Visits & medical services prices at Westchester Medical Center (Valhalla, NY)

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

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Procedure	Posted cash	Posted gross	× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570)	$542	$542	3.4×
Acoustic Reflex Testing (92568)	$741	$741	15.9×
Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines	$120–$152	$120–$152	varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651)	$1,089	$1,089	4.0×
Aep neurodiagnostic i&r (92653)	$2,356	$2,356	8.7×
Aep threshold estimation mlt frequencies i&r (92652)	$2,356	$2,356	8.7×
Airway Inhalation Treatment (94640) range across 2 matching MRF lines	$459–$874	$459–$874	varies
Airway resistance by oscillometry (94728)	$1,089	$1,089	6.8×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601)	$1,111	$1,111	6.9×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170)	$46	$46	0.2×
Anrct mano rct sensation&rct balo expulsion test (91125)	$3,239	$3,239	7.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)	$363	$363	25.3×
Application Modality 1/> Areas Infrared (97026)	$358	$358	53.6×
Application on-body injector (96377)	$330	$330	5.6×
Assessment of aphasia per hr (96105)	$651	$651	6.7×
Audiometry Air & Bone (92553)	$1,006	$1,006	6.3×
Auditory Function, 60 Min (92620)	$783	$783	4.9×
Basic vestibular evaluation (92540)	$985	$985	3.7×
Behavral qualit analys voice (92524)	$605	$605	5.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912)	$418	$418	5.1×
Biofeedback training any modality (90901)	$326	$326	7.9×
Blink reflex test (95933)	$271	$271	3.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)	$1,089	$1,089	2.3×
C motor evoked uppr limbs (95928)	$3,784	$3,784	3.5×
C motor evoked upr&lwr limbs (95939)	$3,784	$3,784	3.5×
Caloric vestibular test w/rec bi monothermal (92538)	$1,299	$1,299	4.8×
Caloric Vstblr Test W/Rec (92537)	$1,242	$1,242	7.7×
Canalith repositioning proc (95992)	$182	$182	4.5×
Cardiac Stress Tst,Tracing Only (93017)	$1,712	$1,712	6.4×
Cardiopulmonary exercise testing (94621)	$3,052	$3,052	6.6×
Cardiopulmonary resuscitation (92950)	$1,865	$1,865	6.9×
Cardioversion (92960)	$3,903	$3,903	4.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551)	$98	$98	3.8×
Cbt 1st hour (94644)	$867	$867	5.2×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549)	$859	$859	5.2×
Cervical Vemp Testing W/I&R (92517)	$1,018	$1,018	6.3×
Chemo Admin Peritoneal Cavity (96446)	$1,175	$1,175	2.8×
Chemo Anti-Neopl Sq/Im (96401)	$808	$808	9.0×
Chemo Hormon Antineopl Sq/Im (96402)	$652	$652	7.3×
Chemo Ia Push (96420)	$1,175	$1,175	2.8×
Chemo Intralesional Over 7 (96406)	$1,553	$1,553	5.8×
Chemo intralesional up to 7 (96405)	$762	$762	8.5×
Chemo IV infusion addl hr (96415)	$1,313	$1,313	14.6×
Chemo IV push addl drug (96411)	$2,949	$2,949	32.8×
Chemother Prolong Infuse W/Pump (96416)	$1,755	$1,755	4.3×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422)	$1,553	$1,553	3.8×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423)	$1,277	$1,277	21.8×
Chemotherapy Into Cns (96450)	$8,738	$8,738	21.2×
Chemotherapy Unspecified (96549)	$299	$299	5.1×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425)	$1,277	$1,277	3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)	$1,415	$1,415	15.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)	$1,487	$1,487	3.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409)	$1,175	$1,175	2.8×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542)	$3,321	$3,321	8.1×
Chest Wall Manipulation (94668)	$465	$465	2.8×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772)	$2,833	$2,833	6.1×
Cmptr ophth dx img ant segmt (92132)	$385	$385	5.2×
Color/duplex Doppler, complete (93975) range across 3 matching MRF lines	$1,478–$1,993	$1,478–$1,993	varies
Color/duplex Doppler, limited (93976)	$2,693	$2,693	20.6×
Community/Work Reintegration Trainj Ea 15 Min (97537)	$362	$362	11.3×
Comprehensive Hearing Test (92557)	$678	$678	4.2×
Computerized dynamic posturography (92548)	$1,965	$1,965	11.8×
Computerized Ophthalmic Imaging Optic Nerve (92133)	$385	$385	5.2×
Computerized Ophthalmic Imaging Retina (92134)	$385	$385	5.2×
Conditioning Play Audiometry (92582)	$575	$575	3.6×
Cont gluc mntr physician/qhp provided equiptment (95250)	$852	$852	5.1×
Cont Gluc Mntr Pt Prov Eqp (95249)	$294	$294	4.0×
Corneal Topography (92025)	$633	$633	8.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660)	$1,409	$1,409	5.2×
Cpt initial (94667)	$465	$465	2.8×
Critical care first hour (99291) range across 2 matching MRF lines	$9,010–$9,183	$9,010–$9,183	varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929)	$2,009	$2,009	4.3×
Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines	$85–$1,023	$85–$1,023	varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602)	$1,111	$1,111	6.9×
Dialysis One Evaluation (90945)	$2,718	$2,718	5.2×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)	$1,089	$1,089	2.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)	$3,011	$3,011	10.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines	$501–$923	$501–$923	varies
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980)	$1,775	$1,775	13.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925)	$3,203	$3,203	10.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines	$1,238–$1,457	$1,238–$1,457	varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)	$2,310	$2,310	7.8×
Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines	$1,442–$1,920	$1,442–$1,920	varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985)	$1,678	$1,678	5.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986)	$795	$795	6.1×
Duplex Scan Hemodialysis Access (93990)	$1,828	$1,828	14.0×
Duplex up extrem art bilat (93930)	$3,144	$3,144	10.6×
Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines	$1,012–$1,564	$1,012–$1,564	varies
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622)	$542	$542	3.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604)	$1,111	$1,111	6.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603)	$1,111	$1,111	6.9×
Echo Congenital Complete (93303)	$3,928	$3,928	5.8×
Echo Heart Xthoracic,Limited (93308)	$2,058	$2,058	6.9×
Echo transesophageal (93312)	$5,491	$5,491	8.1×
Echo Transesophageal - Congenital Tee Complete (93315)	$5,076	$5,076	7.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)	$5,410	$5,410	7.9×
Eeg 41-60 Minutes (95812)	$2,253	$2,253	8.4×
EEG awake and asleep (95819)	$1,558	$1,558	5.8×
EEG awake drowsy (95816)	$2,217	$2,217	8.2×
EEG cerebral death evaluation (95824)	$2,098	$2,098	4.5×
EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines	$997–$1,955	$997–$1,955	varies
EEG extended monitoring 61-119 minutes (95813)	$2,413	$2,413	9.0×
Eeg Sleep Only (95822)	$2,217	$2,217	8.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705)	$1,955	$1,955	7.3×
EEG w/o vid ea 12-26hr intmt (95709)	$3,538	$3,538	7.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706)	$1,845	$1,845	6.8×
EEG wo vid ea 12-26hr unmntr (95708)	$3,751	$3,751	8.1×
Electrical Stimulation Ea 15 Min (97032)	$363	$363	24.7×
Electrocardiogram Tracing (93005)	$708	$708	9.6×
Electrocochleography (92584)	$1,681	$1,681	10.5×
Electroconvulsive Therapy (90870)	$3,228	$3,228	3.0×
Electrophysiology Evaluation (93642)	$18,200	$18,200	12.0×
Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines	$3,685–$4,101	$3,685–$4,101	varies
Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines	$5,157–$5,412	$5,157–$5,412	varies
Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines	$6,447–$7,052	$6,447–$7,052	varies
Emg 3 Extremities (95863)	$2,309	$2,309	14.4×
Emg 4 Extremities (95864)	$957	$957	6.0×
Er level 1 (99281) range across 5 matching MRF lines	$2,463–$2,481	$2,463–$2,481	varies
Er level v (99285) range across 3 matching MRF lines	$8,288–$8,586	$8,288–$8,586	varies
Esophageal Capsule Endoscopy (91111)	$3,412	$3,412	3.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626)	$1,111	$1,111	6.9×
Evaluate pt use of inhaler (94664)	$774	$774	2.8×
Evaluate Speech Production (92522)	$633	$633	5.7×
Evaluate Swallowing Function (92610)	$1,258	$1,258	14.8×
Evaluation of speech fluency (92521)	$746	$746	5.6×
Evoked Auditory Test,Limited (92587)	$1,089	$1,089	4.0×
External Ecg Scanning Analysis Report (93226)	$1,258	$1,258	17.1×
Extracranial Bilat Study (93880)	$3,392	$3,392	11.4×
Extracranial Uni/Ltd Study (93882)	$1,831	$1,831	14.0×
F-up/limited tthrc echo congenital car anomaly (93304)	$1,988	$1,988	2.9×
Facial nerve function studies (92516)	$1,089	$1,089	4.0×
Filtered Speech Test (92571)	$94	$94	2.0×
Flexible endoscopic eval swallow c/v rec (92612)	$1,473	$1,473	7.4×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961)	$3,784	$3,784	3.5×
Fundus photography (92250)	$444	$444	2.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)	$2,785	$2,785	6.0×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037)	$5,174	$5,174	19.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035)	$2,193	$2,193	2.0×
Gi tract capsule endoscopy (91110)	$7,273	$7,273	6.4×
Group Therapeutic Procedures (97150)	$358	$358	19.8×
Health Behavior Assessment/Re-Assessment (96156)	$358	$358	2.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)	$2,528	$2,528	3.0×
Holter monitor recording (93225)	$766	$766	4.6×
Icd Device Interrogate (93289)	$308	$308	6.6×
Ilr Device Interrogate (93291)	$253	$253	7.0×
Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines	$245–$270	$245–$270	varies
Immunization administration (90471)	$270	$270	3.0×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070)	$3,449	$3,449	7.4×
Interrogate Subq Defib (93261)	$292	$292	6.3×
Interrogation eval in person wr defibrillator (93292)	$346	$346	7.4×
Intracranial Complete Study (93886)	$3,751	$3,751	12.6×
Iontophoresis 15 min (97033)	$358	$358	18.8×
Irrig Drug Delivery Device (96523) range across 3 matching MRF lines	$258–$637	$258–$637	varies
IV infusion hydration each additional hour (96361) range across 2 matching MRF lines	$349–$488	$349–$488	varies
IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines	$494–$876	$494–$876	varies
IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines	$486–$651	$486–$651	varies
IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines	$488–$642	$488–$642	varies
IV push initial (96374) range across 2 matching MRF lines	$512–$965	$512–$965	varies
Liver Elastography W/O Imag W/I&R (91200)	$989	$989	6.2×
Lung Function Test (Mbc/Mvv) (94200)	$517	$517	7.0×
Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines	$1,223–$1,424	$1,223–$1,424	varies
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012)	$1,089	$1,089	4.0×
Measurement Lung Volumes Infant/Child/2 Yrs (94013)	$1,860	$1,860	4.0×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011)	$542	$542	3.4×
Mechanical chest wall oscillation per session (94669)	$1,721	$1,721	6.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)	$156	$156	4.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)	$156	$156	4.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)	$84	$84	4.9×
Methacholine challenge (94070)	$2,168	$2,168	4.7×
Motility study esophagus (91010)	$4,264	$4,264	9.2×
Motion Fluoroscopy/Swallow (92611)	$1,258	$1,258	13.7×
Multiple Family Group Psychotherapy (90849)	$554	$554	2.5×
Multiple Sleep Latency Test (95805)	$10,956	$10,956	10.2×
Muscle Test 2 Limbs (95861)	$1,109	$1,109	6.7×
Muscle Test Hemidiaphragm (95866)	$940	$940	5.9×
Muscle Test Nonparaspinal (95870)	$616	$616	3.7×
Muscle Test One Limb (95860)	$1,535	$1,535	9.2×
Nasopharyngoscopy (92511)	$788	$788	3.2×
Needle Electromyography Cranial Nrv Muscle Bi (95868)	$3,280	$3,280	12.2×
Needle Electromyography Cranial Nrv Muscle Uni (95867)	$1,727	$1,727	6.4×
Needle electromyography larynx (95865)	$860	$860	5.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869)	$1,089	$1,089	4.0×
Needle EMG w/1 fiber electrode quan meas jitter (95872)	$850	$850	3.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)	$2,301	$2,301	4.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)	$2,301	$2,301	4.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)	$913	$913	3.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)	$1,424	$1,424	2.8×
Nerve Conduction Studies 1-2 Studies (95907)	$1,030	$1,030	3.8×
Nerve Conduction Studies 11-12 Studies (95912)	$2,009	$2,009	4.3×
Nerve conduction studies 13 or more studies (95913)	$2,009	$2,009	4.3×
Nerve Conduction Studies 3-4 Studies (95908)	$1,089	$1,089	4.0×
Nerve conduction studies 5-6 studies (95909)	$1,109	$1,109	4.1×
Nerve conduction studies 7-8 studies (95910)	$1,109	$1,109	2.4×
Nerve Conduction Studies 9-10 Studies (95911)	$2,009	$2,009	4.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)	$1,110	$1,110	6.9×
Neuromuscular Reeducation (97112)	$456	$456	13.9×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136)	$776	$776	4.7×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004)	$535	$535	3.2×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014)	$489	$489	2.9×
Ophth medical xm&eval intermediate estab pt (92012)	$489	$489	2.9×
Ophth Medical Xm&Eval Intermediate New Pt (92002)	$489	$489	2.9×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202)	$429	$429	5.8×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201)	$429	$429	5.8×
Optokinetic Nystagmus Test (92544)	$697	$697	4.3×
Oral Function Therapy (92526)	$649	$649	7.7×
Oral Speech Device Eval (92597)	$1,545	$1,545	21.7×
Orthc/Prostc Mgmt Sbsq Enc (97763)	$331	$331	6.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)	$326	$326	7.1×
Oscillating Tracking Test (92545)	$1,089	$1,089	4.0×
Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines	$95–$358	$95–$358	varies
Ot eval high complexity (97167)	$673	$673	6.7×
Ot Eval Low Complex (97165)	$402	$402	4.0×
Ot Eval Moderate Complexity (97166)	$449	$449	4.5×
Ot manual therapy 15 min (97140)	$401	$401	14.5×
Ot paraffin bath (97018)	$363	$363	60.4×
Ot Prosthetic Training, Each 15 Min (97761)	$326	$326	8.1×
Ot Re-Eval Est Plan Care (97168)	$341	$341	5.0×
Ot rom hand (95852)	$287	$287	13.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)	$810	$810	5.0×
Phlebotomy therapeutic (99195)	$620	$620	3.7×
Physical Performance Test (97750)	$323	$323	9.6×
Plethysmography (94726) range across 2 matching MRF lines	$670–$1,089	$670–$1,089	varies
Pm device eval in person (93288)	$262	$262	5.6×
Pm/Icd Remote Tech Serv (93296)	$989	$989	21.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)	$10,886	$10,886	10.2×
Polysom <6 yrs 4/> paramtrs (95782)	$10,886	$10,886	10.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)	$10,886	$10,886	10.2×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808)	$5,215	$5,215	4.9×
Positional nystagmus test (92542)	$697	$697	4.2×
Psych diag eval w/med srvcs (90792) range across 4 matching MRF lines	$423–$795	$423–$795	varies
Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines	$423–$795	$423–$795	varies
Psycl/Nrpsyc Tst Auto Result (96146)	$184	$184	5.1×
Psytx Crisis Initial 60 Min (90839)	$1,106	$1,106	5.0×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755)	$519	$519	13.8×
Pt Eval High Complex (97163)	$673	$673	6.9×
Pt eval low complex 20 min (97161)	$409	$409	4.2×
Pt Eval Mod Complex (97162)	$449	$449	4.6×
Pt gait training 15 min (97116)	$370	$370	12.7×
Pt group caregiver training (97552)	$82	$82	3.7×
Pt mechanical traction (97012)	$363	$363	25.3×
Pt Re-Eval Est Plan Care (97164)	$363	$363	5.4×
Pulm function test by gas (94727) range across 2 matching MRF lines	$349–$575	$349–$575	varies
Pulmonary service/procedure (94799)	$729	$729	4.5×
Pulmonary Stress Testing (94618) range across 2 matching MRF lines	$316–$2,595	$316–$2,595	varies
Pure Tone Audiometry Air (92552)	$560	$560	3.4×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990)	$1,336	$1,336	3.2×
Rem interrog icpms <30 d phys/qhp (93297)	$145	$145	3.1×
Rem Interrog Scrms <30 D Phys/Qhp (93298)	$311	$311	6.7×
Remote 30 Day Ecg Tech Supp (93229)	$3,273	$3,273	7.0×
Respiratory flow volume loop (94375) range across 2 matching MRF lines	$678–$1,089	$678–$1,089	varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)	$331	$331	4.5×
Right Heart Cath (93451)	$13,882	$13,882	3.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)	$1,434	$1,434	5.7×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851)	$309	$309	11.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)	$1,667	$1,667	13.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608)	$212	$212	4.4×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954)	$1,860	$1,860	4.0×
Select picture audiometry (92583)	$126	$126	1.7×
Self Care Mngment Training (97535)	$363	$363	11.2×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060)	$429	$429	5.8×
Sensory Integration Ea 15 Min (97533)	$363	$363	6.0×
Short-latency somatosens ep std upr limbs (95925)	$2,941	$2,941	10.9×
Sinusoidal Vertical Axis Rotational Testing (92546)	$1,965	$1,965	12.2×
Sleep study attended (95807)	$5,148	$5,148	11.1×
Sleep study unattended (95806)	$4,312	$4,312	16.0×
Slp caregiver training 1st 30 min (97550)	$188	$188	3.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)	$3,481	$3,481	12.9×
Somatosensory Testing (95938)	$2,009	$2,009	1.9×
Speech Audiometry Complete (92556)	$356	$356	4.8×
Speech audiometry threshold (92555)	$213	$213	2.9×
Speech sound lang comprehen (92523)	$1,258	$1,258	5.6×
Spirometry (94010)	$696	$696	2.6×
Spontaneous Nystagmus Test (92541)	$697	$697	4.2×
Ssep lower limbs (95926)	$2,941	$2,941	10.9×
Standardized Cognitive Performance Testing (96125)	$417	$417	4.1×
Stenger Test Speech (92577)	$1,860	$1,860	4.0×
Stenger Test, Pure Tone (92565)	$217	$217	2.9×
Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines	$204–$271	$204–$271	varies
Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines	$648–$787	$648–$787	varies
Subq Infusion Additional Pump Infusion Site (96371)	$390	$390	4.3×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893)	$1,390	$1,390	10.7×
Temp transcutaneous pacing (92953)	$1,405	$1,405	1.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)	$363	$363	16.2×
Ther Ivntj Ea Addl 15 Min (97130)	$363	$363	17.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines	$154–$363	$154–$363	varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)	$634	$634	6.2×
Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines	$117–$744	$117–$744	varies
Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines	$403–$488	$403–$488	varies
Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines	$756–$1,424	$756–$1,424	varies
Therapeutic Activities (97530)	$363	$363	10.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660)	$2,512	$2,512	5.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines	$100–$121	$100–$121	varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines	$111–$121	$111–$121	varies
Transcranial Doppler Intracran Art Emboli Detect (93892)	$1,088	$1,088	8.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888)	$1,258	$1,258	9.6×
Tte w/doppler, complete (93306)	$9,126	$9,126	13.4×
Tte W/O Doppler Complete (93307)	$3,344	$3,344	11.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)	$605	$605	7.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)	$464	$464	19.3×
Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines	$463–$488	$463–$488	varies
Tympanometry (92567)	$595	$595	12.8×
Tympanometry and reflex threshold measurements (92550)	$673	$673	2.5×
Unlisted cardiovascular service/procedure (93799)	$187	$187	1.2×
Unlisted Diagnostic Gastroenterology Procedure (91299)	$5,007	$5,007	31.2×
Unlisted ophthalmological service/procedure (92499) range across 2 matching MRF lines	$191–$245	$191–$245	varies
Upr/L Xtremity Art 2 Levels (93922)	$1,223	$1,223	7.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines	$1,118–$1,223	$1,118–$1,223	varies
Vasopneumatic device (97016)	$358	$358	29.8×
Veeg 2-12 Hr Cont Mntr (95713)	$3,751	$3,751	8.1×
Veeg 2-12 hr intmt mntr (95712) range across 2 matching MRF lines	$997–$1,955	$997–$1,955	varies
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines	$1,914–$3,751	$1,914–$3,751	varies
Veeg ea 12-26hr cont mntr (95716)	$7,018	$7,018	6.5×
Vent Mgmt Inpat Init Day (94002)	$4,204	$4,204	5.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)	$4,204	$4,204	5.5×
Visual Evoked Potential Test (95930)	$1,399	$1,399	5.2×
Visual Field Exam Extended (92083)	$1,007	$1,007	6.1×
Visual field xm uni/bi w/interp intermed exam (92082)	$501	$501	6.8×
Visual field xm uni/bi w/interpretj limited exam (92081)	$276	$276	3.7×
Visual reinforcement audiometry (vra) (92579)	$782	$782	2.9×
Vital capacity, total (94150)	$542	$542	3.4×
Wada Activation Test Hemispheric Function W/Eeg (95958)	$3,784	$3,784	3.5×
Wheelchair Mgmt Ea 15 Min (97542)	$363	$363	11.7×
Whirlpool Therapy (97022)	$358	$358	22.8×

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.