Visits & medical services prices at Westfield Memorial Hospital, Inc

Westfield, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $58.08 $264 0.5×
Ablate Heart Dysrhythm Focus (93650)
likely a partial charge, not the full procedure		 $350.68 $1,594 0.0×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $17.82 $81 0.1×
Acoustic Reflex Testing (92568) $9.24 $42 0.2×
Actigraphy Testing Recording Analysis I&R (95803) $25.52 $116 0.3×
Acupunct W/Stimul 15 Min (97813) $23.10 $105 0.6×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $19.14 $87 0.5×
Admn Sarscov2 Vacc 1 Dose (90480) $85.02 $109 1.7×
Advncd Care Plan 30 Min (99497) $46.20 $210 0.4×
Aep neurodiagnostic i&r (92653) $49.50 $225 0.2×
Airway resistance by oscillometry (94728) $7.48 $34 0.0×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $4.40 $20 0.1×
Allg tstg perq & ic venoms immed react w/i&r (95017) $2.20 $10 0.1×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $75.02 $341 0.5×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $57.42 $261 0.4×
Analyze neurostim complex (95972) $24.42 $111 0.2×
Analyze neurostim no prog (95970) $11.44 $52 0.1×
Analyze Neurostim Simple (95971) $23.76 $108 0.2×
Analyze Pacemaker System (93724) $143.22 $651 0.4×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $51.92 $236 0.2×
Ans parasymp & symp w/tilt (95924) $52.36 $238 0.2×
Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) $21.34 $97 0.1×
Ant sgm imaging w/microscopy endothelial analy (92286) $12.98 $59 0.1×
Appl modality 1+ areas lllt po pain reduction (97037) $114.66 $147 2.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $42.12 $54 2.9×
Arrhythmia Induction (93618) $129.36 $588 0.1×
Art pressure waveform analys (93050) $5.06 $23 0.1×
Assessment of tinnitus (92625) $37.40 $170 0.2×
Assmt & care planning pt w/cognitive impairment (99483) $118.80 $540 0.9×
Auditory Function, 60 Min (92620) $48.84 $222 0.3×
Basic vestibular evaluation (92540) $46.86 $213 0.2×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $26.18 $119 0.3×
Bfb training ea addl 15 min (90913) $14.74 $67 0.5×
Biofeedback training any modality (90901) $11.88 $54 0.3×
Blink reflex test (95933) $18.92 $86 0.3×
Breath hydrogen/methane test (91065) $5.72 $26 0.0×
Breathing response to hypoxia (94450) $12.10 $55 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $6.16 $28 0.0×
Bundle of his recording (93600)
likely a partial charge, not the full procedure		 $69.74 $317 0.0×
C motor evoked uppr limbs (95928) $47.74 $217 0.0×
C motor evoked upr&lwr limbs (95939) $71.72 $326 0.1×
Caloric vestibular test w/rec bi monothermal (92538) $9.68 $44 0.0×
Caloric Vstblr Test W/Rec (92537) $18.70 $85 0.1×
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $22–$119.34 $100–$153 varies
Car seat/bed test 60 min (94780) $14.08 $64 0.3×
Cardiac Stress Tst,Tracing Only (93017) $729.30 $935 2.7×
Cardiopulmonary exercise testing (94621) $41.36 $188 0.1×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $112.64–$729.30 $512–$935 varies
Cardioversion (92960)
range across 2 matching MRF lines		 $66.22–$1,531.92 $301–$1,964 varies
Cardioversion elective internal (92961) $147.40 $670 0.2×
Care mgmt services behavioral hlth cond 20 mins (99484) $26.62 $121 0.6×
Caregiver hlth risk assmt score doc stnd instrm (96161) $1.76 $8 0.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $48.36 $62 1.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $225.06 $1,023 0.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $177.10 $805 0.0×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $27.50 $125 0.2×
Cervical & Ocular Vemp Testing W/I&R (92519) $38.94 $177 0.1×
Cervical Vemp Testing W/I&R (92517) $25.74 $117 0.2×
Chemo Admin Peritoneal Cavity (96446) $12.10 $55 0.0×
Chemo Anti-Neopl Sq/Im (96401) $40.92 $186 0.5×
Chemo Intralesional Over 7 (96406) $27.06 $123 0.1×
Chemo intralesional up to 7 (96405) $17.60 $80 0.2×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines		 $47.30–$873.60 $215–$1,120 varies
Chemotherapy Intracavitary (96440) $82.94 $377 0.2×
Chemotherapy Unspecified (96549) $19.58 $89 0.3×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $25.30 $115 0.1×
Chiropract manj 3-4 regions (98941) $20.90 $95 0.8×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $13.64 $62 0.5×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $28.16 $128 1.0×
Chron Care Mgmt Srvc 20 Min (99490) $30.58 $139 0.2×
Cmptr ophth dx img ant segmt (92132) $9.46 $43 0.1×
Colon Motility 6 Hr Study (91117) $82.94 $377 0.3×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $5.28 $24 0.1×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines		 $33.66–$707.46 $153–$907 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines		 $23.10–$311.22 $105–$399 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $55.66 $253 0.3×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $65.56 $298 0.1×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $51.48 $234 0.1×
Comprehensive Hearing Test (92557) $19.58 $89 0.1×
Computerized dynamic posturography (92548) $20.46 $93 0.1×
Computerized Ophthalmic Imaging Optic Nerve (92133) $10.12 $46 0.1×
Computerized Ophthalmic Imaging Retina (92134) $11 $50 0.1×
Contact Lens Fit,Corneoscleral Lens (92313) $26.40 $120 0.2×
Cornea hysteresis determin impulse stimj uni/bi (92145) $3.30 $15 0.0×
Corneal Topography (92025) $11.66 $53 0.2×
Coronary Art/Grft Angio S&I (93455) $167.64 $762 0.0×
Coronary Artery Angio S&I (93454) $143.66 $653 0.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $22.66 $103 0.1×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $21.34 $97 0.1×
Critical care first hour (99291)
range across 2 matching MRF lines		 $131.78–$2,957.76 $599–$3,792 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $47.30 $215 0.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $21.78–$464.88 $99–$596 varies
Developmental tst admin phys/qhp 1st hour (96112) $75.02 $341 0.5×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $42.46 $193 0.3×
Dialysis One Evaluation (90945) $52.80 $240 0.1×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $17.60 $80 0.0×
Duodenal motility study (91022) $43.78 $199 0.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines		 $23.54–$707.46 $107–$907 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines		 $14.30–$311.22 $65–$399 varies
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $36.52 $166 0.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines		 $22.88–$707.46 $104–$907 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines		 $13.86–$311.22 $63–$399 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines		 $19.80–$707.46 $90–$907 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines		 $12.76–$311.22 $58–$399 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985)
range across 2 matching MRF lines		 $23.32–$707.46 $106–$907 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986)
range across 2 matching MRF lines		 $14.08–$311.22 $64–$399 varies
Duplex Scan Hemodialysis Access (93990) $14.08 $64 0.1×
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines		 $23.10–$707.46 $105–$907 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines		 $14.08–$311.22 $64–$399 varies
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $40.70 $185 0.3×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $73.04 $332 0.5×
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) $13.20 $60 0.0×
Ear and throat examination (92502) $58.52 $266 0.1×
ECG/monitoring and analysis (93271) $214.50 $275 1.8×
Echo Congenital Complete (93303) $37.40 $170 0.1×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines		 $15.18–$565.50 $69–$725 varies
Echo r-t 2d w/probe placement only (93313) $6.82 $31 0.0×
Echo transesophag congen probe plcmt only (93316) $15.62 $71 0.0×
Echo transesophag montr cardiac pump functj (93318)
range across 2 matching MRF lines		 $62.26–$1,283.10 $283–$1,645 varies
Echo transesophageal (93312)
range across 2 matching MRF lines		 $64.68–$1,283.10 $294–$1,645 varies
Echo Transesophageal - Congenital Tee Complete (93315) $76.34 $347 0.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines		 $50.16–$1,283.10 $228–$1,645 varies
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $64.90 $295 1.4×
Eeg 41-60 Minutes (95812) $34.32 $156 0.1×
EEG awake and asleep (95819) $34.32 $156 0.1×
EEG awake drowsy (95816) $34.32 $156 0.1×
EEG cerebral death evaluation (95824) $23.32 $106 0.1×
EEG cont rec w/video by tech min 8 channels (95700)
range across 2 matching MRF lines		 $170.94–$320.58 $411–$777 varies
EEG extended monitoring 61-119 minutes (95813) $51.70 $235 0.2×
Eeg Sleep Only (95822) $34.32 $156 0.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $638.04 $818 2.4×
EEG w/o vid 2-12hr cont mntr (95707) $638.04 $818 2.4×
EEG w/o vid ea 12-26hr intmt (95709) $1,086.54 $1,393 2.3×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,086.54 $1,393 2.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $638.04 $818 2.4×
EEG wo vid ea 12-26hr unmntr (95708) $1,086.54 $1,393 2.3×
EKG signal averaged (93278) $7.70 $35 0.1×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $29.92 $136 0.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $30.80 $140 0.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $22.88 $104 0.5×
Electrical Stimulation Ea 15 Min (97032) $49.14 $63 3.3×
Electro-Oculography (92270) $25.52 $116 0.2×
Electrocardiogram Tracing (93005) $139.62 $179 1.9×
Electroconvulsive Therapy (90870) $64.90 $295 0.1×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure		 $144.10 $655 0.0×
Electrophysiology Evaluation (93642) $151.36 $688 0.1×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines		 $25.96–$556.14 $118–$713 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines		 $43.78–$971.88 $199–$1,246 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $74.80–$1,494.48 $340–$1,916 varies
Emg 3 Extremities (95863) $59.84 $272 0.4×
Emg 4 Extremities (95864) $63.58 $289 0.4×
Endomyocardial Biopsy (93505) $136.84 $622 0.0×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure		 $503.36 $2,288 0.0×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure		 $606.76 $2,758 0.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure		 $371.14 $1,687 0.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure		 $230.34 $1,047 0.0×
Ep Esophageal Recording Atria+Pacing (93616) $35.42 $161 0.0×
Er level 1 (99281)
range across 3 matching MRF lines		 $10.56–$308.88 $48–$396 varies
Er level v (99285)
range across 2 matching MRF lines		 $108.46–$2,152.02 $493–$2,759 varies
Ergonovine provocation test (93024) $33.66 $153 0.1×
Esoph Atrial Electrogram (93615) $22 $100 0.0×
Esophageal Capsule Endoscopy (91111) $27.50 $125 0.0×
Esophagus acid perfusion test esophagitis (91030) $27.94 $127 0.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $29.70 $135 0.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $33.66 $153 0.1×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $45.76 $208 0.3×
Evaluate Swallowing Function (92610) $43.78 $199 0.5×
Evoked Auditory Test,Limited (92587) $11.22 $51 0.0×
Excimer laser tx psoriasis 250-500 sq cm (96921) $35.42 $161 0.1×
Excimer laser tx psoriasis >500 sq cm (96922) $56.54 $257 0.1×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $31.24 $142 0.1×
Exercise test for bronchospasm (94617) $19.36 $88 0.1×
Exhaled Air Analysis O2 (94680) $7.70 $35 0.0×
External ECG rec>48hr<7d recording (93242)
range across 2 matching MRF lines		 $6.82–$92.04 $31–$118 varies
External ECG rec>48hr<7d scanning alys w/report (93243) $301.86 $387 1.8×
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines		 $6.82–$92.04 $31–$118 varies
External ECG rec>7d<15d scanning alys w/report (93247) $301.86 $387 1.8×
External Ecg Scanning Analysis Report (93226) $139.62 $179 1.9×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines		 $23.10–$707.46 $105–$907 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines		 $14.30–$311.22 $65–$399 varies
Eye exam w anesth; complete (92018) $86.02 $391 0.0×
Eye exam w anesth; limited (92019) $44.66 $203 0.0×
Eye Exam With Photos (92230) $19.36 $88 0.0×
F-up/limited tthrc echo congenital car anomaly (93304) $21.56 $98 0.0×
Facial nerve function studies (92516) $13.86 $63 0.1×
Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) $11.66 $53 0.2×
Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) $15.84 $72 0.2×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $40.26 $183 0.3×
Flexible endoscopic eval swallow c/v rec (92612) $40.92 $186 0.2×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $61.16 $278 0.3×
Fluorescein angiography (92235) $25.74 $117 0.1×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $33 $150 0.1×
Full Field Electroretinography W/I&R (92273) $21.78 $99 0.1×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $97.68 $444 0.1×
Fundus photography (92250) $12.54 $57 0.1×
Gastric motility studies (91020) $43.78 $199 0.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $29.92 $136 0.1×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $29.70 $135 0.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $49.50 $225 0.0×
Gi tract capsule endoscopy (91110) $68.20 $310 0.1×
Gi tract imaging intraluminal colon i&r (91113) $73.70 $335 0.1×
Gi wireless capsule measure (91112) $64.02 $291 0.1×
Gonioscopy (92020) $12.32 $56 0.1×
Group Therapeutic Procedures (97150) $57.72 $74 3.2×
Health Behavior Assessment/Re-Assessment (96156) $56.10 $255 0.4×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $40.70 $185 0.9×
Health behavior ivntj group f2f 1st 30 min (96164) $5.94 $27 0.1×
Health behavior ivntj indiv f2f 1st 30 min (96158) $38.50 $175 0.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $248.60 $1,130 0.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $43.56 $198 0.1×
High altitude simulation test (94452) $8.80 $40 0.1×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $11.22 $51 0.1×
Holter monitor recording (93225) $301.86 $387 1.8×
Hypnotherapy (90880) $53.02 $241 0.4×
Icd Device Interrogate (93289) $22 $100 0.5×
Icd device progr eval dual (93283) $33.88 $154 0.7×
Icd Device Progr Eval Mult (93284) $36.96 $168 0.8×
Icm Device Eval (93290) $12.54 $57 0.3×
Ilr Device Eval Progr (93285) $15.40 $70 0.3×
Ilr Device Interrogate (93291) $10.78 $49 0.3×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $10.12 $46 0.2×
Immunization administration (90471)
range across 2 matching MRF lines		 $12.54–$145.86 $57–$187 varies
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $28.60 $130 0.1×
Ingestion challenge test initial 120 minutes (95076) $45.32 $206 0.1×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $20.90 $95 0.0×
Inital newborn e/m (99460) $56.76 $258 0.3×
Insert/Place Heart Catheter (93503)
range across 2 matching MRF lines		 $3,635.58 $244–$4,661 1.9×
Interrogate Subq Defib (93261) $21.78 $99 0.5×
Interrogation eval in person wr defibrillator (93292) $12.54 $57 0.3×
Interrogation vad in person (93750) $24.64 $112 0.2×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure		 $97.02 $441 0.0×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure		 $68.86 $313 0.0×
Intracranial Complete Study (93886) $27.72 $126 0.1×
Intracutaneous tests w/allergenic extracts (95024) — $3 —
Intraventricular pacing (93612)
likely a partial charge, not the full procedure		 $95.92 $436 0.0×
Io anal gast n-stim subsq (95981) $10.78 $49 0.1×
Io ga n-stim subsq w/reprog (95982) $22.66 $103 0.5×
Iontophoresis 15 min (97033) $64.74 $83 3.4×
Irrig Drug Delivery Device (96523) $139.62 $179 1.9×
Ischemic limb exercise test (95875) $35.42 $161 0.2×
IV infusion hydration each additional hour (96361) $108.42 $139 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $492.96 $632 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $166.92 $214 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines		 $12.10–$108.42 $55–$139 varies
IV push initial (96374) $492.96 $632 1.9×
L Hrt Art/Grft Angio (93459) $200.86 $913 0.0×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $157.30 $715 0.0×
Laryngeal Function Studies (92520) $24.64 $112 0.1×
Liver Elastography W/O Imag W/I&R (91200) $6.38 $29 0.0×
Low frequency non-thermal us (97610) $11 $50 0.0×
Lung Function Test (Mbc/Mvv) (94200) $1.98 $9 0.0×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines		 $14.52–$457.86 $66–$587 varies
Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) $121.88 $554 0.1×
Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) $249.48 $1,134 0.2×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $84.48 $384 0.3×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $11.44 $52 0.0×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $51.92 $236 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines		 $16.72–$60.06 $76–$77 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines		 $19.80–$71.76 $90–$92 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 2 matching MRF lines		 $9.46–$34.32 $43–$44 varies
Methacholine challenge (94070) $16.72 $76 0.0×
Microvolt T-Wave Assess (93025) $22.44 $102 0.1×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $13.20 $60 0.7×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $3.74 $17 0.7×
Motility study esophagus (91010) $39.16 $178 0.1×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $1.76 $8 0.0×
Multifocal Electroretinography W/I&R (92274) $20.24 $92 0.1×
Multiple Family Group Psychotherapy (90849) $18.92 $86 0.1×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines		 $1,552.20 $158–$1,990 1.4×
Muscle Test 2 Limbs (95861) $48.84 $222 0.3×
Muscle Test Hemidiaphragm (95866) $39.82 $181 0.2×
Muscle Test Nonparaspinal (95870) $11.88 $54 0.1×
Muscle Test One Limb (95860) $30.80 $140 0.2×
Narcosynthesis (90865) $75.24 $342 0.3×
Nasal function studies (92512) $16.72 $76 0.1×
Nasopharyngoscopy (92511) $23.32 $106 0.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $37.40 $170 0.1×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $25.30 $115 0.1×
Needle electromyography larynx (95865) $49.72 $226 0.3×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $11.88 $54 0.0×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $89.76 $408 0.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines		 $935.22 $59–$1,199 1.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines		 $935.22 $68–$1,199 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $15.18–$464.88 $69–$596 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines		 $935.22 $75–$1,199 1.8×
Nerve Conduction Studies 1-2 Studies (95907) $31.90 $145 0.1×
Nerve Conduction Studies 11-12 Studies (95912) $95.26 $433 0.2×
Nerve conduction studies 13 or more studies (95913) $113.08 $514 0.2×
Nerve Conduction Studies 3-4 Studies (95908) $39.82 $181 0.1×
Nerve conduction studies 5-6 studies (95909) $47.96 $218 0.2×
Nerve conduction studies 7-8 studies (95910) $63.80 $290 0.1×
Nerve Conduction Studies 9-10 Studies (95911) $79.64 $362 0.2×
Neurobehavioral Status Exam (96116) $49.06 $223 0.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $20.90 $95 0.1×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines		 $20.24–$109.20 $92–$140 varies
Newborn resuscitation (99465) $86.68 $394 0.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $14.08 $64 0.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $19.80 $90 0.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $7.26 $33 0.5×
Nrpsyc tst eval phys/qhp 1st (96132) $66.22 $301 0.1×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $5.72 $26 0.0×
Ocular Vemp Testing W/I&R (92518) $26.18 $119 0.2×
Oculoelectromyography (92265) $27.72 $126 0.4×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $18.26 $83 0.1×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $56.98 $259 0.3×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $45.98 $209 0.3×
Ophth medical xm&eval intermediate estab pt (92012) $30.58 $139 0.2×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $27.72 $126 0.2×
Ophthalmodynamometry (92260) $6.60 $30 0.1×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $8.80 $40 0.1×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $13.86 $63 0.2×
Optokinetic Nystagmus Test (92544) $8.80 $40 0.1×
Oscillating Tracking Test (92545) $8.14 $37 0.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $14.08 $64 0.5×
Osteopathic manipulative tx 3-4 body regions (98926) $21.34 $97 0.8×
Osteopathic manipulative tx 5-6 body regions (98927) $28.38 $129 1.1×
Osteopathic manipulative tx 7-8 body regions (98928) $35.86 $163 1.3×
Osteopathic manipulative tx 9-10 body regions (98929) $42.68 $194 1.6×
Ot Contrast Bath Ea 15 Min (97034) $60.06 $77 4.3×
Ot manual therapy 15 min (97140) $87.36 $112 3.2×
Ot paraffin bath (97018) $27.30 $35 4.5×
Ot rom hand (95852) $3.52 $16 0.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines		 $8.36–$294.84 $38–$378 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 2 matching MRF lines		 $294.84 $24–$378 1.8×
Oxygen Uptake Rest Indirect (94690) $2.20 $10 0.0×
Patient-initiated spirometric phys/qhp r&i only (94016) $14.96 $68 0.6×
Penile Vascular Study,Ltd or F/U (93981) $12.98 $59 0.1×
Peripheral arterial disease rehab per session (93668) $139.62 $179 1.9×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure		 $399.08 $1,814 0.0×
Perq Transcath Cls Aortic (93591)
likely a partial charge, not the full procedure		 $537.46 $2,443 0.0×
Perq Transcath Cls Mitral (93590)
likely a partial charge, not the full procedure		 $648.34 $2,947 0.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
likely a partial charge, not the full procedure		 $319.22 $1,451 0.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
likely a partial charge, not the full procedure		 $398.64 $1,812 0.0×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines		 $53.24–$301.86 $242–$387 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $16.06 $73 0.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $11 $50 0.1×
Plethysmography (94726) $7.26 $33 0.0×
Pm device eval in person (93288) $12.54 $57 0.3×
Pm device progr eval dual (93280) $22.44 $102 0.5×
Pm device progr eval multi (93281) $25.08 $114 0.5×
Pm Device Progr Eval Sngl (93279) $19.14 $87 0.4×
Pm/Icd Remote Tech Serv (93296) $11.88 $54 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines		 $75.02–$2,975.70 $341–$3,815 varies
Polysom <6 yrs 4/> paramtrs (95782) $74.80 $340 0.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $81.40 $370 0.1×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $49.94 $227 0.0×
Positional nystagmus test (92542) $15.18 $69 0.1×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $1.98 $9 0.0×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $1.98 $9 0.0×
Prepj& antigen allergen immunotherapy 2 insect (95146) $1.98 $9 0.0×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $1.98 $9 0.0×
Prepj& antigen allergen immunotherapy 5 insect (95149) $1.98 $9 0.0×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $31.02 $141 0.1×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) $19.36 $88 0.1×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) $12.76 $58 0.1×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) $12.76 $58 0.3×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $25.30 $115 0.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $25.08 $114 0.5×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $30.36 $138 0.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $94.38 $121 1.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $94.38 $121 1.6×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $1.98 $9 0.0×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $1.98 $9 0.0×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $1.98 $9 0.0×
Prq Card Angio/Athrect 1 Art (92924)
likely a partial charge, not the full procedure		 $380.38 $1,729 0.0×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure		 $354.86 $1,613 0.0×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure		 $398.20 $1,810 0.0×
Prq Revasc Byp Graft 1 Vsl (92937)
likely a partial charge, not the full procedure		 $354.64 $1,612 0.0×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure		 $799.26 $3,633 0.0×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure		 $382.58 $1,739 0.0×
Psych diag eval w/med srvcs (90792) $105.60 $480 0.5×
Psychiatric diagnostic evaluation (90791) $92.40 $420 0.4×
Psychoanalysis (90845) $56.32 $256 0.3×
Psychological tst eval svc phys/qhp first hour (96130) $68.20 $310 0.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $20.68 $94 0.0×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $14.52 $66 0.1×
Psytx Crisis Initial 60 Min (90839) $84.26 $383 0.4×
Pt Eval High Complex (97163) $512.46 $657 5.2×
Pt eval low complex 20 min (97161) $262.08 $336 2.7×
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines		 $62.04–$409.50 $282–$525 varies
Pt gait training 15 min (97116) $95.16 $122 3.3×
Pt group caregiver training (97552) $42.90 $55 1.9×
Pt mechanical traction (97012) $46.02 $59 3.2×
Pt Re-Eval Est Plan Care (97164) $177.06 $227 2.6×
Pulm function test by gas (94727) $7.26 $33 0.0×
Pulmonary Stress Testing (94618) $13.42 $61 0.1×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $13.64 $62 0.6×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $20.46 $93 0.6×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $7.26 $33 0.6×
Quan puplmtry phy/qhp uni/bi (95919) $5.94 $27 0.0×
R Hrt Art/Grft Angio (93457) $210.76 $958 0.1×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $176.44 $802 0.0×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $114.84 $522 0.0×
R hrt coronary artery angio (93456) $187.44 $852 0.0×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $254.54 $1,157 0.1×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $196.02 $891 0.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $190.08 $864 0.0×
Rapid Desensitization Procedure Each Hour (95180) $62.92 $286 0.1×
Rem interrog icpms <30 d phys/qhp (93297) $15.18 $69 0.3×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $15.18 $69 0.3×
Rem Mntr Wrls P-Art Prs Snr (93264) $21.78 $99 0.5×
Remote 30 Day Ecg Rev/Report (93270) $87.36 $112 1.9×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $18.48 $84 0.4×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $18.92 $86 0.3×
Respiratory flow volume loop (94375) $8.80 $40 0.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $139.62 $179 1.9×
Right Heart Cath (93451) $78.98 $359 0.0×
Right ventricular recording (93603) $68.86 $313 0.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines		 $29.26–$464.88 $133–$596 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $4.84 $22 0.2×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $37.40 $170 0.2×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $68.20 $310 0.1×
Same day nb discharge (99463) $66.22 $301 0.4×
Sbsq Psyc Collab Care Mgmt (99493) $63.14 $287 0.5×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $22.44 $102 0.3×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $16.50 $75 0.1×
Short-latency somatosens ep std upr limbs (95925) $16.72 $76 0.1×
Sinusoidal Vertical Axis Rotational Testing (92546) $9.02 $41 0.1×
Sleep study attended (95807) $35.86 $163 0.1×
Sleep study unattended (95806) $26.84 $122 0.1×
Slp caregiver training 1st 30 min (97550)
range across 2 matching MRF lines		 $28.60–$103.74 $130–$133 varies
Slp Stdy Unatnd W/Anal (95801) $24.86 $113 0.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $23.76 $108 0.1×
Somatosensory Testing (95938) $27.50 $125 0.0×
Spin/Brain Pump Refil & Main (95991) $24.20 $110 0.1×
Spirometry (94010) $5.06 $23 0.0×
Spontaneous Nystagmus Test (92541) $12.76 $58 0.1×
Ssep lower limbs (95926) $16.06 $73 0.1×
Stress Tte Only (93350)
range across 2 matching MRF lines		 $41.80–$1,283.10 $190–$1,645 varies
Surfactant Admin Thru Tube (94610) $34.10 $155 0.1×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $36.08 $164 0.3×
Temp transcutaneous pacing (92953) $1,531.92 $1,964 1.9×
Temperature Gradient Studies (93740) $5.06 $23 0.0×
Tensilon Test (95857) $17.38 $79 0.1×
Testing Autonomic Nervous System Function (95923) $27.06 $123 0.2×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $25.74 $117 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $13.64 $62 0.6×
Ther Ivntj Ea Addl 15 Min (97130) $13.20 $60 0.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $95.16 $122 3.2×
Ther/Proph/Diag Inj Ia (96373) $492.96 $632 1.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $8.80–$166.92 $40–$214 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines		 $35.64–$492.96 $162–$632 varies
Therapeutic Activities (97530) $125.58 $161 3.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $55.44 $252 0.1×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines		 $15.40–$60.84 $70–$78 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $7.26 $33 0.2×
Trans Care Mgmt 14 Day Disch (99495) $85.80 $390 0.5×
Trans Care Mgmt 7 Day Disch (99496) $116.60 $530 0.7×
Transcath Closure of Asd (93580)
likely a partial charge, not the full procedure		 $588.28 $2,674 0.0×
Transcranial Doppler Intracran Art Emboli Detect (93892) $35.64 $162 0.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $22 $100 0.2×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $8.58 $39 0.2×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $26.84 $122 0.2×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $27.72 $126 0.2×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $41.80–$1,283.10 $190–$1,645 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines		 $26.62–$565.50 $121–$725 varies
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure		 $570.46 $2,593 0.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $108.42 $139 1.9×
Tympanometry (92567) $6.60 $30 0.1×
Unlisted cardiovascular service/procedure (93799) $366.60 $470 2.3×
Unlisted noninvasive vascular diagnostic study (93998) $22 $100 0.6×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines		 $7.26–$377.52 $33–$484 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines		 $12.98–$457.86 $59–$587 varies
Valvuloplasty aortic valve (92986)
likely a partial charge, not the full procedure		 $802.78 $3,649 0.1×
Valvuloplasty mitral valve (92987)
likely a partial charge, not the full procedure		 $827.86 $3,763 0.1×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure		 $662.42 $3,011 0.0×
Vasopneumatic device (97016) $49.92 $64 4.2×
Veeg 2-12 Hr Cont Mntr (95713) $1,086.54 $1,393 2.3×
Veeg 2-12 hr intmt mntr (95712) $638.04 $818 1.4×
Veeg 2-12 hr unmonitored (95711) $638.04 $818 2.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,086.54 $1,393 2.3×
Veeg Ea 12-26 Hr Unmntr (95714) $1,086.54 $1,393 2.3×
Veeg ea 12-26hr cont mntr (95716) $2,083.38 $2,671 1.9×
Vent Mgmt Inpat Init Day (94002) $56.32 $256 0.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $39.60 $180 0.1×
Visual Evoked Potential Test (95930) $11.22 $51 0.0×
Visual Field Exam Extended (92083) $16.28 $74 0.1×
Visual field xm uni/bi w/interp intermed exam (92082) $12.54 $57 0.2×
Visual field xm uni/bi w/interpretj limited exam (92081) $9.68 $44 0.1×
Visual reinforcement audiometry (vra) (92579) $22.66 $103 0.1×
Vital capacity, total (94150) $11.22 $51 0.1×
Wada Activation Test Hemispheric Function W/Eeg (95958) $135.74 $617 0.1×
Whirlpool Therapy (97022) $59.28 $76 3.8×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $13.20 $60 0.2×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $1.76 $8 0.0×

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.