Visits & medical services prices at Wetzel County Hospital
New Martinsville, WV · every code in this section with a posted price and a Medicare benchmark.
277 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) | $100 | $200 | 1.0× |
| Actinotherapy Ultraviolet Light (96900) | $48 | $96 | 1.3× |
| Acupunct W/Stimul 15 Min (97813) | $37.50 | $75 | 1.4× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $37.50 | $75 | 1.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $63.50 | $127 | 1.6× |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$53–$131 | $106–$262 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $174.50 | $349 | 0.8× |
| Aep neurodiagnostic i&r (92653) | $330.50 | $661 | 1.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $330.50 | $661 | 1.6× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$229–$1,627.50 | $458–$3,255 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$51.50–$53.50 | $103–$107 | varies |
| Analyze neurostim complex (95972) | $124.50 | $249 | 1.4× |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$160.50–$163.50 | $321–$327 | varies |
| Analyze Neurostim Simple (95971) | $124.50 | $249 | 1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$54–$61.50 | $108–$123 | varies |
| Application on-body injector (96377) | $59.50 | $119 | 1.3× |
| Assessment of aphasia per hr (96105) | $181.50 | $363 | 1.9× |
| Assmt & care planning pt w/cognitive impairment (99483) | $106 | $212 | 1.1× |
| Behavral qualit analys voice (92524) range across 3 matching MRF lines |
$98–$149 | $196–$298 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $126.50 | $253 | 1.5× |
| Bfb training ea addl 15 min (90913) | $63.50 | $127 | 1.9× |
| Biofeedback training any modality (90901) | $61.50 | $123 | 1.5× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$53.50–$56.50 | $107–$113 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$525.50–$562.50 | $1,051–$1,125 | varies |
| Canalith repositioning proc (95992) | $80.50 | $161 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$783.50–$823 | $1,567–$1,646 | varies |
| Cardiopulmonary exercise testing (94621) | $544.50 | $1,089 | 1.5× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$680–$892.50 | $1,360–$1,785 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,075–$1,153.50 | $2,150–$2,307 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $43.50 | $87 | 1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $25 | $50 | 1.0× |
| Cbt 1st hour (94644) | $261 | $522 | 2.0× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $373 | $746 | 1.8× |
| Cervical Vemp Testing W/I&R (92517) | $196 | $392 | 1.6× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$75.50–$153.50 | $151–$307 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $75.50 | $151 | 1.1× |
| Chemo Ia Push (96420) | $524.50 | $1,049 | 1.7× |
| Chemo Intralesional Over 7 (96406) | $637 | $1,274 | 3.1× |
| Chemo intralesional up to 7 (96405) | $211.50 | $423 | 3.1× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$175–$666 | $350–$1,332 | varies |
| Chemo IV push addl drug (96411) | $197.50 | $395 | 2.9× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $524.50 | $1,049 | 1.7× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $73.50 | $147 | 1.6× |
| Chemotherapy Into Cns (96450) | $363 | $726 | 1.1× |
| Chemotherapy Intracavitary (96440) | $524.50 | $1,049 | 1.7× |
| Chemotherapy Unspecified (96549) | $51 | $102 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $201.50 | $403 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$682–$716.50 | $1,364–$1,433 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $258 | $516 | 0.8× |
| Chest Wall Manipulation (94668) | $234.50 | $469 | 1.8× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 3 matching MRF lines |
$50.50–$70 | $101–$140 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $67 | $134 | 1.2× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$362–$542 | $724–$1,084 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$597.50–$631.50 | $1,195–$1,263 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 3 matching MRF lines |
$13.50–$191.50 | $27–$383 | varies |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$265.50–$288.50 | $531–$577 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$281.50–$285 | $563–$570 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$297–$301.50 | $594–$603 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $268.50 | $537 | 1.3× |
| Cpt initial (94667) | $139.50 | $279 | 1.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$2,085.50–$2,231.50 | $4,171–$4,463 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$153.50–$280.50 | $307–$561 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$391–$455 | $782–$910 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $183.50 | $367 | 1.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$420.50–$509 | $841–$1,018 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$184–$349.50 | $368–$699 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$309.50–$473.50 | $619–$947 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$189–$399.50 | $378–$799 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $344.50 | $689 | 1.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $155 | $310 | 1.5× |
| Duplex Scan Hemodialysis Access (93990) | $139 | $278 | 1.4× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$391–$411 | $782–$822 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$184–$318 | $368–$636 | varies |
| ECG/monitoring and analysis (93271) | $369 | $738 | 4.0× |
| Echo Congenital Complete (93303) | $894.50 | $1,789 | 1.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$479.50–$503.50 | $959–$1,007 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $939.50 | $1,879 | 1.8× |
| EEG awake drowsy (95816) | $813.50 | $1,627 | 3.9× |
| Eeg Sleep Only (95822) | $404 | $808 | 2.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $248 | $496 | 1.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $429 | $858 | 1.2× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$39–$63 | $78–$126 | varies |
| Electrocardiogram Tracing (93005) range across 6 matching MRF lines |
$160–$480 | $320–$960 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$346–$370.50 | $692–$741 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$644–$689.50 | $1,288–$1,379 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$960–$1,027.50 | $1,920–$2,055 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$176.50–$189 | $353–$378 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$1,452–$1,554 | $2,904–$3,108 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$415.50–$424 | $831–$848 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$100.50–$142.50 | $201–$285 | varies |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$249–$266.50 | $498–$533 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$115–$123.50 | $230–$247 | varies |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $237 | $474 | 1.2× |
| Exercise test for bronchospasm (94617) | $234 | $468 | 1.8× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$67.50–$71 | $135–$142 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $110 | $220 | 0.9× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$110–$115.50 | $220–$231 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $221.50 | $443 | 1.7× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$552.50–$1,106 | $1,105–$2,212 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$338–$398.50 | $676–$797 | varies |
| Extracranial Uni/Ltd Study (93882) | $201.50 | $403 | 2.0× |
| Gi tract capsule endoscopy (91110) | $1,211.50 | $2,423 | 1.4× |
| Gi wireless capsule measure (91112) | $1,020.50 | $2,041 | 1.2× |
| Gonioscopy (92020) | $155.50 | $311 | 1.2× |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$43–$86 | $86–$172 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $190.50 | $381 | 1.1× |
| Holter monitor recording (93225) | $391 | $782 | 3.1× |
| Icd Device Interrogate (93289) | $49.50 | $99 | 1.4× |
| Icd device progr eval dual (93283) | $115 | $230 | 3.2× |
| Ilr Device Eval Progr (93285) | $115 | $230 | 3.2× |
| Ilr Device Interrogate (93291) | $47.50 | $95 | 1.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$27–$67 | $54–$134 | varies |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $31 | $62 | 0.5× |
| 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 4 matching MRF lines |
$9.50–$107 | $19–$214 | varies |
| Interrogate Subq Defib (93261) | $46.50 | $93 | 1.3× |
| Interrogation without programming ipnss (93153) | $109.50 | $219 | 1.2× |
| Iontophoresis 15 min (97033) | $75 | $150 | 3.9× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$80.50–$102 | $161–$204 | varies |
| IV infusion hydration each additional hour (96361) range across 7 matching MRF lines |
$124–$1,240 | $248–$2,480 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$219–$255 | $438–$510 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$92.50–$99 | $185–$198 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 8 matching MRF lines |
$98–$392 | $196–$784 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$485.50–$603 | $971–$1,206 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $175 | $350 | 1.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $177.50 | $355 | 3.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $503 | $1,006 | 2.4× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,632 | $3,264 | 1.2× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $545.50 | $1,091 | 2.6× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $297 | $594 | 2.4× |
| Mechanical chest wall oscillation per session (94669) | $505 | $1,010 | 2.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $41.50 | $83 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $41.50 | $83 | 1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $17 | $34 | 1.0× |
| Methacholine challenge (94070) | $545.50 | $1,091 | 1.5× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$254–$272 | $508–$544 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$3,135.50–$3,188 | $6,271–$6,376 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$235–$239.50 | $470–$479 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $350.50 | $701 | 1.7× |
| Needle electromyography larynx (95865) | $145 | $290 | 1.1× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $209 | $418 | 1.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$518–$538 | $1,036–$1,076 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$472–$518 | $944–$1,036 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$98.50–$210 | $197–$420 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$311–$472 | $622–$944 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) | $927.50 | $1,855 | 2.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $503 | $1,006 | 2.4× |
| Nerve conduction studies 5-6 studies (95909) | $503 | $1,006 | 2.4× |
| Nerve conduction studies 7-8 studies (95910) | $503 | $1,006 | 1.4× |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$904.50–$927.50 | $1,809–$1,855 | varies |
| Neurobehavioral Status Exam (96116) | $503 | $1,006 | 2.4× |
| Neuromuscular Reeducation (97112) range across 5 matching MRF lines |
$68.50–$225 | $137–$450 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$859–$1,401.50 | $1,718–$2,803 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $503 | $1,006 | 1.4× |
| Ocular Vemp Testing W/I&R (92518) | $196 | $392 | 1.6× |
| Optokinetic Nystagmus Test (92544) | $190.50 | $381 | 1.5× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$122–$219 | $244–$438 | varies |
| Oral Speech Device Eval (92597) | $214.50 | $429 | 3.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$81.50–$87.50 | $163–$175 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$75–$79 | $150–$158 | varies |
| Oscillating Tracking Test (92545) | $383.50 | $767 | 1.9× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$16–$41 | $32–$82 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $41 | $82 | 2.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $41 | $82 | 2.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $41 | $82 | 2.0× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $41 | $82 | 2.0× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$35–$37 | $70–$74 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$274–$288 | $548–$576 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$206–$216.50 | $412–$433 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$240–$252 | $480–$504 | varies |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$48–$223.50 | $96–$447 | varies |
| Ot paraffin bath (97018) range across 4 matching MRF lines |
$21.50–$38.50 | $43–$77 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $72.50 | $145 | 1.8× |
| Ot Re-Eval Est Plan Care (97168) | $75 | $150 | 1.1× |
| Ot rom hand (95852) | $36 | $72 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $105.50 | $211 | 0.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $7 | $14 | 0.1× |
| Oxygen Uptake Rest Indirect (94690) | $72 | $144 | 1.3× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $244.50 | $489 | 9.9× |
| Pdt dstr prmlg les phys/qhp (96573) | $225.50 | $451 | 1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $42 | $84 | 0.2× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$121–$127.50 | $242–$255 | varies |
| Photo patch test(s) (95052) | $67 | $134 | 1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$89–$94.50 | $178–$189 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$90.50–$94.50 | $181–$189 | varies |
| Physical Performance Test (97750) | $76 | $152 | 2.3× |
| Plethysmography (94726) range across 2 matching MRF lines |
$302–$323.50 | $604–$647 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$107.50–$116 | $215–$232 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$89.50–$115 | $179–$230 | varies |
| Pm device progr eval multi (93281) | $115 | $230 | 3.2× |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$42–$115 | $84–$230 | varies |
| Pm/Icd Remote Tech Serv (93296) | $70.50 | $141 | 2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 5 matching MRF lines |
$2,089–$3,135.50 | $4,178–$6,271 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,734 | $3,468 | 2.1× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,734 | $3,468 | 2.1× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,734 | $3,468 | 2.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $6 | $12 | 0.1× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $54 | $108 | 1.2× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $54 | $108 | 1.2× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $79.50 | $159 | 1.2× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $79.50 | $159 | 1.2× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $471.50 | $943 | 1.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$109.50–$115 | $219–$230 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $100.50 | $201 | 1.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$39.50–$41.50 | $79–$83 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$54–$57 | $108–$114 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $79.50 | $159 | 1.2× |
| Psych diag eval w/med srvcs (90792) | $200.50 | $401 | 1.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $213 | $426 | 1.7× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$194.50–$288 | $389–$576 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$192–$216.50 | $384–$433 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$192–$252 | $384–$504 | varies |
| Pt gait training 15 min (97116) range across 5 matching MRF lines |
$57.50–$195 | $115–$390 | varies |
| Pt group caregiver training (97552) | $25 | $50 | 1.1× |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$34–$71 | $68–$142 | varies |
| Pt Re-Eval Est Plan Care (97164) | $88 | $176 | 1.3× |
| Pulm function test by gas (94727) | $301.50 | $603 | 1.5× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$207–$221.50 | $414–$443 | varies |
| Pure Tone Audiometry Air (92552) | $77 | $154 | 0.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $381.50 | $763 | 1.2× |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$335.50–$458 | $671–$916 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $371 | $742 | 1.8× |
| Rem interrog icpms <30 d phys/qhp (93297) | $53 | $106 | 1.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $53 | $106 | 1.5× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $44.50 | $89 | 1.2× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $43 | $86 | 1.2× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $54.50 | $109 | 1.5× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$28.50–$249.50 | $57–$499 | varies |
| Respiratory flow volume loop (94375) | $462.50 | $925 | 2.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$78–$80 | $156–$160 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$98.50–$207.50 | $197–$415 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 3 matching MRF lines |
$50.50–$53.50 | $101–$107 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $296.50 | $593 | 2.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $143 | $286 | 3.0× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $152.50 | $305 | 1.2× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$70.50–$237 | $141–$474 | varies |
| Sleep study attended (95807) range across 2 matching MRF lines |
$770–$920 | $1,540–$1,840 | varies |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$363.50–$382 | $727–$764 | varies |
| Slp caregiver training 1st 30 min (97550) | $49.50 | $99 | 0.9× |
| Slp Stdy Unatnd W/Anal (95801) | $212.50 | $425 | 3.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$263–$276.50 | $526–$553 | varies |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$194.50–$295.50 | $389–$591 | varies |
| Spin/Brain Pump Refil & Main (95991) | $333.50 | $667 | 1.1× |
| Spirometry (94010) range across 3 matching MRF lines |
$63–$281 | $126–$562 | varies |
| Stress Tte Only (93350) | $939.50 | $1,879 | 1.8× |
| Temp transcutaneous pacing (92953) range across 3 matching MRF lines |
$1,056–$1,150.50 | $2,112–$2,301 | varies |
| Tensilon Test (95857) | $355 | $710 | 1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 4 matching MRF lines |
$33–$60 | $66–$120 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$15–$31.50 | $30–$63 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 3 matching MRF lines |
$65.50–$204 | $131–$408 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$6.50–$60.50 | $13–$121 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $147.50 | $295 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 12 matching MRF lines |
$89–$388.50 | $178–$777 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$216.50–$269 | $433–$538 | varies |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$70.50–$225 | $141–$450 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$22–$70 | $44–$140 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$19–$37.50 | $38–$75 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$183.50–$193 | $367–$386 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$183.50–$193 | $367–$386 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$649.50–$1,399.50 | $1,299–$2,799 | varies |
| Tte W/O Doppler Complete (93307) | $479.50 | $959 | 2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$143–$167 | $286–$334 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$107.50–$357 | $215–$714 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$65–$74.50 | $130–$149 | varies |
| Unlis neurological/neuromuscular dx px (95999) | $252.50 | $505 | 2.0× |
| Unlisted Special Dermatological Service/Px (96999) | $237 | $474 | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$202.50–$295.50 | $405–$591 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$235.50–$513 | $471–$1,026 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$41–$43 | $82–$86 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$596–$1,217 | $1,192–$2,434 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$596–$1,217 | $1,192–$2,434 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) | $83 | $166 | 1.5× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $83 | $166 | 1.5× |
| Vital capacity, total (94150) | $245.50 | $491 | 2.0× |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$45–$61.50 | $90–$123 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $88 | $176 | 1.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.