Visits & medical services prices at Wooster Community Hospital
Wooster, OH · every code in this section with a posted price and a Medicare benchmark.
219 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) | $13,698.17 | $13,698.17 | 1.8× |
| Actinotherapy Ultraviolet Light (96900) | $180.71 | $180.71 | 5.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $60 | $60 | 1.5× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$223.68–$235.07 | $223.68–$235.07 | varies |
| Airway resistance by oscillometry (94728) | $469.75 | $469.75 | 3.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $254.05 | $254.05 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $71.03 | $71.03 | 4.9× |
| Application on-body injector (96377) | $90.14 | $90.14 | 2.0× |
| Assessment of aphasia per hr (96105) | $349.23 | $349.23 | 3.6× |
| Behavral qualit analys voice (92524) | $349.23 | $349.23 | 3.2× |
| Bioimpedance Cv Analysis (93701) | $209.27 | $209.27 | 1.6× |
| Blink reflex test (95933) | $160.58 | $160.58 | 2.8× |
| Breathing response to hypoxia (94450) | $230.24 | $230.24 | 1.9× |
| Brief Emotional/Behav Assmt (96127) | $7.67 | $7.67 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $504.16 | $504.16 | 1.4× |
| Bundle of his recording (93600) | $13,698.17 | $13,698.17 | 1.8× |
| Car seat/bed test 60 min (94780) | $174.87 | $174.87 | 4.8× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$748.22–$793.44 | $748.22–$793.44 | varies |
| Cardiopulmonary exercise testing (94621) | $1,095.15 | $1,095.15 | 3.0× |
| Cardiopulmonary resuscitation (92950) | $1,740.99 | $1,740.99 | 8.3× |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,608.24–$1,792.12 | $1,608.24–$1,792.12 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $10,640.64 | $10,640.64 | 3.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $10,640.64 | $10,640.64 | 3.4× |
| Cbt 1st hour (94644) | $323.98 | $323.98 | 2.5× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$147.06–$166.24 | $147.06–$166.24 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $142.36 | $142.36 | 2.0× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$104.44–$136.81 | $104.44–$136.81 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$208.81–$273.42 | $208.81–$273.42 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$572.72–$749.60 | $572.72–$749.60 | varies |
| Chemotherapy Into Cns (96450) | $719.04 | $719.04 | 2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$208.81–$273.42 | $208.81–$273.42 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$572.72–$749.60 | $572.72–$749.60 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$357.95–$468.50 | $357.95–$468.50 | varies |
| Chest Wall Manipulation (94668) | $235.07 | $235.07 | 1.8× |
| Color/duplex Doppler, complete (93975) | $1,434.67 | $1,434.67 | 6.2× |
| Color/duplex Doppler, limited (93976) | $618.93 | $618.93 | 6.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$71.03–$117.08 | $71.03–$117.08 | varies |
| Continuous Pulse Ox (94762) range across 4 matching MRF lines |
$205.29–$578.09 | $205.29–$578.09 | varies |
| Coronary Art/Grft Angio S&I (93455) | $10,640.64 | $10,640.64 | 3.4× |
| Coronary Artery Angio S&I (93454) | $10,640.64 | $10,640.64 | 3.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$271.50–$629.14 | $271.50–$629.14 | varies |
| Cpt initial (94667) | $235.07 | $235.07 | 1.8× |
| Critical care first hour (99291) | $1,643.95 | $1,643.95 | 2.1× |
| Debridement Open Wound 20 Sq Cm< (97597) | $279.50 | $279.50 | 1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,154.35 | $1,154.35 | 5.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,154.35 | $1,154.35 | 5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $525.91 | $525.91 | 5.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$781.41–$1,110.40 | $781.41–$1,110.40 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$636.63–$985.33 | $636.63–$985.33 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $544.40 | $544.40 | 2.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $247.37 | $247.37 | 2.4× |
| Duplex Scan Hemodialysis Access (93990) | $544.40 | $544.40 | 5.4× |
| Duplex up extrem art bilat (93930) | $433.04 | $433.04 | 1.9× |
| Duplex up extrem art unilat/ltd (93931) | $433.04 | $433.04 | 4.3× |
| Echo Heart Xthoracic,Limited (93308) | $514.32 | $514.32 | 2.2× |
| Echo transesophageal (93312) | $1,214.24 | $1,214.24 | 2.3× |
| Eeg 41-60 Minutes (95812) | $547.83 | $547.83 | 2.6× |
| EEG awake and asleep (95819) | $579.14 | $579.14 | 2.8× |
| EEG cerebral death evaluation (95824) | $571.61 | $571.61 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) | $547.83 | $547.83 | 2.6× |
| EKG signal averaged (93278) | $196.93 | $196.93 | 3.5× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$65.11–$71.03 | $65.11–$71.03 | varies |
| Electrocardiogram Tracing (93005) range across 6 matching MRF lines |
$157.94–$206.38 | $157.94–$206.38 | varies |
| Electrophysiology Evaluation (93642) | $2,493.19 | $2,493.19 | 2.1× |
| Emergency Dept Visit Level 2 (99282) | $413.06 | $413.06 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $578.27 | $578.27 | 2.2× |
| Emergency Dept Visit Level 4 (99284) | $702.17 | $702.17 | 1.7× |
| Emg 3 Extremities (95863) | $299.71 | $299.71 | 2.4× |
| Emg 4 Extremities (95864) | $299.71 | $299.71 | 2.4× |
| Ep & ablate supravent arrhyt (93653) | $48,371.16 | $48,371.16 | 1.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $13,698.17 | $13,698.17 | 1.8× |
| Er level 1 (99281) | $289.12 | $289.12 | 3.5× |
| Er level v (99285) | $1,073.93 | $1,073.93 | 1.9× |
| Evaluate pt use of inhaler (94664) | $235.07 | $235.07 | 1.1× |
| Evaluate Speech Production (92522) | $319.63 | $319.63 | 2.9× |
| Evaluate Swallowing Function (92610) | $473.51 | $473.51 | 5.6× |
| Evaluation of speech fluency (92521) | $319.63 | $319.63 | 2.4× |
| Exercise test for bronchospasm (94617) | $533.62 | $533.62 | 4.1× |
| External Ecg Scanning Analysis Report (93226) | $357.82 | $357.82 | 6.3× |
| Extracranial Bilat Study (93880) | $926.46 | $926.46 | 4.0× |
| Extracranial Uni/Ltd Study (93882) | $581.45 | $581.45 | 5.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $350 | $350 | 1.8× |
| Group Therapeutic Procedures (97150) | $65.11 | $65.11 | 3.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $170.50 | $170.50 | 1.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $10,640.64 | $10,640.64 | 3.4× |
| Holter monitor recording (93225) | $199.27 | $199.27 | 1.5× |
| Icd Device Interrogate (93289) | $35.02 | $35.02 | 1.0× |
| Icd device progr eval dual (93283) | $41.36 | $41.36 | 1.1× |
| Icd Device Progr Eval Mult (93284) | $47.74 | $47.74 | 1.3× |
| Immunization administration (90471) range across 2 matching MRF lines |
$83.13–$85.40 | $83.13–$85.40 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $720.68 | $720.68 | 2.0× |
| Insert/Place Heart Catheter (93503) | $3,774.34 | $3,774.34 | 2.5× |
| Intra-atrial pacing (93610) | $13,698.17 | $13,698.17 | 1.8× |
| Intra-atrial recording (93602) | $13,698.17 | $13,698.17 | 1.8× |
| Intracranial Complete Study (93886) | $773.87 | $773.87 | 3.4× |
| Iontophoresis 15 min (97033) | $71.03 | $71.03 | 3.7× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$106.85–$117.63 | $106.85–$117.63 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$49.22–$57.30 | $49.22–$57.30 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$255.77–$297.25 | $255.77–$297.25 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$72.82–$76.22 | $72.82–$76.22 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$49.22–$57.30 | $49.22–$57.30 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$137.37–$166.24 | $137.37–$166.24 | varies |
| L Hrt Art/Grft Angio (93459) | $10,640.64 | $10,640.64 | 3.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $188.12 | $188.12 | 3.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $882.79 | $882.79 | 4.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 5 matching MRF lines |
$50.85–$109.06 | $50.85–$109.06 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 6 matching MRF lines |
$50.85–$245.33 | $50.85–$245.33 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$45.81–$170 | $45.81–$170 | varies |
| Methacholine challenge (94070) | $720.68 | $720.68 | 2.0× |
| Microvolt T-Wave Assess (93025) | $708.36 | $708.36 | 5.7× |
| Motion Fluoroscopy/Swallow (92611) | $473.51 | $473.51 | 5.2× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$1,728.99–$2,532.78 | $1,728.99–$2,532.78 | varies |
| Muscle Test 2 Limbs (95861) | $344.61 | $344.61 | 2.7× |
| Muscle Test One Limb (95860) | $344.61 | $344.61 | 2.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $271.16 | $271.16 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $731.38 | $731.38 | 1.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $731.38 | $731.38 | 1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $350 | $350 | 1.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $550 | $550 | 1.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $226.87 | $226.87 | 1.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $541.75 | $541.75 | 1.5× |
| Nerve conduction studies 13 or more studies (95913) | $541.75 | $541.75 | 1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) | $321.23 | $321.23 | 1.5× |
| Nerve conduction studies 5-6 studies (95909) | $389.17 | $389.17 | 1.9× |
| Nerve conduction studies 7-8 studies (95910) | $389.17 | $389.17 | 1.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $541.75 | $541.75 | 1.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $299.71 | $299.71 | 2.4× |
| Neuromuscular Reeducation (97112) | $112.46 | $112.46 | 3.4× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$939.97–$1,048.90 | $939.97–$1,048.90 | varies |
| Nitric oxide expired gas determination (95012) | $140.16 | $140.16 | 3.9× |
| Oral Function Therapy (92526) | $313.71 | $313.71 | 3.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $112.46 | $112.46 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $136.14 | $136.14 | 3.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $29.60 | $29.60 | 2.1× |
| Ot eval high complexity (97167) | $242.68 | $242.68 | 2.4× |
| Ot Eval Low Complex (97165) | $195.33 | $195.33 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $219 | $219 | 2.2× |
| Ot manual therapy 15 min (97140) | $136.14 | $136.14 | 4.9× |
| Ot paraffin bath (97018) | $29.60 | $29.60 | 4.9× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$76.95–$112.46 | $76.95–$112.46 | varies |
| Ot Re-Eval Est Plan Care (97168) | $118.38 | $118.38 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $240.01 | $240.01 | 1.9× |
| Oxygen Uptake Rest Indirect (94690) | $213.97 | $213.97 | 3.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $235.07 | $235.07 | 1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $12,931.65 | $12,931.65 | 2.4× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$203.16–$251.25 | $203.16–$251.25 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $242.10 | $242.10 | 4.2× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$112.46–$136.14 | $112.46–$136.14 | varies |
| Plethysmography (94726) | $469.75 | $469.75 | 1.3× |
| Pm device eval in person (93288) | $34.32 | $34.32 | 1.0× |
| Pm device progr eval dual (93280) | $35.02 | $35.02 | 1.0× |
| Pm device progr eval multi (93281) | $40.30 | $40.30 | 1.1× |
| Pm Device Progr Eval Sngl (93279) | $34.32 | $34.32 | 1.0× |
| Pm/Icd Remote Tech Serv (93296) | $50.90 | $50.90 | 1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$5,999.49–$6,400.05 | $5,999.49–$6,400.05 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $2,987.72 | $2,987.72 | 3.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $36.08 | $36.08 | 1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $26,878.73 | $26,878.73 | 2.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $26,878.73 | $26,878.73 | 2.4× |
| Psych diag eval w/med srvcs (90792) | $309.09 | $309.09 | 1.8× |
| Psychiatric diagnostic evaluation (90791) | $309.09 | $309.09 | 1.8× |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$273.40–$285.01 | $273.40–$285.01 | varies |
| Pt Eval High Complex (97163) | $242.68 | $242.68 | 2.5× |
| Pt eval low complex 20 min (97161) | $195.33 | $195.33 | 2.0× |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$136.51–$219 | $136.51–$219 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$59.19–$88.79 | $59.19–$88.79 | varies |
| Pt mechanical traction (97012) | $71.03 | $71.03 | 4.9× |
| Pt Re-Eval Est Plan Care (97164) | $118.38 | $118.38 | 1.8× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$388.20–$408.68 | $388.20–$408.68 | varies |
| Pulmonary service/procedure (94799) | $181.06 | $181.06 | 1.5× |
| Pulmonary Stress Testing (94618) | $533.62 | $533.62 | 4.1× |
| R Hrt Art/Grft Angio (93457) | $10,640.64 | $10,640.64 | 3.4× |
| R hrt coronary artery angio (93456) | $10,052.49 | $10,052.49 | 3.2× |
| Refill/Maint Portable Pump (96521) range across 4 matching MRF lines |
$334.88–$406.26 | $334.88–$406.26 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $291.55 | $291.55 | 8.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $79.19 | $79.19 | 1.4× |
| Right Heart Cath (93451) | $8,632.83 | $8,632.83 | 2.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $189.23 | $189.23 | 1.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $349.23 | $349.23 | 2.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $112.46 | $112.46 | 2.4× |
| Self Care Mngment Training (97535) | $112.46 | $112.46 | 3.5× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$88.79–$98.03 | $88.79–$98.03 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $798.33 | $798.33 | 3.8× |
| Short-latency somatosens ep std upr limbs (95925) | $829.39 | $829.39 | 4.0× |
| Sleep study attended (95807) | $2,908.74 | $2,908.74 | 8.1× |
| Sleep study unattended (95806) | $591.56 | $591.56 | 2.8× |
| Speech sound lang comprehen (92523) | $443.92 | $443.92 | 2.0× |
| Spirometry (94010) | $265.01 | $265.01 | 1.3× |
| Ssep lower limbs (95926) | $829.39 | $829.39 | 4.0× |
| Standardized Cognitive Performance Testing (96125) | $292.38 | $292.38 | 2.8× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$890.33–$1,023.89 | $890.33–$1,023.89 | varies |
| Temp transcutaneous pacing (92953) | $1,307.20 | $1,307.20 | 2.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $71.03 | $71.03 | 3.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $71.03 | $71.03 | 3.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $136.14 | $136.14 | 3.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $71.03 | $71.03 | 2.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $207.17 | $207.17 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 12 matching MRF lines |
$69.37–$85.40 | $69.37–$85.40 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$255.77–$297.25 | $255.77–$297.25 | varies |
| Therapeutic Activities (97530) | $112.46 | $112.46 | 3.2× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $990.03 | $990.03 | 2.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$33.79–$72.76 | $33.79–$72.76 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$33.72–$43.11 | $33.72–$43.11 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $440.76 | $440.76 | 4.4× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $67.89 | $67.89 | 1.9× |
| Tte w/doppler, complete (93306) | $1,741.99 | $1,741.99 | 3.3× |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$776.51–$939.97 | $776.51–$939.97 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $313.71 | $313.71 | 4.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $110.08 | $110.08 | 4.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$119.97–$139.47 | $119.97–$139.47 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$239.55–$324.66 | $239.55–$324.66 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$324.66–$748.56 | $324.66–$748.56 | varies |
| Vasopneumatic device (97016) | $71.03 | $71.03 | 5.9× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$629.14–$1,174.08 | $629.14–$1,174.08 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$624.58–$1,045.49 | $624.58–$1,045.49 | varies |
| Visual Evoked Potential Test (95930) | $829.39 | $829.39 | 4.0× |
| Vital capacity, total (94150) | $230.24 | $230.24 | 1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $71.03 | $71.03 | 2.3× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$53.27–$59.19 | $53.27–$59.19 | 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.