Visits & medical services prices at Witham Health Services
Lebanon, IN · every code in this section with a posted price and a Medicare benchmark.
251 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 2 matching MRF lines |
$231.70–$252.84 | $331–$361.20 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$98–$107.31 | $140–$153.30 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$45.57–$73.50 | $65.10–$105 | varies |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$102.90–$212.80 | $147–$304 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 5 matching MRF lines |
$355.01–$852.60 | $507.15–$1,218 | varies |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$112.46–$314.30 | $160.65–$449 | varies |
| Airway resistance by oscillometry (94728) | $160.97 | $229.95 | 1.2× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$39.90–$44.10 | $57–$63 | varies |
| Analyze neurostim complex (95972) | $188.16 | $268.80 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 9 matching MRF lines |
$123.90–$155.09 | $177–$221.55 | varies |
| Application on-body injector (96377) | $135.98 | $194.25 | 2.7× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$529.90–$576.98 | $757–$824.25 | varies |
| Assessment of tinnitus (92625) range across 2 matching MRF lines |
$321.30–$350.60 | $459–$500.85 | varies |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$189–$206.54 | $270–$295.05 | varies |
| Basic vestibular evaluation (92540) | $357.21 | $510.30 | 1.6× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$186.90–$576.98 | $267–$824.25 | varies |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$50.72–$56.70 | $72.45–$81 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$395.43–$984.17 | $564.90–$1,405.95 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $502.74 | $718.20 | 2.2× |
| Caloric Vstblr Test W/Rec (92537) | $1,003.28 | $1,433.25 | 7.4× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$145.60–$159.50 | $208–$227.85 | varies |
| Car seat/bed test 60 min (94780) | $156.56 | $223.65 | 4.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$1,089.27–$1,538.36 | $1,556.10–$2,197.65 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$883.47–$1,220.84 | $1,262.10–$1,744.05 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$122.75–$1,863.96 | $175.35–$2,662.80 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$36.02–$56 | $51.45–$80 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $55.13 | $78.75 | 2.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $11,884.22 | $16,977.45 | 3.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $11,884.22 | $16,977.45 | 3.5× |
| Cbt 1st hour (94644) | $382.94 | $547.05 | 2.7× |
| Chemo Anti-Neopl Sq/Im (96401) range across 4 matching MRF lines |
$368.24–$610.79 | $526.05–$872.55 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$386.61–$388.82 | $552.30–$555.45 | varies |
| Chemo IV infusion addl hr (96415) range across 5 matching MRF lines |
$234.47–$486.57 | $334.95–$695.10 | varies |
| Chemo IV push addl drug (96411) | $368.24 | $526.05 | 4.8× |
| Chemother Prolong Infuse W/Pump (96416) | $931.25 | $1,330.35 | 2.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$424.83–$425.57 | $606.90–$607.95 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 4 matching MRF lines |
$978.29–$981.96 | $1,397.55–$1,402.80 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$660.77–$661.50 | $943.95–$945 | varies |
| Chest Wall Manipulation (94668) | $113.93 | $162.75 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 3 matching MRF lines |
$112.46–$174.20 | $160.65–$248.85 | varies |
| Color/duplex Doppler, limited (93976) | $413.81 | $591.15 | 3.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$137.90–$155.09 | $197–$221.55 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$200.66–$292.60 | $286.65–$418 | varies |
| Comprehensive Hearing Test (92557) range across 4 matching MRF lines |
$112.70–$244.76 | $161–$349.65 | varies |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$166.60–$181.55 | $238–$259.35 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $267.54 | $382.20 | 1.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $125.69 | $179.55 | 2.0× |
| Continuous Pulse Ox (94762) | $201.39 | $287.70 | 1.5× |
| Coronary Art/Grft Angio S&I (93455) | $9,258.06 | $13,225.80 | 2.7× |
| Coronary Artery Angio S&I (93454) | $11,884.22 | $16,977.45 | 3.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 7 matching MRF lines |
$269.75–$768.81 | $385.35–$1,098.30 | varies |
| Cpt initial (94667) | $136.71 | $195.30 | 1.0× |
| Critical care first hour (99291) | $388.08 | $554.40 | 0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$120.54–$340.31 | $172.20–$486.15 | varies |
| Dialysis One Evaluation (90945) | $98.49 | $140.70 | 0.2× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$268.10–$291.80 | $383–$416.85 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $546.84 | $781.20 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $268.28 | $383.25 | 2.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $602.70 | $861 | 5.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,226.32 | $3,180.45 | 8.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,114.26 | $1,591.80 | 10.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,824.27–$2,117.54 | $2,606.10–$3,025.05 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,057.67 | $1,510.95 | 9.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $436.59 | $623.70 | 1.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $86.73 | $123.90 | 0.8× |
| Duplex Scan Hemodialysis Access (93990) | $262.40 | $374.85 | 2.4× |
| Duplex up extrem art bilat (93930) | $538.76 | $769.65 | 2.1× |
| Duplex up extrem art unilat/ltd (93931) | $263.87 | $376.95 | 2.4× |
| Ear and throat examination (92502) | $179.34 | $256.20 | 0.3× |
| Echo Congenital Complete (93303) | $1,278.17 | $1,825.95 | 2.2× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$686.49–$784.98 | $980.70–$1,121.40 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,260.53–$2,901.78 | $1,800.75–$4,145.40 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,978.22 | $4,254.60 | 5.2× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$65.42–$662.24 | $93.45–$946.05 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$65.42–$1,032.68 | $93.45–$1,475.25 | varies |
| EEG awake drowsy (95816) | $1,234.07 | $1,762.95 | 5.4× |
| EEG cerebral death evaluation (95824) | $337.37 | $481.95 | 0.9× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$99.23–$677.67 | $141.75–$968.10 | varies |
| Eeg Sleep Only (95822) | $835.70 | $1,193.85 | 3.7× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $52.19 | $74.55 | 0.5× |
| Electrical Stimulation Ea 15 Min (97032) range across 5 matching MRF lines |
$137.90–$155.09 | $197–$221.55 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$106.40–$320.46 | $152–$457.80 | varies |
| Emergency Dept Visit Level 2 (99282) | $69.09 | $98.70 | 0.4× |
| Emergency Dept Visit Level 3 (99283) | $127.16 | $181.65 | 0.4× |
| Emergency Dept Visit Level 4 (99284) | $211.68 | $302.40 | 0.5× |
| Er level 1 (99281) | $62.48 | $89.25 | 0.7× |
| Er level v (99285) | $257.99 | $368.55 | 0.4× |
| Ergonovine provocation test (93024) | $697.52 | $996.45 | 1.5× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$544.60–$592.41 | $778–$846.30 | varies |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$226.38–$296.94 | $323.40–$424.20 | varies |
| Evaluate Speech Production (92522) range across 10 matching MRF lines |
$186.90–$576.98 | $267–$824.25 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$187.60–$574.04 | $268–$820.05 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$187.60–$576.98 | $268–$824.25 | varies |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$127.89–$255.78 | $182.70–$365.40 | varies |
| External ECG rec>48hr<7d recording (93242) | $723.10 | $1,033 | 18.3× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $770 | $1,100 | 5.5× |
| External ECG rec>7d<15d recording (93246) | $910 | $1,300 | 23.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $1,050 | $1,500 | 7.5× |
| External Ecg Scanning Analysis Report (93226) | $693.11 | $990.15 | 11.1× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$241.08–$1,114.26 | $344.40–$1,591.80 | varies |
| Eye exam w anesth; complete (92018) | $3,921.96 | $5,602.80 | 1.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$39.69–$1,051.05 | $56.70–$1,501.50 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $11,884.22 | $16,977.45 | 3.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $83.79 | $119.70 | 0.1× |
| Holter monitor recording (93225) | $583.59 | $833.70 | 4.1× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $40.43 | $57.75 | 1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$88.94–$108.50 | $127.05–$155 | varies |
| Immunization administration (90471) range across 8 matching MRF lines |
$15.44–$112.46 | $22.05–$160.65 | varies |
| Inital newborn e/m (99460) | $124.95 | $178.50 | 0.9× |
| Insert/Place Heart Catheter (93503) | $2,676.14 | $3,823.05 | 1.6× |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$39.90–$44.10 | $57–$63 | varies |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$143.50–$160.97 | $205–$229.95 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$171.26–$179.34 | $244.65–$256.20 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$91.14–$110.25 | $130.20–$157.50 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$257.99–$443.21 | $368.55–$633.15 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$97.76–$105.11 | $139.65–$150.15 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$91.14–$143.33 | $130.20–$204.75 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$274.16–$279.30 | $391.65–$399 | varies |
| L Hrt Art/Grft Angio (93459) | $11,884.22 | $16,977.45 | 3.5× |
| Low frequency non-thermal us (97610) | $386.61 | $552.30 | 1.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $391.02 | $558.60 | 6.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $298.41 | $426.30 | 1.3× |
| Mechanical chest wall oscillation per session (94669) | $422.63 | $603.75 | 1.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $102.90 | $147 | 3.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $113.93 | $162.75 | 3.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$34.55–$53.66 | $49.35–$76.65 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$34.55–$1,202.46 | $49.35–$1,717.80 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 8 matching MRF lines |
$187.60–$574.04 | $268–$820.05 | varies |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$66.89–$3,052.46 | $95.55–$4,360.65 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $175.67 | $250.95 | 0.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $765.14 | $1,093.05 | 1.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $765.14 | $1,093.05 | 1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$27.93–$262.40 | $39.90–$374.85 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$30.14–$262.40 | $43.05–$374.85 | varies |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$142.10–$159.50 | $203–$227.85 | varies |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$280.04–$442.47 | $400.05–$632.10 | varies |
| Nitric oxide expired gas determination (95012) | $78.65 | $112.35 | 2.0× |
| Optokinetic Nystagmus Test (92544) | $252.11 | $360.15 | 1.9× |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$141.40–$592.41 | $202–$846.30 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$489.30–$532.14 | $699–$760.20 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 5 matching MRF lines |
$81.59–$105.84 | $116.55–$151.20 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 7 matching MRF lines |
$145.60–$227.12 | $208–$324.45 | varies |
| Oscillating Tracking Test (92545) | $252.11 | $360.15 | 1.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$33.08–$65.80 | $47.25–$94 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$33.08–$79.80 | $47.25–$114 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$33.08–$95.20 | $47.25–$136 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $33.08 | $47.25 | 1.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $33.08 | $47.25 | 1.4× |
| Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines |
$111.30–$122.01 | $159–$174.30 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$529.90–$576.98 | $757–$824.25 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$187.60–$205.07 | $268–$292.95 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$357.70–$389.55 | $511–$556.50 | varies |
| Ot manual therapy 15 min (97140) range across 7 matching MRF lines |
$112–$155.09 | $160–$221.55 | varies |
| Ot paraffin bath (97018) range across 5 matching MRF lines |
$102.20–$114.66 | $146–$163.80 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$168–$183.02 | $240–$261.45 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $337.37 | $481.95 | 2.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $303.56 | $433.65 | 2.2× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $67.62 | $96.60 | 2.7× |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$39.90–$44.10 | $57–$63 | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $19,600 | $28,000 | 1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $9,119.88 | $13,028.40 | 1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $13,324.08 | $19,034.40 | 1.1× |
| Phlebotomy therapeutic (99195) | $345.45 | $493.50 | 2.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $125.69 | $179.55 | 2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $125.69 | $179.55 | 2.0× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$91–$102.17 | $130–$145.95 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$14.70–$177.87 | $21–$254.10 | varies |
| Pm/Icd Remote Tech Serv (93296) | $83.06 | $118.65 | 2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$141.86–$5,553.66 | $202.65–$7,933.80 | varies |
| Positional nystagmus test (92542) | $330.75 | $472.50 | 2.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$19.11–$69.09 | $27.30–$98.70 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$39.20–$59.54 | $56–$85.05 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$46.90–$59.54 | $67–$85.05 | varies |
| Prq Card Angio/Athrect 1 Art (92924) | $9,753.45 | $13,933.50 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $13,324.08 | $19,034.40 | 1.1× |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$10,420.10–$14,628.71 | $14,885.85–$20,898.15 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) | $23,094.44 | $32,992.05 | 1.9× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $558.60 | $798 | 1.2× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$529.90–$576.98 | $757–$824.25 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$187.60–$205.07 | $268–$292.95 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$357.70–$389.55 | $511–$556.50 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$100.10–$109.52 | $143–$156.45 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$130.90–$142.59 | $187–$203.70 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$168–$183.02 | $240–$261.45 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$36.02–$56 | $51.45–$80 | varies |
| Pulm function test by gas (94727) range across 4 matching MRF lines |
$14.70–$397.64 | $21–$568.05 | varies |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$55.13–$326.90 | $78.75–$467 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$160.97–$213.89 | $229.95–$305.55 | varies |
| Pure Tone Audiometry Air (92552) range across 5 matching MRF lines |
$83.30–$323.40 | $119–$462 | varies |
| R Hrt Art/Grft Angio (93457) | $9,258.06 | $13,225.80 | 2.7× |
| R hrt coronary artery angio (93456) | $11,884.22 | $16,977.45 | 3.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $11,884.22 | $16,977.45 | 3.5× |
| Refill/Maint Portable Pump (96521) | $693.84 | $991.20 | 3.1× |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$683.55–$693.84 | $976.50–$991.20 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $41.47 | $59.24 | 1.1× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $154.90 | $221.29 | 1.1× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $41.47 | $59.24 | 1.1× |
| Remote 30 Day Ecg Tech Supp (93229) range across 2 matching MRF lines |
$84.53–$1,050 | $120.75–$1,500 | varies |
| Right Heart Cath (93451) | $11,884.22 | $16,977.45 | 3.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$124.60–$202.13 | $178–$288.75 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $256.52 | $366.45 | 2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $100.70 | $143.85 | 2.1× |
| Same day nb discharge (99463) | $227.12 | $324.45 | 1.6× |
| Select picture audiometry (92583) range across 2 matching MRF lines |
$137.90–$150.68 | $197–$215.25 | varies |
| Self Care Mngment Training (97535) range across 7 matching MRF lines |
$61.60–$155.09 | $88–$221.55 | varies |
| Sensory Integration Ea 15 Min (97533) range across 4 matching MRF lines |
$137.90–$155.09 | $197–$221.55 | varies |
| Sleep study unattended (95806) | $56.60 | $80.85 | 0.2× |
| Slp caregiver training 1st 30 min (97550) | $110.25 | $157.50 | 2.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 3 matching MRF lines |
$58.80–$535.82 | $84–$765.45 | varies |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$147–$160.97 | $210–$229.95 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$100.10–$109.52 | $143–$156.45 | varies |
| Speech sound lang comprehen (92523) range across 10 matching MRF lines |
$186.90–$576.98 | $267–$824.25 | varies |
| Spirometry (94010) range across 5 matching MRF lines |
$196.98–$371.91 | $281.40–$531.30 | varies |
| Spontaneous Nystagmus Test (92541) | $252.11 | $360.15 | 1.8× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$290.50–$316.79 | $415–$452.55 | varies |
| Stenger Test Speech (92577) range across 2 matching MRF lines |
$85.40–$93.35 | $122–$133.35 | varies |
| Stenger Test, Pure Tone (92565) range across 2 matching MRF lines |
$67.20–$73.50 | $96–$105 | varies |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$1,891.16–$2,676.87 | $2,701.65–$3,824.10 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $432.18 | $617.40 | 1.9× |
| Surfactant Admin Thru Tube (94610) | $119.07 | $170.10 | 0.5× |
| Temp transcutaneous pacing (92953) | $732.06 | $1,045.80 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$141.40–$155.09 | $202–$221.55 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$141.40–$155.09 | $202–$221.55 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$120.54–$123.48 | $172.20–$176.40 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 8 matching MRF lines |
$141.40–$592.41 | $202–$846.30 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $205.07 | $292.95 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 9 matching MRF lines |
$24.99–$133.04 | $35.70–$190.05 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$268.28–$272.69 | $383.25–$389.55 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$137.90–$155.09 | $197–$221.55 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,231.86 | $1,759.80 | 3.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $27.93 | $39.90 | 0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $16.17 | $23.10 | 0.4× |
| Tone Decay Test (92563) range across 2 matching MRF lines |
$98–$107.31 | $140–$153.30 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$166.85–$365.40 | $238.35–$522 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$166.85–$431.90 | $238.35–$617 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$2,054.33–$2,382.14 | $2,934.75–$3,403.05 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 8 matching MRF lines |
$141.40–$592.41 | $202–$846.30 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$242.55–$246.96 | $346.50–$352.80 | varies |
| Tympanometry (92567) range across 4 matching MRF lines |
$60.20–$130.83 | $86–$186.90 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$167.30–$182.28 | $239–$260.40 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$91.88–$720.30 | $131.25–$1,029 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$1,413.41–$1,437.66 | $2,019.15–$2,053.80 | varies |
| Vasopneumatic device (97016) | $156.56 | $223.65 | 13.0× |
| Veeg 2-12 hr unmonitored (95711) | $777.63 | $1,110.90 | 3.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,297.61 | $3,282.30 | 5.8× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$1,372.98–$1,423.70 | $1,961.40–$2,033.85 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,022.39 | $1,460.55 | 1.6× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$240.10–$261.66 | $343–$373.80 | varies |
| Vital capacity, total (94150) | $257.99 | $368.55 | 1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 8 matching MRF lines |
$77.70–$155.09 | $111–$221.55 | varies |
| Whirlpool Therapy (97022) range across 5 matching MRF lines |
$139.30–$156.56 | $199–$223.65 | 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.