $402–$407 | varies |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$765.50–$823 | $1,531–$1,646 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$102–$191 | $204–$382 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$493.50–$563.50 | $987–$1,127 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$412.50–$456 | $825–$912 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$736.50–$792 | $1,473–$1,584 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$570.50–$613.50 | $1,141–$1,227 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$595–$681 | $1,190–$1,362 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$487.50–$529 | $975–$1,058 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$368.50–$538.50 | $737–$1,077 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $174.50 | $349 | 1.7× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$349.50–$376 | $699–$752 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$519.50–$636.50 | $1,039–$1,273 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$492–$529 | $984–$1,058 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $201 | $402 | 1.6× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $201 | $402 | 1.6× |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$558.67–$4,256 | $1,117.33–$8,512 | varies |
| Ear Protector Evaluation (92596) | $135 | $270 | 3.7× |
| ECG/monitoring and analysis (93271) | $1,329 | $2,658 | 14.5× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$517–$1,002.50 | $1,034–$2,005 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$512.50–$556 | $1,025–$1,112 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$432.50–$465 | $865–$930 | varies |
| Echo transesophag congen probe plcmt only (93316) | $465 | $930 | 0.9× |
| Echo transesophageal (93312) range across 5 matching MRF lines |
$1,487.50–$5,239.50 | $2,975–$10,479 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$1,487.50–$1,599.50 | $2,975–$3,199 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$1,770–$1,870.50 | $3,540–$3,741 | varies |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $46.50 | $93 | 1.3× |
| Eeg 41-60 Minutes (95812) | $668 | $1,336 | 3.2× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$125.74–$842.50 | $251.47–$1,685 | varies |
| EEG awake drowsy (95816) | $681.50 | $1,363 | 3.3× |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$492.50–$529.50 | $985–$1,059 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$922.50–$992 | $1,845–$1,984 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) range across 2 matching MRF lines |
$492.50–$529.50 | $985–$1,059 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) | $492.50 | $985 | 2.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $943.50 | $1,887 | 2.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $943.50 | $1,887 | 2.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $529.50 | $1,059 | 2.5× |
| EEG wo vid ea 12-26hr unmntr (95708) range across 3 matching MRF lines |
$1,031–$2,830.50 | $2,062–$5,661 | varies |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) range across 2 matching MRF lines |
$321–$332 | $642–$664 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$231–$338.50 | $462–$677 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 3 matching MRF lines |
$67–$364 | $134–$728 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 6 matching MRF lines |
$20–$94 | $40–$188 | varies |
| Electro-Oculography (92270) | $228 | $456 | 1.8× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$213–$426 | $426–$852 | varies |
| Electrocochleography (92584) range across 2 matching MRF lines |
$301–$324 | $602–$648 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $5,706.50 | $11,413 | 0.8× |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$1,540–$4,461.50 | $3,080–$8,923 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$307–$330.50 | $614–$661 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$504.50–$542.50 | $1,009–$1,085 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$985–$1,059 | $1,970–$2,118 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$436–$1,708 | $872–$3,416 | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$561.50–$1,977.50 | $1,123–$3,955 | varies |
| Endomyocardial Biopsy (93505) range across 2 matching MRF lines |
$3,924.50–$4,219 | $7,849–$8,438 | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$10,917–$11,736 | $21,834–$23,472 | varies |
| Ep & ablate ventric tachy (93654) range across 3 matching MRF lines |
$10,917–$11,736 | $21,834–$23,472 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$3,742–$6,081.50 | $7,484–$12,163 | varies |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,905 | $3,810 | 1.6× |
| Er level 1 (99281) range across 3 matching MRF lines |
$185.50–$199.50 | $371–$399 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$1,644.50–$4,303.50 | $3,289–$8,607 | varies |
| Esoph Atrial Electrogram (93615) | $1,780.50 | $3,561 | 1.5× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 2 matching MRF lines |
$864.63–$870.50 | $1,729.25–$1,741 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $409 | $818 | 1.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $201 | $402 | 1.6× |
| Evaluate pt use of inhaler (94664) range across 6 matching MRF lines |
$66–$463 | $132–$926 | varies |
| Evaluate Speech Production (92522) | $248 | $496 | 2.2× |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$146.50–$167 | $293–$334 | varies |
| Evaluation of speech fluency (92521) range across 3 matching MRF lines |
$92.50–$311.50 | $185–$623 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$102–$276.50 | $204–$553 | varies |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $254.50 | $509 | 1.3× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$427.50–$779 | $855–$1,558 | varies |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$57.50–$82.50 | $115–$165 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $94.50 | $189 | 0.7× |
| External ECG rec>7d<15d recording (93246) range across 3 matching MRF lines |
$94.50–$104.50 | $189–$209 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $191 | $382 | 1.5× |
| External Ecg Scanning Analysis Report (93226) | $821.50 | $1,643 | 14.4× |
| Extracranial Bilat Study (93880) range across 6 matching MRF lines |
$368.50–$697.50 | $737–$1,395 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$316.50–$404 | $633–$808 | varies |
| Eye exam w anesth; complete (92018) range across 8 matching MRF lines |
$1,830.67–$10,388 | $3,661.34–$20,776 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$517–$588 | $1,034–$1,176 | varies |
| Facial nerve function studies (92516) | $455 | $910 | 2.2× |
| Filtered Speech Test (92571) | $135 | $270 | 3.7× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$459.50–$607 | $919–$1,214 | varies |
| Fluorescein angiography (92235) range across 2 matching MRF lines |
$356–$383 | $712–$766 | varies |
| Full Field Electroretinography W/I&R (92273) range across 2 matching MRF lines |
$616–$662.50 | $1,232–$1,325 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $316 | $632 | 0.4× |
| Fundus photography (92250) range across 6 matching MRF lines |
$92.50–$537 | $185–$1,074 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$358.33–$409 | $716.66–$818 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $409 | $818 | 2.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 4 matching MRF lines |
$258.67–$1,139 | $517.33–$2,278 | varies |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$1,158.50–$1,732 | $2,317–$3,464 | varies |
| Gi wireless capsule measure (91112) | $1,352.50 | $2,705 | 1.5× |
| Gonioscopy (92020) range across 4 matching MRF lines |
$127–$138 | $254–$276 | varies |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$110–$260 | $220–$520 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 3 matching MRF lines |
$180–$227 | $360–$454 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$10,598.50–$11,393.50 | $21,197–$22,787 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,116.50 | $2,233 | 1.7× |
| High altitude simulation test (94452) | $521.50 | $1,043 | 4.1× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $521.50 | $1,043 | 4.1× |
| Holter monitor recording (93225) | $340.50 | $681 | 2.6× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$107.50–$124 | $215–$248 | varies |
| Icd device progr eval dual (93283) range across 5 matching MRF lines |
$78.50–$96.50 | $157–$193 | varies |
| Icd Device Progr Eval Mult (93284) range across 4 matching MRF lines |
$48.50–$103.50 | $97–$207 | varies |
| Icm Device Eval (93290) | $124 | $248 | 3.4× |
| Ilr Device Eval Progr (93285) range across 4 matching MRF lines |
$63–$96.50 | $126–$193 | varies |
| Ilr Device Interrogate (93291) range across 4 matching MRF lines |
$67–$124 | $134–$248 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$12.50–$15 | $25–$30 | varies |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $75.50 | $151 | 1.3× |
| 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 6 matching MRF lines |
$9.50–$54 | $19–$108 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) range across 2 matching MRF lines |
$437–$470 | $874–$940 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$975.50–$1,049 | $1,951–$2,098 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $604 | $1,208 | 1.7× |
| Insert/Place Heart Catheter (93503) | $3,186.50 | $6,373 | 2.1× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) range across 2 matching MRF lines |
$164.50–$212 | $329–$424 | varies |
| Interrog eval crtd sins bat modulj sys ip wo (93145) range across 2 matching MRF lines |
$164.50–$212 | $329–$424 | varies |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $196 | $392 | 2.1× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $1,794 | $3,588 | 6.0× |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$65.50–$86 | $131–$172 | varies |
| Interrogation eval in person wr defibrillator (93292) | $124 | $248 | 3.4× |
| Interrogation vad in person (93750) range across 2 matching MRF lines |
$89.50–$146 | $179–$292 | varies |
| Interrogation without programming ipnss (93153) | $121.50 | $243 | 1.3× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,160.50 | $6,321 | 0.4× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$3,048.50 | $6,097 | 0.4× |
| Intracranial Complete Study (93886) range across 4 matching MRF lines |
$304.50–$578 | $609–$1,156 | varies |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) range across 4 matching MRF lines |
$38.50–$1,455.50 | $77–$2,911 | varies |
| Intracutaneous tests w/allergenic extracts (95024) range across 6 matching MRF lines |
$76–$808 | $152–$1,616 | varies |
| Intraventricular pacing (93612) range across 2 matching MRF lines |
$5,308–$5,314.50 | $10,616–$10,629 | varies |
| Io anal gast n-stim subsq (95981) | $345.50 | $691 | 6.1× |
| Io ga n-stim subsq w/reprog (95982) | $345.50 | $691 | 9.6× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$59–$63.50 | $118–$127 | varies |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$60.50–$114 | $121–$228 | varies |
| IV infusion hydration each additional hour (96361) range across 9 matching MRF lines |
$182.50–$1,330 | $365–$2,660 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$190–$271 | $380–$542 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$254.50–$572 | $509–$1,144 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 10 matching MRF lines |
$200–$1,620 | $400–$3,240 | varies |
| IV push initial (96374) range across 9 matching MRF lines |
$186–$417 | $372–$834 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$14,244.50–$15,313 | $28,489–$30,626 | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) range across 2 matching MRF lines |
$5,015.30–$5,154 | $10,030.59–$10,308 | varies |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$445–$882 | $890–$1,764 | varies |
| Liver Elastography W/O Imag W/I&R (91200) range across 4 matching MRF lines |
$292.50–$339 | $585–$678 | varies |
| Loudness balance test (92562) | $369.50 | $739 | 1.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $146.50 | $293 | 2.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$468–$545.50 | $936–$1,091 | varies |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,813 | $3,626 | 1.3× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $436 | $872 | 2.1× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) range across 2 matching MRF lines |
$339–$460.50 | $678–$921 | varies |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $339 | $678 | 2.7× |
| Mechanical chest wall oscillation per session (94669) | $490.50 | $981 | 2.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 8 matching MRF lines |
$10.50–$115.50 | $21–$231 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 8 matching MRF lines |
$38.50–$156 | $77–$312 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $24.50 | $49 | 1.4× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$746.50–$802.50 | $1,493–$1,605 | varies |
| Motility study esophagus (91010) range across 5 matching MRF lines |
$537.50–$1,133 | $1,075–$2,266 | varies |
| Motion Fluoroscopy/Swallow (92611) | $706 | $1,412 | 7.7× |
| Multifocal Electroretinography W/I&R (92274) range across 2 matching MRF lines |
$331–$356 | $662–$712 | varies |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$2,705.50–$3,607.50 | $5,411–$7,215 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$389–$1,573.50 | $778–$3,147 | varies |
| Muscle Test Nonparaspinal (95870) | $150 | $300 | 1.2× |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$219–$1,442 | $438–$2,884 | varies |
| Nasal function studies (92512) | $276 | $552 | 1.3× |
| Nasopharyngoscopy (92511) range across 4 matching MRF lines |
$195–$1,172.63 | $390–$2,345.25 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 4 matching MRF lines |
$337–$1,048 | $674–$2,096 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 3 matching MRF lines |
$187–$988.50 | $374–$1,977 | varies |
| Needle electromyography larynx (95865) | $246 | $492 | 1.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
$280–$327 | $560–$654 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$708.50–$1,346 | $1,417–$2,692 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$708.50–$762 | $1,417–$1,524 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$171–$5,232.75 | $342–$10,465.50 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$538–$3,525.50 | $1,076–$7,051 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$199.50–$284.50 | $399–$569 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 5 matching MRF lines |
$635–$1,286 | $1,270–$2,572 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 4 matching MRF lines |
$481.50–$1,500.50 | $963–$3,001 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 5 matching MRF lines |
$356–$582.50 | $712–$1,165 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 6 matching MRF lines |
$399.50–$644 | $799–$1,288 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 6 matching MRF lines |
$475–$858 | $950–$1,716 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 7 matching MRF lines |
$543–$1,072.50 | $1,086–$2,145 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$192–$276 | $384–$552 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 4 matching MRF lines |
$143–$429 | $286–$858 | varies |
| Neuromuscular Reeducation (97112) range across 8 matching MRF lines |
$65.50–$330 | $131–$660 | varies |
| Newborn resuscitation (99465) | $1,002 | $2,004 | 1.6× |
| Nitric oxide expired gas determination (95012) range across 3 matching MRF lines |
$161–$164.50 | $322–$329 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $541.50 | $1,083 | 1.5× |
| Ocular Vemp Testing W/I&R (92518) | $266 | $532 | 2.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 3 matching MRF lines |
$214.50–$462 | $429–$924 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$170–$305 | $340–$610 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$170–$228.50 | $340–$457 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) | $170 | $340 | 1.3× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $170 | $340 | 1.3× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $75.50 | $151 | 1.3× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) range across 2 matching MRF lines |
$84.50–$126 | $169–$252 | varies |
| Optokinetic Nystagmus Test (92544) | $219 | $438 | 1.8× |
| Oral Function Therapy (92526) | $115.50 | $231 | 1.4× |
| Oral Speech Device Eval (92597) | $183 | $366 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $52 | $104 | 1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$71–$213 | $142–$426 | varies |
| Oscillating Tracking Test (92545) | $276.50 | $553 | 1.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 4 matching MRF lines |
$15–$30 | $30–$60 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$27.50–$32 | $55–$64 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) | $34 | $68 | 1.6× |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$444.50–$544.50 | $889–$1,089 | varies |
| Ot Eval Low Complex (97165) range across 4 matching MRF lines |
$85.50–$105 | $171–$210 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$245.50–$302 | $491–$604 | varies |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$58.50–$315 | $117–$630 | varies |
| Ot paraffin bath (97018) | $75.50 | $151 | 12.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $65.50 | $131 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$229–$280 | $458–$560 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$242–$423.50 | $484–$847 | varies |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$658–$688.50 | $1,316–$1,377 | varies |
| Patch/Application Test Specify Number Tests (95044) range across 3 matching MRF lines |
$1,800–$1,890 | $45–$3,780 | varies |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $311.50 | $623 | 12.6× |
| Pdt dstr prmlg les phys/qhp (96573) range across 2 matching MRF lines |
$256.50–$272 | $513–$544 | varies |
| Pdt dstr prmlg les skn illum/activj per day (96567) range across 3 matching MRF lines |
$329–$354 | $658–$708 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $280 | $560 | 1.3× |
| Percutaneous tests w/allergenic extracts (95004) range across 6 matching MRF lines |
$70.50–$940 | $47–$1,880 | varies |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$103–$148 | $206–$296 | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $10,572.50 | $21,145 | 0.6× |
| Perq transcath closure pda (93582) range across 2 matching MRF lines |
$19,000–$20,781.50 | $38,000–$41,563 | varies |
| Perq Transcath Cls Aortic (93591) range across 2 matching MRF lines |
$10,942.50–$11,763.50 | $21,885–$23,527 | varies |
| Perq Transcath Cls Mitral (93590) range across 2 matching MRF lines |
$19,000–$20,781.50 | $38,000–$41,563 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 5 matching MRF lines |
$4,316.67–$8,633.34 | $8,633.33–$17,266.67 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 3 matching MRF lines |
$4,037.50–$6,060.50 | $8,075–$12,121 | varies |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$133.50–$241.50 | $267–$483 | varies |
| Photo patch test(s) (95052) | $83 | $166 | 1.5× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $109 | $218 | 1.9× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) range across 2 matching MRF lines |
$61.50–$116.50 | $123–$233 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $76 | $152 | 1.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 4 matching MRF lines |
$98.50–$119 | $197–$238 | varies |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$62–$66.50 | $124–$133 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$342–$368 | $684–$736 | varies |
| Pm device eval in person (93288) range across 5 matching MRF lines |
$82–$120 | $164–$240 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$88–$96.50 | $176–$193 | varies |
| Pm device progr eval multi (93281) range across 5 matching MRF lines |
$78.50–$103.50 | $157–$207 | varies |
| Pm Device Progr Eval Sngl (93279) range across 4 matching MRF lines |
$78.50–$84.50 | $157–$169 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$94–$115.50 | $188–$231 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$2,129–$3,432.50 | $4,258–$6,865 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 3 matching MRF lines |
$271.33–$3,573.50 | $542.65–$7,147 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 3 matching MRF lines |
$286.52–$3,400.50 | $573.04–$6,801 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,271.50 | $2,543 | 1.5× |
| Positional nystagmus test (92542) | $110 | $220 | 0.9× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 3 matching MRF lines |
$7.50–$225 | $15–$450 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 2 matching MRF lines |
$70.50–$645 | $141–$1,290 | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $93.50 | $187 | 2.1× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) range across 2 matching MRF lines |
$136.50–$960 | $273–$1,920 | varies |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $115.50 | $231 | 1.7× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $570.50 | $1,141 | 1.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $58.50 | $117 | 1.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 4 matching MRF lines |
$78.50–$96.50 | $157–$193 | 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 |
$148.50–$194 | $297–$388 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$42.50–$46 | $85–$92 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$51–$55 | $102–$110 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 3 matching MRF lines |
$96–$1,020 | $192–$2,040 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 3 matching MRF lines |
$8,493–$9,130 | $16,986–$18,260 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 4 matching MRF lines |
$5,637.50–$9,712 | $11,275–$19,424 | varies |
| Prq Card Stent/Ath/Angio (92933) | $10,572.50 | $21,145 | 0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$5,637.50–$6,060.50 | $11,275–$12,121 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 2 matching MRF lines |
$8,519.50–$9,158.50 | $17,039–$18,317 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) | $8,850 | $17,700 | 0.8× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) range across 3 matching MRF lines |
$7,690.50–$8,850 | $15,381–$17,700 | varies |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$227–$273.50 | $454–$547 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$187.50–$229 | $375–$458 | varies |
| Psytx Crisis Initial 60 Min (90839) | $225 | $450 | 1.3× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$367.50–$450 | $735–$900 | varies |
| Pt eval low complex 20 min (97161) range across 4 matching MRF lines |
$72–$87.50 | $144–$175 | varies |
| Pt Eval Mod Complex (97162) range across 4 matching MRF lines |
$199–$244 | $398–$488 | varies |
| Pt gait training 15 min (97116) range across 5 matching MRF lines |
$56–$366 | $112–$732 | varies |
| Pt group caregiver training (97552) | $27.50 | $55 | 1.2× |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$32.50–$82.50 | $65–$165 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$216–$265 | $432–$530 | varies |
| Pulm function test by gas (94727) | $368 | $736 | 1.8× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$329–$857 | $658–$1,714 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$246.50–$265 | $493–$530 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$52–$52.50 | $104–$105 | varies |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$7,963.50–$8,007.50 | $15,927–$16,015 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) range across 3 matching MRF lines |
$3,650–$4,794 | $7,300–$9,588 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) range across 2 matching MRF lines |
$4,794–$5,154 | $9,588–$10,308 | varies |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$6,475–$7,246.50 | $12,950–$14,493 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) range across 2 matching MRF lines |
$4,794–$5,154 | $9,588–$10,308 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 3 matching MRF lines |
$3,598–$9,770.50 | $7,196–$19,541 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,994.50 | $15,989 | 2.5× |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$534–$1,107 | $1,068–$2,214 | varies |
| Rectal sensation tone&compliance study (91124) | $439.50 | $879 | 2.1× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 3 matching MRF lines |
$422–$434 | $844–$868 | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$256–$336 | $512–$672 | varies |
| Refill/Maint Pump/Resvr Syst (96522) range across 4 matching MRF lines |
$167–$271 | $334–$542 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) | $89.50 | $179 | 2.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$51.50–$81.50 | $103–$163 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $51 | $102 | 1.4× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) range across 3 matching MRF lines |
$162–$170.50 | $324–$341 | varies |
| Rem Mntr Wrls P-Art Prs Snr (93264) range across 2 matching MRF lines |
$82.50–$89 | $165–$178 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$123.50–$366.50 | $247–$733 | varies |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $697 | $1,394 | 3.3× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $685 | $1,370 | 3.3× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$223–$312 | $446–$624 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$76–$87 | $152–$174 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$6,475–$6,961 | $12,950–$13,922 | varies |
| Right ventricular recording (93603) | $1,540 | $3,080 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$150–$306 | $300–$612 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $235.50 | $471 | 9.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $356 | $712 | 2.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $180 | $360 | 3.8× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $170 | $340 | 1.3× |
| Select picture audiometry (92583) | $135 | $270 | 2.4× |
| Self Care Mngment Training (97535) range across 7 matching MRF lines |
$68.50–$315 | $137–$630 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 2 matching MRF lines |
$198.50–$203.50 | $397–$407 | varies |
| Sensory Integration Ea 15 Min (97533) | $58.50 | $117 | 1.0× |
| Short-latency somatosens ep std upr limbs (95925) range across 6 matching MRF lines |
$312–$634 | $624–$1,268 | varies |
| Sleep study attended (95807) | $477.50 | $955 | 1.3× |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$276.50–$320.50 | $553–$641 | varies |
| Slp caregiver training 1st 30 min (97550) | $55 | $110 | 1.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 4 matching MRF lines |
$255.50–$326 | $511–$652 | varies |
| Somatosensory Testing (95938) range across 3 matching MRF lines |
$720.50–$1,183.50 | $1,441–$2,367 | varies |
| Speech Audiometry Complete (92556) | $52.50 | $105 | 0.9× |
| Speech audiometry threshold (92555) range across 3 matching MRF lines |
$52.50–$76 | $105–$152 | varies |
| Speech sound lang comprehen (92523) | $211 | $422 | 0.9× |
| Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines |
$359–$392 | $718–$784 | varies |
| Spirometry (94010) range across 6 matching MRF lines |
$153–$327.50 | $306–$655 | varies |
| Spontaneous Nystagmus Test (92541) | $170.50 | $341 | 1.3× |
| Ssep lower limbs (95926) range across 5 matching MRF lines |
$312–$634 | $624–$1,268 | varies |
| Standardized Cognitive Performance Testing (96125) | $284 | $568 | 2.8× |
| Stress Tte Only (93350) | $1,392 | $2,784 | 2.6× |
| Subcutaneous Infusion Each Additional Hour (96370) | $111 | $222 | 2.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $271 | $542 | 1.3× |
| Surfactant Admin Thru Tube (94610) | $259.50 | $519 | 1.2× |
| Synthetic Sentence Identification Test (92576) | $135 | $270 | 3.7× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $368 | $736 | 3.6× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,344.50–$1,521.50 | $2,689–$3,043 | varies |
| Tensilon Test (95857) | $469.50 | $939 | 2.2× |
| Test to assess hearing loss using different tone pitches (92575) | $49.50 | $99 | 1.4× |
| Testing Autonomic Nervous System Function (95923) | $404.50 | $809 | 3.1× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $124.50 | $249 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $17 | $34 | 0.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $17 | $34 | 0.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 3 matching MRF lines |
$51–$255 | $102–$510 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 5 matching MRF lines |
$24.50–$109 | $49–$218 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $266.50 | $533 | 2.6× |
| Ther/Proph/Diag Inj Ia (96373) | $187 | $374 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 11 matching MRF lines |
$60–$180 | $120–$360 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 9 matching MRF lines |
$264.50–$706.50 | $529–$1,413 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $555 | $1,110 | 2.7× |
| Therapeutic Activities (97530) range across 7 matching MRF lines |
$69–$304 | $138–$608 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$477.50–$1,412.50 | $955–$2,825 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$12.50–$47 | $25–$94 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$47–$64 | $94–$128 | varies |
| Tone Decay Test (92563) | $135 | $270 | 3.7× |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$152–$167.50 | $304–$335 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$152–$167.50 | $304–$335 | varies |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$9,000–$10,572.50 | $18,000–$21,145 | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) range across 2 matching MRF lines |
$780.50–$839.50 | $1,561–$1,679 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $259.50 | $519 | 2.6× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $124 | $248 | 3.4× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $441 | $882 | 3.5× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$1,484–$1,737.50 | $2,968–$3,475 | varies |
| Tte W/O Doppler Complete (93307) | $556 | $1,112 | 2.4× |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$10,917–$11,736 | $21,834–$23,472 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 7 matching MRF lines |
$134–$429 | $268–$858 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $70.50 | $141 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 9 matching MRF lines |
$47.50–$237.50 | $95–$475 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$52.50–$61.50 | $105–$123 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$100.50–$108.50 | $201–$217 | varies |
| Unlis neurological/neuromuscular dx px (95999) | $284.50 | $569 | 2.3× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $46.50 | $93 | 1.7× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$277–$794 | $554–$1,588 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 2 matching MRF lines |
$310–$522.50 | $620–$1,045 | varies |
| Unlisted ophthalmological service/procedure (92499) | $238 | $476 | 8.5× |
| Unlisted otorhinolaryngological service (92700) range across 2 matching MRF lines |
$100.50–$108.50 | $201–$217 | varies |
| Unlisted Special Dermatological Service/Px (96999) range across 2 matching MRF lines |
$256.50–$293 | $513–$586 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$275.50–$314 | $551–$628 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$399–$429 | $798–$858 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$7,737–$8,317.50 | $15,474–$16,635 | varies |
| Valvuloplasty mitral valve (92987) range across 2 matching MRF lines |
$8,355–$8,753.50 | $16,710–$17,507 | varies |
| Valvuloplasty pulmonary valve (92990) range across 3 matching MRF lines |
$8,355–$10,294.75 | $16,710–$20,589.50 | varies |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$35.50–$38 | $71–$76 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$943.50–$1,014.50 | $1,887–$2,029 | varies |
| Veeg 2-12 hr intmt mntr (95712) range across 2 matching MRF lines |
$492.50–$529.50 | $985–$1,059 | varies |
| Veeg 2-12 hr unmonitored (95711) range across 2 matching MRF lines |
$492.50–$514 | $985–$1,028 | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$943.50–$1,137.50 | $1,887–$2,275 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,014.50 | $2,029 | 2.8× |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$1,767.50–$1,900.50 | $3,535–$3,801 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$1,374–$1,592 | $2,748–$3,184 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$1,408–$1,806 | $2,816–$3,612 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$619.50–$686 | $1,239–$1,372 | varies |
| Visual Field Exam Extended (92083) | $213.50 | $427 | 1.7× |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 2 matching MRF lines |
$172.50–$185.50 | $345–$371 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 3 matching MRF lines |
$125.50–$200 | $251–$400 | varies |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$142–$276.50 | $284–$553 | varies |
| Vital capacity, total (94150) range across 4 matching MRF lines |
$142–$249.50 | $284–$499 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,099.50 | $2,199 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$93–$112.50 | $186–$225 | varies |
| Whirlpool Therapy (97022) | $87.50 | $175 | 5.6× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $114.50 | $229 | 2.0× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $209 | $418 | 5.8× |
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.