Visits & medical services prices at Winona Health
Winona, MN · every code in this section with a posted price and a Medicare benchmark.
252 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 6 matching MRF lines |
$24.50–$61.25 | $70–$175 | varies |
| Acoustic Reflex Testing (92568) range across 6 matching MRF lines |
$11.90–$29.75 | $34–$85 | varies |
| Actinotherapy Ultraviolet Light (96900) range across 3 matching MRF lines |
$6.86–$17.15 | $19.60–$49 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 5 matching MRF lines |
$7.42–$15.75 | $21.21–$45 | varies |
| Advncd Care Plan 30 Min (99497) range across 4 matching MRF lines |
$27.72–$90.30 | $79.20–$258 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 6 matching MRF lines |
$59.50–$148.75 | $170–$425 | varies |
| Airway Inhalation Treatment (94640) range across 14 matching MRF lines |
$29.75–$30.80 | $85–$88 | varies |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$93.80 | $11–$268 | 0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 9 matching MRF lines |
$28.35–$31.15 | $81–$89 | varies |
| Application Modality 1/> Areas Infrared (97026) | $14.35 | $41 | 2.1× |
| Assessment of aphasia per hr (96105) | $63 | $180 | 0.6× |
| Assessment of tinnitus (92625) range across 6 matching MRF lines |
$52.50–$131.25 | $150–$375 | varies |
| Audiometry Air & Bone (92553) range across 6 matching MRF lines |
$31.78–$79.45 | $90.80–$227 | varies |
| Behavral qualit analys voice (92524) | $114.80 | $328 | 1.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 4 matching MRF lines |
$67.55–$74.20 | $193–$212 | varies |
| Bfb training ea addl 15 min (90913) range across 4 matching MRF lines |
$27.30–$30.10 | $78–$86 | varies |
| Biofeedback training any modality (90901) | $17.50 | $50 | 0.4× |
| Brief Emotional/Behav Assmt (96127) range across 3 matching MRF lines |
$2.10–$5.25 | $6–$15 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$31.85–$95.90 | $91–$274 | varies |
| Canalith repositioning proc (95992) range across 10 matching MRF lines |
$18.90–$47.25 | $54–$135 | varies |
| Car seat/bed test 60 min (94780) | $61.60 | $176 | 1.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$31.15–$184.80 | $89–$528 | varies |
| Cardiopulmonary resuscitation (92950) range across 7 matching MRF lines |
$67.90–$256.20 | $194–$732 | varies |
| Cardioversion (92960) range across 8 matching MRF lines |
$72.24–$215.95 | $206.40–$617 | varies |
| Cardioversion elective internal (92961) | $87.50 | $250 | 0.1× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $60.55 | $173 | 1.6× |
| Cbt 1st hour (94644) | $27.65 | $79 | 0.2× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$45.50–$66.50 | $130–$190 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$35–$36.75 | $100–$105 | varies |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$35–$54.95 | $100–$157 | varies |
| Chemo IV push addl drug (96411) | $52.50 | $150 | 0.7× |
| Chemother Prolong Infuse W/Pump (96416) | $192.50 | $550 | 0.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$54.95–$70 | $157–$200 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$141.75–$175 | $405–$500 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$90.65–$100.10 | $259–$286 | varies |
| Chest Wall Manipulation (94668) | $23.80 | $68 | 0.2× |
| Chiropract manj 3-4 regions (98941) range across 3 matching MRF lines |
$17.50–$43.75 | $50–$125 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 7 matching MRF lines |
$13.58–$44.80 | $38.80–$128 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $89.60 | $256 | 0.2× |
| Color/duplex Doppler, complete (93975) range across 7 matching MRF lines |
$72.10–$473.20 | $206–$1,352 | varies |
| Color/duplex Doppler, limited (93976) range across 6 matching MRF lines |
$32.90–$127.40 | $94–$364 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 7 matching MRF lines |
$19.95–$23.10 | $57–$66 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 6 matching MRF lines |
$41.58–$103.95 | $118.80–$297 | varies |
| Comprehensive Hearing Test (92557) | $88.20 | $252 | 0.7× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$11.76–$29.40 | $33.60–$84 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 3 matching MRF lines |
$13.16–$32.90 | $37.60–$94 | varies |
| Conditioning Play Audiometry (92582) range across 6 matching MRF lines |
$31.78–$79.45 | $90.80–$227 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 3 matching MRF lines |
$95.55–$172.90 | $273–$494 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$81.90–$89.95 | $234–$257 | varies |
| Continuous Pulse Ox (94762) range across 4 matching MRF lines |
$75.60–$76.30 | $216–$218 | varies |
| Corneal Topography (92025) range across 3 matching MRF lines |
$9.38–$23.45 | $26.80–$67 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $91.35 | $261 | 0.4× |
| Cpt initial (94667) | $24.85 | $71 | 0.2× |
| Critical care first hour (99291) range across 11 matching MRF lines |
$92.26–$543.20 | $263.60–$1,552 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 9 matching MRF lines |
$28–$70 | $80–$200 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 7 matching MRF lines |
$11.48–$101.85 | $32.80–$291 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$84.70–$390.25 | $242–$1,115 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 7 matching MRF lines |
$47.25–$256.20 | $135–$732 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 11 matching MRF lines |
$30.10–$410.55 | $86–$1,173 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 30 matching MRF lines |
$19.95–$291.20 | $57–$832 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$42–$192.85 | $120–$551 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$84–$308.70 | $240–$882 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$43.05–$254.45 | $123–$727 | varies |
| Ear Protector Evaluation (92596) range across 3 matching MRF lines |
$37.80–$94.50 | $108–$270 | varies |
| ECG/monitoring and analysis (93271) | $144.90 | $414 | 1.5× |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$91–$182 | $260–$520 | varies |
| Eeg 41-60 Minutes (95812) | $140 | $400 | 0.6× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$102.20–$211.75 | $292–$605 | varies |
| EEG awake drowsy (95816) range across 5 matching MRF lines |
$102.20–$182.70 | $292–$522 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$89.25–$161 | $255–$460 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$67.20–$170.80 | $192–$488 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$102.20–$169.05 | $292–$483 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $226.10 | $646 | 1.0× |
| EEG w/o vid 2-12hr cont mntr (95707) | $996.10 | $2,846 | 4.5× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $504 | $1,440 | 1.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $324.10 | $926 | 1.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $297.85 | $851 | 0.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 6 matching MRF lines |
$26.60–$27.30 | $76–$78 | varies |
| Electrocardiogram Tracing (93005) range across 10 matching MRF lines |
$17.15–$61.60 | $49–$176 | varies |
| Emergency Dept Visit Level 2 (99282) range across 6 matching MRF lines |
$52.50–$81.20 | $150–$232 | varies |
| Emergency Dept Visit Level 3 (99283) range across 6 matching MRF lines |
$70–$123.90 | $200–$354 | varies |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$122.50–$210 | $350–$600 | varies |
| Er level 1 (99281) range across 6 matching MRF lines |
$19.60–$32.55 | $56–$93 | varies |
| Er level v (99285) range across 6 matching MRF lines |
$175–$377.65 | $500–$1,079 | varies |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$17.50–$31.85 | $50–$91 | varies |
| Evaluate Speech Production (92522) range across 4 matching MRF lines |
$75.60–$80.85 | $216–$231 | varies |
| Evaluate Swallowing Function (92610) range across 12 matching MRF lines |
$73.15–$127.40 | $209–$364 | varies |
| Evaluation of speech fluency (92521) range across 4 matching MRF lines |
$93.45–$100.10 | $267–$286 | varies |
| Evoked Auditory Test,Limited (92587) range across 5 matching MRF lines |
$12.25–$88.20 | $35–$252 | varies |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) range across 3 matching MRF lines |
$52.22–$130.55 | $149.20–$373 | varies |
| External ECG rec>48hr<7d recording (93242) | $105 | $300 | 2.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $121.80 | $348 | 0.9× |
| External ECG rec>7d<15d recording (93246) | $105 | $300 | 2.7× |
| External Ecg Scanning Analysis Report (93226) | $98.70 | $282 | 1.6× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$94.15–$347.55 | $269–$993 | varies |
| Eye exam w anesth; complete (92018) range across 3 matching MRF lines |
$81.20–$203 | $232–$580 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $218.40 | $624 | 1.1× |
| Fluorescein angiography (92235) range across 3 matching MRF lines |
$38.36–$95.90 | $109.60–$274 | varies |
| Fundus photography (92250) range across 3 matching MRF lines |
$27.58–$68.95 | $78.80–$197 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 6 matching MRF lines |
$63.70–$207.20 | $182–$592 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 3 matching MRF lines |
$142.38–$355.95 | $406.80–$1,017 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 3 matching MRF lines |
$443.66–$1,109.15 | $1,267.60–$3,169 | varies |
| Gonioscopy (92020) range across 3 matching MRF lines |
$9.38–$23.45 | $26.80–$67 | varies |
| Group Therapeutic Procedures (97150) range across 7 matching MRF lines |
$14–$28.70 | $40–$82 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 4 matching MRF lines |
$31.64–$79.10 | $90.40–$226 | varies |
| Holter monitor recording (93225) | $66.85 | $191 | 0.5× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$51.52–$128.80 | $147.20–$368 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$27.44–$68.60 | $78.40–$196 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$28.28–$70.70 | $80.80–$202 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 7 matching MRF lines |
$7.42–$8.75 | $21.21–$25 | varies |
| Immunization administration (90471) range across 16 matching MRF lines |
$7.42–$10.50 | $21.21–$30 | varies |
| Inital newborn e/m (99460) range across 4 matching MRF lines |
$43.68–$109.20 | $124.80–$312 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$247.10–$369.60 | $706–$1,056 | varies |
| Iontophoresis 15 min (97033) range across 6 matching MRF lines |
$31.85–$35 | $91–$100 | varies |
| Irrig Drug Delivery Device (96523) | $25.55 | $73 | 0.4× |
| IV infusion hydration each additional hour (96361) range across 7 matching MRF lines |
$33.60–$36.40 | $96–$104 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
$56.70–$62.65 | $162–$179 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$22.05–$35 | $63–$100 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 8 matching MRF lines |
$33.60–$36.40 | $96–$104 | varies |
| IV push initial (96374) range across 8 matching MRF lines |
$35.70–$36.40 | $102–$104 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $21.70 | $62 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$11.55–$22.75 | $33–$65 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 5 matching MRF lines |
$11.55–$18.55 | $33–$53 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$49.35–$115.85 | $141–$331 | varies |
| Motility study esophagus (91010) range across 3 matching MRF lines |
$181.02–$452.55 | $517.20–$1,293 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 11 matching MRF lines |
$86.45–$154 | $247–$440 | varies |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$175–$805 | $500–$2,300 | varies |
| Nasopharyngoscopy (92511) range across 5 matching MRF lines |
$18.55–$94.50 | $53–$270 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$18.90–$47.25 | $54–$135 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 3 matching MRF lines |
$32.06–$53.90 | $91.60–$154 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$14.42–$36.05 | $41.20–$103 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$16.94–$42.35 | $48.40–$121 | varies |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$39.20–$40.60 | $112–$116 | varies |
| Newborn resuscitation (99465) range across 5 matching MRF lines |
$63–$172.90 | $180–$494 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $23.10 | $66 | 0.9× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $33.95 | $97 | 1.0× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $11.90 | $34 | 0.9× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 4 matching MRF lines |
$24.08–$60.20 | $68.80–$172 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 3 matching MRF lines |
$36.54–$91.35 | $104.40–$261 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 3 matching MRF lines |
$43.68–$109.20 | $124.80–$312 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 3 matching MRF lines |
$32.76–$81.90 | $93.60–$234 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 3 matching MRF lines |
$40.04–$100.10 | $114.40–$286 | varies |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) range across 3 matching MRF lines |
$9.10–$22.75 | $26–$65 | varies |
| Oral Function Therapy (92526) range across 14 matching MRF lines |
$30.10–$81.90 | $86–$234 | varies |
| Oral Speech Device Eval (92597) | $80.15 | $229 | 1.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 8 matching MRF lines |
$35.35–$38.85 | $101–$111 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 8 matching MRF lines |
$35.35–$37.80 | $101–$108 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 5 matching MRF lines |
$11.06–$27.65 | $31.60–$79 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 5 matching MRF lines |
$15.96–$39.90 | $45.60–$114 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 5 matching MRF lines |
$26.32–$65.80 | $75.20–$188 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$35.70–$47.25 | $102–$135 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$38.15–$57.40 | $109–$164 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $21 | $60 | 1.5× |
| Ot eval high complexity (97167) | $84.35 | $241 | 0.8× |
| Ot Eval Low Complex (97165) | $84.35 | $241 | 0.8× |
| Ot Eval Moderate Complexity (97166) | $84.35 | $241 | 0.8× |
| Ot manual therapy 15 min (97140) range across 6 matching MRF lines |
$35–$37.10 | $100–$106 | varies |
| Ot paraffin bath (97018) range across 6 matching MRF lines |
$28.35–$30.45 | $81–$87 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 9 matching MRF lines |
$35.35–$37.80 | $101–$108 | varies |
| Ot Re-Eval Est Plan Care (97168) | $57.40 | $164 | 0.8× |
| Ot rom hand (95852) | $17.50 | $50 | 0.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$17.85–$70 | $51–$200 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $44.10 | $126 | 0.3× |
| Patch/Application Test Specify Number Tests (95044) range across 4 matching MRF lines |
$1.96–$5.25 | $5.60–$15 | varies |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $164.50 | $470 | 0.8× |
| Peripheral arterial disease rehab per session (93668) range across 3 matching MRF lines |
$22.40–$22.75 | $64–$65 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$37.80–$64.05 | $108–$183 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $58.45 | $167 | 1.0× |
| Physical Performance Test (97750) range across 7 matching MRF lines |
$34.30–$38.50 | $98–$110 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$30.24–$75.60 | $86.40–$216 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$19.46–$48.65 | $55.60–$139 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$22.82–$57.05 | $65.20–$163 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$16.66–$41.65 | $47.60–$119 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$245–$1,881.60 | $700–$5,376 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 4 matching MRF lines |
$191.45–$1,321.25 | $547–$3,775 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$21–$52.50 | $60–$150 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 2 matching MRF lines |
$66.50–$69.30 | $190–$198 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 4 matching MRF lines |
$15.05–$15.75 | $43–$45 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 4 matching MRF lines |
$22.40–$23.45 | $64–$67 | varies |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$66.50–$166.25 | $190–$475 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$53.48–$133.70 | $152.80–$382 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 4 matching MRF lines |
$44.38–$110.95 | $126.80–$317 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $3.85 | $11 | 0.1× |
| Pt Eval High Complex (97163) | $77 | $220 | 0.8× |
| Pt eval low complex 20 min (97161) | $77 | $220 | 0.8× |
| Pt Eval Mod Complex (97162) | $77 | $220 | 0.8× |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$23.80–$32.20 | $68–$92 | varies |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$25.90–$28.35 | $74–$81 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$35.70–$51.10 | $102–$146 | varies |
| Pulmonary service/procedure (94799) | $14 | $40 | 0.1× |
| Pure Tone Audiometry Air (92552) range across 6 matching MRF lines |
$15.12–$37.80 | $43.20–$108 | varies |
| Refill/Maint Portable Pump (96521) | $105.70 | $302 | 0.5× |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$68.25–$117.60 | $195–$336 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$39.55–$72.10 | $113–$206 | varies |
| Respiratory flow volume loop (94375) | $63.70 | $182 | 0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 7 matching MRF lines |
$7.98–$36.75 | $22.80–$105 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 5 matching MRF lines |
$14–$21 | $40–$60 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $91.70 | $262 | 0.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 4 matching MRF lines |
$18.55–$68.95 | $53–$197 | varies |
| Same day nb discharge (99463) | $100.10 | $286 | 0.7× |
| Select picture audiometry (92583) range across 6 matching MRF lines |
$16.94–$42.35 | $48.40–$121 | varies |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$33.60–$34.65 | $96–$99 | varies |
| Sensory Integration Ea 15 Min (97533) range across 7 matching MRF lines |
$3.85–$29.05 | $11–$83 | varies |
| Sleep study attended (95807) range across 4 matching MRF lines |
$131.25–$857.50 | $375–$2,450 | varies |
| Sleep study unattended (95806) range across 4 matching MRF lines |
$129.50–$351.75 | $370–$1,005 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$210–$446.25 | $600–$1,275 | varies |
| Speech Audiometry Complete (92556) range across 6 matching MRF lines |
$15.54–$38.85 | $44.40–$111 | varies |
| Speech audiometry threshold (92555) range across 6 matching MRF lines |
$10.64–$26.60 | $30.40–$76 | varies |
| Speech sound lang comprehen (92523) range across 4 matching MRF lines |
$156.10–$166.95 | $446–$477 | varies |
| Spirometry (94010) range across 10 matching MRF lines |
$12.60–$50.05 | $36–$143 | varies |
| Standardized Cognitive Performance Testing (96125) | $59.50 | $170 | 0.6× |
| Stenger Test Speech (92577) range across 6 matching MRF lines |
$15.40–$38.50 | $44–$110 | varies |
| Stenger Test, Pure Tone (92565) range across 6 matching MRF lines |
$9.80–$24.50 | $28–$70 | varies |
| Stress Tte Only (93350) | $332.50 | $950 | 0.6× |
| Synthetic Sentence Identification Test (92576) range across 6 matching MRF lines |
$11.90–$29.75 | $34–$85 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$11.55–$58.80 | $33–$168 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $20.30 | $58 | 0.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $19.25 | $55 | 0.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$36.75–$40.60 | $105–$116 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 9 matching MRF lines |
$5.95–$36.75 | $17–$105 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $57.75 | $165 | 0.6× |
| Ther/Proph/Diag Inj Ia (96373) | $15.40 | $44 | 0.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 27 matching MRF lines |
$6.65–$24.85 | $19–$71 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 8 matching MRF lines |
$74.55–$80.50 | $213–$230 | varies |
| Therapeutic Activities (97530) range across 8 matching MRF lines |
$36.75–$40.60 | $105–$116 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$12.46–$31.15 | $35.60–$89 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 4 matching MRF lines |
$7.28–$18.20 | $20.80–$52 | varies |
| Tone Decay Test (92563) range across 6 matching MRF lines |
$11.20–$28 | $32–$80 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$80.08–$200.20 | $228.80–$572 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$94.78–$236.95 | $270.80–$677 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $15.75 | $45 | 0.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $34.65 | $99 | 0.9× |
| Tte w/doppler, complete (93306) range across 8 matching MRF lines |
$248.50–$637 | $710–$1,820 | varies |
| Tte W/O Doppler Complete (93307) | $245 | $700 | 1.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 10 matching MRF lines |
$33.60–$89.25 | $96–$255 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $20.65 | $59 | 0.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 8 matching MRF lines |
$30.10–$32.55 | $86–$93 | varies |
| Tympanometry (92567) | $35.35 | $101 | 0.9× |
| Tympanometry and reflex threshold measurements (92550) range across 6 matching MRF lines |
$16.94–$42.35 | $48.40–$121 | varies |
| Unlisted ophthalmological service/procedure (92499) | $3.85 | $11 | 0.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$30.10–$75.25 | $86–$215 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$46.90–$124.60 | $134–$356 | varies |
| Vasopneumatic device (97016) range across 8 matching MRF lines |
$29.05–$35.70 | $83–$102 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$19.25–$260.75 | $55–$745 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $240.10 | $686 | 0.4× |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$25.06–$62.65 | $71.60–$179 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 3 matching MRF lines |
$14.14–$35.35 | $40.40–$101 | varies |
| Visual reinforcement audiometry (vra) (92579) range across 6 matching MRF lines |
$35.28–$88.20 | $100.80–$252 | varies |
| Vital capacity, total (94150) range across 6 matching MRF lines |
$8.40–$26.60 | $24–$76 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $23.10 | $66 | 0.7× |
| Whirlpool Therapy (97022) range across 12 matching MRF lines |
$25.90–$29.05 | $74–$83 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 3 matching MRF lines |
$6.86–$17.15 | $19.60–$49 | varies |
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.