Visits & medical services prices at White River Medical Center
Batesville, AR · every code in this section with a posted price and a Medicare benchmark.
240 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $12,025.50 | $16,034 | 1.7× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $55.50 | $74 | 0.5× |
| Acoustic Reflex Testing (92568) | $24.75 | $33 | 0.7× |
| Actinotherapy Ultraviolet Light (96900) | $80.25 | $107 | 2.4× |
| Advncd Care Plan 30 Min (99497) | $147 | $196 | 1.6× |
| Airway Inhalation Treatment (94640) | $324.75 | $433 | 1.6× |
| Analyze neurostim complex (95972) | $98.25 | $131 | 1.1× |
| Analyze neurostim no prog (95970) | $213.75 | $285 | 1.8× |
| Analyze Neurostim Simple (95971) | $67.50 | $90 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 6 matching MRF lines |
$69–$85.50 | $92–$114 | varies |
| Application Modality 1/> Areas Infrared (97026) | $37.50 | $50 | 5.6× |
| Application on-body injector (96377) | $71.25 | $95 | 1.7× |
| Assessment of aphasia per hr (96105) | $169.50 | $226 | 1.7× |
| Assessment of tinnitus (92625) | $108 | $144 | 0.9× |
| Audiometry Air & Bone (92553) | $66.75 | $89 | 0.6× |
| Behavral qualit analys voice (92524) | $174 | $232 | 1.6× |
| Biofeedback training any modality (90901) | $87 | $116 | 2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$25.50–$358.50 | $34–$478 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$56.25–$84 | $75–$112 | varies |
| Car seat/bed test 60 min (94780) | $95.25 | $127 | 2.8× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$459–$513.75 | $612–$685 | varies |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$351.75–$600 | $469–$800 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$205.50–$1,111.50 | $274–$1,482 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $5,493.75 | $7,325 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $5,493.75 | $7,325 | 1.9× |
| Cbt 1st hour (94644) | $137.25 | $183 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $202.50 | $270 | 3.1× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$63.75–$148.50 | $85–$198 | varies |
| Chemo IV infusion addl hr (96415) | $127.50 | $170 | 1.9× |
| Chemo IV push addl drug (96411) | $156 | $208 | 2.4× |
| Chemother Prolong Infuse W/Pump (96416) | $657.75 | $877 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $195 | $260 | 3.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $657.75 | $877 | 2.2× |
| Chest Wall Manipulation (94668) | $206.25 | $275 | 1.7× |
| Color/duplex Doppler, limited (93976) | $225 | $300 | 2.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $56.25 | $75 | 1.8× |
| Comprehensive Hearing Test (92557) | $65.25 | $87 | 0.6× |
| Continuous Pulse Ox (94762) | $375 | $500 | 3.2× |
| Coronary Art/Grft Angio S&I (93455) | $5,736.75 | $7,649 | 1.9× |
| Coronary Artery Angio S&I (93454) | $5,736.75 | $7,649 | 1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$238.50–$250.50 | $318–$334 | varies |
| Cpt initial (94667) | $206.25 | $275 | 1.7× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$369–$1,650 | $492–$2,200 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$69–$321 | $92–$428 | varies |
| Dialysis One Evaluation (90945) | $720 | $960 | 1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $225 | $300 | 2.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$64.50–$472.50 | $86–$630 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$35.25–$225 | $47–$300 | varies |
| Duplex up extrem art bilat (93930) | $472.50 | $630 | 2.2× |
| Duplex up extrem art unilat/ltd (93931) | $225 | $300 | 2.4× |
| Ear and throat examination (92502) | $163.50 | $218 | 0.3× |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$472.50–$567.75 | $630–$757 | varies |
| Echo transesophageal (93312) | $907.50 | $1,210 | 1.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $975 | $1,300 | 2.0× |
| Eeg 41-60 Minutes (95812) | $546.75 | $729 | 2.8× |
| EEG awake and asleep (95819) | $439.50 | $586 | 2.2× |
| EEG awake drowsy (95816) | $386.25 | $515 | 2.0× |
| EEG extended monitoring 61-119 minutes (95813) | $661.50 | $882 | 3.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $191.25 | $255 | 2.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $71.25 | $95 | 2.1× |
| Electrical Stimulation Ea 15 Min (97032) | $72.75 | $97 | 4.9× |
| Electrocardiogram Tracing (93005) | $115.50 | $154 | 2.2× |
| Electrophysiology Evaluation (93642) | $1,905 | $2,540 | 1.7× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$56.25–$81 | $75–$108 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$84–$137.25 | $112–$183 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$161.25–$233.25 | $215–$311 | varies |
| Emg 4 Extremities (95864) | $314.25 | $419 | 2.7× |
| Ep & ablate supravent arrhyt (93653) | $42,453.75 | $56,605 | 1.8× |
| Ep & ablate ventric tachy (93654) | $42,453.75 | $56,605 | 1.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $11,347.50 | $15,130 | 1.6× |
| Er level 1 (99281) range across 2 matching MRF lines |
$28.50–$42 | $38–$56 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$237.75–$338.25 | $317–$451 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$232.50–$250.50 | $310–$334 | varies |
| Evaluate Speech Production (92522) | $168.75 | $225 | 1.5× |
| Evaluate Swallowing Function (92610) | $159 | $212 | 1.9× |
| Evaluation of speech fluency (92521) | $164.25 | $219 | 1.2× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$52.50–$328.50 | $70–$438 | varies |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$19.50–$60 | $26–$80 | varies |
| External ECG rec>7d<15d recording (93246) range across 3 matching MRF lines |
$19.50–$60 | $26–$80 | varies |
| External Ecg Scanning Analysis Report (93226) | $147 | $196 | 2.7× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$74.25–$472.50 | $99–$630 | varies |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$37.50–$225 | $50–$300 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $614.25 | $819 | 1.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$187.50–$937.50 | $250–$1,250 | varies |
| Group Therapeutic Procedures (97150) | $51.75 | $69 | 2.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $5,493.75 | $7,325 | 1.9× |
| Holter monitor recording (93225) | $187.50 | $250 | 1.5× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$72.75–$217.50 | $97–$290 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$71.25–$181.50 | $95–$242 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$63.75–$174 | $85–$232 | varies |
| Icm Device Eval (93290) | $132.75 | $177 | 3.9× |
| Ilr Device Eval Progr (93285) | $166.50 | $222 | 4.9× |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$48.75–$129.75 | $65–$173 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$26.25–$47.25 | $35–$63 | varies |
| Inital newborn e/m (99460) | $129.75 | $173 | 1.1× |
| Intra-atrial pacing (93610) | $10,038.75 | $13,385 | 1.4× |
| Intra-atrial recording (93602) | $9,560.25 | $12,747 | 1.3× |
| Intracutaneous tests w/allergenic extracts (95024) | $9.75 | $13 | 0.2× |
| Intraventricular pacing (93612) | $11,347.50 | $15,130 | 1.6× |
| Iontophoresis 15 min (97033) | $99 | $132 | 5.2× |
| Irrig Drug Delivery Device (96523) | $108.75 | $145 | 2.0× |
| IV infusion hydration each additional hour (96361) | $112.50 | $150 | 2.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $418.50 | $558 | 2.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$75–$141.75 | $100–$189 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $172.50 | $230 | 4.0× |
| IV push initial (96374) range across 4 matching MRF lines |
$41.25–$418.50 | $55–$558 | varies |
| L Hrt Art/Grft Angio (93459) | $5,493.75 | $7,325 | 1.9× |
| Lung Function Test (Mbc/Mvv) (94200) | $154.50 | $206 | 2.9× |
| Mechanical chest wall oscillation per session (94669) | $250.50 | $334 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $49.50 | $66 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $57 | $76 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $26.25 | $35 | 1.5× |
| Motion Fluoroscopy/Swallow (92611) | $252 | $336 | 2.8× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $5.25 | $7 | 0.0× |
| Multiple Family Group Psychotherapy (90849) | $137.25 | $183 | 0.8× |
| Multiple Sleep Latency Test (95805) | $1,649.25 | $2,199 | 2.1× |
| Nasopharyngoscopy (92511) | $348.75 | $465 | 1.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 4 matching MRF lines |
$29.25–$440.25 | $39–$587 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 4 matching MRF lines |
$33.75–$444.75 | $45–$593 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$13.50–$321 | $18–$428 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$78.75–$571.50 | $105–$762 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 4 matching MRF lines |
$102–$251.25 | $136–$335 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 4 matching MRF lines |
$302.25–$828 | $403–$1,104 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 4 matching MRF lines |
$358.50–$828 | $478–$1,104 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$127.50–$432.75 | $170–$577 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 4 matching MRF lines |
$161.25–$459 | $215–$612 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 4 matching MRF lines |
$204–$496.50 | $272–$662 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 4 matching MRF lines |
$253.50–$828 | $338–$1,104 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$161.25–$219 | $215–$292 | varies |
| Neuromuscular Reeducation (97112) | $69.75 | $93 | 2.1× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$184.50–$937.50 | $246–$1,250 | varies |
| Oral Function Therapy (92526) | $132 | $176 | 1.6× |
| Oral Speech Device Eval (92597) | $202.50 | $270 | 2.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $84.75 | $113 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $175.50 | $234 | 3.8× |
| Ot Contrast Bath Ea 15 Min (97034) | $64.50 | $86 | 4.6× |
| Ot eval high complexity (97167) | $133.50 | $178 | 1.3× |
| Ot Eval Low Complex (97165) | $108.75 | $145 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $121.50 | $162 | 1.2× |
| Ot manual therapy 15 min (97140) | $69 | $92 | 2.5× |
| Ot paraffin bath (97018) | $42.75 | $57 | 7.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $76.50 | $102 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) | $84.75 | $113 | 1.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $187.50 | $250 | 1.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $37,926 | $50,568 | 2.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,775 | $15,700 | 2.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $23,883.75 | $31,845 | 2.3× |
| Phlebotomy therapeutic (99195) | $122.25 | $163 | 1.0× |
| Physical Performance Test (97750) | $78 | $104 | 2.3× |
| Pm device eval in person (93288) range across 5 matching MRF lines |
$71.25–$178.50 | $95–$238 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$84.75–$159 | $113–$212 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$95.25–$177.75 | $127–$237 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$59.25–$177 | $79–$236 | varies |
| Pm/Icd Remote Tech Serv (93296) | $78.75 | $105 | 2.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,346.75 | $3,129 | 3.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $16.50 | $22 | 0.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$68.25–$143.25 | $91–$191 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$49.50–$159.75 | $66–$213 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$18.75–$49.50 | $25–$66 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$24–$48 | $32–$64 | varies |
| Prq Card Angio/Athrect 1 Art (92924) | $23,883.75 | $31,845 | 2.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $23,883.75 | $31,845 | 2.3× |
| Prq Card Stent/Ath/Angio (92933) | $37,926 | $50,568 | 2.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $23,883.75 | $31,845 | 2.3× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $23,883.75 | $31,845 | 2.3× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$292.50–$341.25 | $390–$455 | varies |
| Psychiatric diagnostic evaluation (90791) | $263.25 | $351 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) | $237.75 | $317 | 1.5× |
| Pt Eval High Complex (97163) | $126 | $168 | 1.3× |
| Pt eval low complex 20 min (97161) | $126 | $168 | 1.3× |
| Pt Eval Mod Complex (97162) | $126 | $168 | 1.3× |
| Pt gait training 15 min (97116) | $69 | $92 | 2.4× |
| Pt mechanical traction (97012) | $75.75 | $101 | 5.3× |
| Pt Re-Eval Est Plan Care (97164) | $90 | $120 | 1.3× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$57.75–$231 | $77–$308 | varies |
| Pure Tone Audiometry Air (92552) | $45 | $60 | 0.4× |
| R Hrt Art/Grft Angio (93457) | $5,493.75 | $7,325 | 1.9× |
| R hrt coronary artery angio (93456) | $5,493.75 | $7,325 | 1.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $6,378 | $8,504 | 2.2× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,625 | $7,500 | 1.9× |
| Refill/Maint Portable Pump (96521) | $418.50 | $558 | 2.2× |
| Refill/Maint Pump/Resvr Syst (96522) | $174.75 | $233 | 0.9× |
| Rem interrog icpms <30 d phys/qhp (93297) | $78.75 | $105 | 2.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$32.25–$83.25 | $43–$111 | varies |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $77.25 | $103 | 2.3× |
| Rem Ther Mntr Dev Sply Cbt (98978) | $77.25 | $103 | 2.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $77.25 | $103 | 2.3× |
| Rem ther mntr dev sply resp (98976) | $77.25 | $103 | 2.3× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$39–$51.75 | $52–$69 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $276 | $368 | 2.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $54 | $72 | 1.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $54.75 | $73 | 1.0× |
| Right Heart Cath (93451) | $5,493.75 | $7,325 | 1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $321 | $428 | 1.8× |
| Rtm dev sply data cbt 2-15 days in 30 d pd (98986) | $77.25 | $103 | 2.3× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $77.25 | $103 | 2.3× |
| Rtm dev sply data respir sys 2-15 days in 30d pd (98984) | $77.25 | $103 | 2.3× |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) | $27.75 | $37 | 1.1× |
| Same day nb discharge (99463) | $150 | $200 | 1.2× |
| Self Care Mngment Training (97535) range across 7 matching MRF lines |
$65.25–$75.75 | $87–$101 | varies |
| Sensory Integration Ea 15 Min (97533) | $68.25 | $91 | 1.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $266.25 | $355 | 1.4× |
| Speech Audiometry Complete (92556) | $54.75 | $73 | 1.0× |
| Speech audiometry threshold (92555) | $34.50 | $46 | 0.6× |
| Speech sound lang comprehen (92523) | $235.50 | $314 | 1.0× |
| Spin/Brain Pump Refil & Main (95991) | $75 | $100 | 0.3× |
| Spirometry (94010) range across 6 matching MRF lines |
$16.50–$175.50 | $22–$234 | varies |
| Standardized Cognitive Performance Testing (96125) | $181.50 | $242 | 1.8× |
| Temp transcutaneous pacing (92953) | $1,210.50 | $1,614 | 2.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $45 | $60 | 2.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $45 | $60 | 2.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $67.50 | $90 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $53.25 | $71 | 1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $188.25 | $251 | 1.8× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $82.50 | $110 | 1.9× |
| Ther/Proph/Diag Inj Ia (96373) | $393.75 | $525 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$21.75–$141.75 | $29–$189 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$418.50–$657.75 | $558–$877 | varies |
| Therapeutic Activities (97530) | $71.25 | $95 | 2.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $982.50 | $1,310 | 2.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $48.75 | $65 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 7 matching MRF lines |
$19.50–$44.25 | $26–$59 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $208.31 | $277.75 | 1.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $295.34 | $393.78 | 2.4× |
| Tte w/doppler, complete (93306) range across 6 matching MRF lines |
$135–$1,047.75 | $180–$1,397 | varies |
| Tx atrial fib pulm vein isol (93656) | $42,453.75 | $56,605 | 1.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $123.75 | $165 | 1.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $39.75 | $53 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$18–$142.50 | $24–$190 | varies |
| Tympanometry (92567) | $37.50 | $50 | 1.1× |
| Tympanometry and reflex threshold measurements (92550) | $33.75 | $45 | 0.2× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $104.25 | $139 | 4.0× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$266.25–$12,555 | $355–$16,740 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$24–$225 | $32–$300 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$40.35–$281.25 | $53.80–$375 | varies |
| Vasopneumatic device (97016) | $75.75 | $101 | 6.3× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$123.75–$796.50 | $165–$1,062 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$93.75–$565.50 | $125–$754 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $57 | $76 | 1.8× |
| Whirlpool Therapy (97022) | $90 | $120 | 5.7× |
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.