Visits & medical services prices at Wyandot Memorial Hospital
Upper Sandusky, OH · every code in this section with a posted price and a Medicare benchmark.
238 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) | $219.08 | $243.42 | 1.8× |
| Advncd Care Plan 30 Min (99497) | $9.30 | $10.33 | 0.1× |
| Aep neurodiagnostic i&r (92653) | $400.29 | $444.77 | 2.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $16.11 | $17.90 | 0.1× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$50.88–$210.88 | $56.52–$234.31 | varies |
| Analyze neurostim complex (95972) | $19.72 | $21.91 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $72.44 | $80.49 | 5.0× |
| Application Modality 1/> Areas Infrared (97026) | $70.16 | $77.95 | 10.5× |
| Application on-body injector (96377) | $90 | $100 | 2.0× |
| Assessment of aphasia per hr (96105) | $358.73 | $398.59 | 3.7× |
| Audiometry Air & Bone (92553) | $219.08 | $243.42 | 1.8× |
| Basic vestibular evaluation (92540) | $15.42 | $17.14 | 0.1× |
| Behavral qualit analys voice (92524) | $247.37 | $274.86 | 2.3× |
| Biofeedback training any modality (90901) | $229.81 | $255.34 | 5.6× |
| Bioimpedance Cv Analysis (93701) | $49.50 | $55.01 | 0.4× |
| Brief Emotional/Behav Assmt (96127) | $54.32 | $60.35 | 1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$45.80–$646.96 | $50.89–$718.85 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$82.11–$106.30 | $91.23–$118.11 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $780.59 | $867.33 | 3.8× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$646.45–$1,003.82 | $718.29–$1,115.36 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$34.88–$962.47 | $38.76–$1,069.41 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $773.30 | $859.23 | 0.3× |
| Cbt 1st hour (94644) | $259.52 | $288.36 | 2.1× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $266.55 | $296.17 | 2.1× |
| Chemo Admin Peritoneal Cavity (96446) | $719.09 | $798.99 | 2.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $182.53 | $202.81 | 2.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $182.53 | $202.81 | 2.7× |
| Chemo Ia Push (96420) | $337.83 | $375.37 | 1.1× |
| Chemo Intralesional Over 7 (96406) | $20.64 | $22.94 | 0.1× |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$12.99–$183.34 | $14.44–$203.72 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$198.84–$246.92 | $220.93–$274.35 | varies |
| Chemo IV push addl drug (96411) | $191.39 | $212.66 | 2.8× |
| Chemother Prolong Infuse W/Pump (96416) | $547.45 | $608.28 | 1.8× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $371.89 | $413.21 | 1.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $170.24 | $189.16 | 3.8× |
| Chemotherapy Into Cns (96450) | $33.84 | $37.60 | 0.1× |
| Chemotherapy Intracavitary (96440) | $62.67 | $69.63 | 0.2× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $410.52 | $456.13 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $246.92 | $274.35 | 3.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$334.59–$409.86 | $371.77–$455.41 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 3 matching MRF lines |
$191.39–$625.34 | $212.66–$694.82 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $22.65 | $25.17 | 0.1× |
| Chest Wall Manipulation (94668) | $143.20 | $159.11 | 1.1× |
| Chron Care Mgmt Srvc 20 Min (99490) | $6.54 | $7.27 | 0.1× |
| Color/duplex Doppler, complete (93975) | $1,024.32 | $1,138.13 | 4.5× |
| Color/duplex Doppler, limited (93976) | $160.01 | $177.80 | 1.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $78.16 | $86.84 | 2.4× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $10.49 | $11.66 | 0.1× |
| Comprehensive Hearing Test (92557) | $219.08 | $243.42 | 1.8× |
| Conditioning Play Audiometry (92582) | $219.08 | $243.42 | 1.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $272.13 | $302.36 | 2.2× |
| Continuous Pulse Ox (94762) | $456.07 | $506.75 | 3.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$140.76–$1,163.94 | $156.41–$1,293.26 | varies |
| Cpt initial (94667) | $229.40 | $254.89 | 1.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$515.10–$1,270.64 | $572.33–$1,411.82 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$368.92–$369.72 | $409.91–$410.80 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $464.17 | $515.75 | 3.8× |
| Dialysis One Evaluation (90945) | $607.42 | $674.92 | 1.5× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $400.29 | $444.77 | 1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $637.80 | $708.67 | 6.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $32.20 | $35.78 | 0.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$90.85–$900.31 | $100.95–$1,000.34 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $30.07 | $33.40 | 0.1× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$116.17–$608.34 | $129.07–$675.93 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $329.63 | $366.26 | 1.5× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$516.87–$673.54 | $574.30–$748.37 | varies |
| Duplex up extrem art unilat/ltd (93931) | $633.44 | $703.83 | 6.4× |
| Echo Heart Xthoracic,Limited (93308) | $31.41 | $34.89 | 0.1× |
| Echo transesophageal (93312) | — | $30.01 | — |
| EEG awake and asleep (95819) | $729.87 | $810.97 | 3.6× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$538.64–$730.38 | $598.49–$811.53 | varies |
| EEG extended monitoring 61-119 minutes (95813) | $1,126.42 | $1,251.58 | 5.5× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$36.24–$68.44 | $40.27–$76.04 | varies |
| Electrocardiogram Tracing (93005) | $4.68 | $5.20 | 0.1× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$10.28–$172 | $11.42–$191.11 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$15.43–$327.61 | $17.15–$364.01 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$329.99–$503.15 | $22–$559.06 | varies |
| Emg 3 Extremities (95863) | $154.99 | $172.21 | 1.3× |
| Emg 4 Extremities (95864) | $154.99 | $172.21 | 1.3× |
| Er level 1 (99281) range across 4 matching MRF lines |
$7.36–$127.61 | $8.18–$141.78 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$454.76–$708.12 | $505.28–$786.79 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $253.15 | $281.27 | 2.1× |
| Evaluate pt use of inhaler (94664) | $58.21 | $64.68 | 0.3× |
| Evaluate Speech Production (92522) | $240.54 | $267.27 | 2.1× |
| Evaluate Swallowing Function (92610) | $361.77 | $401.97 | 4.3× |
| Evaluation of speech fluency (92521) | $274.86 | $305.40 | 2.1× |
| Evoked Auditory Test,Limited (92587) | $400.29 | $444.77 | 2.0× |
| External Ecg Scanning Analysis Report (93226) | $463.16 | $514.62 | 8.3× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$157.22–$949.72 | $174.69–$1,055.24 | varies |
| Extracranial Uni/Ltd Study (93882) | $531.29 | $590.32 | 5.4× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$602.07–$2,542.23 | $668.96–$2,824.70 | varies |
| Group Therapeutic Procedures (97150) | $42.63 | $47.36 | 2.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,259.25 | $1,399.16 | 1.9× |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$35.99–$410.11 | $39.99–$455.69 | varies |
| Icd Device Interrogate (93289) | $145.74 | $161.93 | 4.1× |
| Icd device progr eval dual (93283) | $185.52 | $206.13 | 5.3× |
| Ilr Device Eval Progr (93285) | $3.45 | $3.84 | 0.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $42.36 | $47.07 | 0.6× |
| Immunization administration (90471) | $48.39 | $53.77 | 0.7× |
| Inital newborn e/m (99460) | $246.81 | $274.24 | 2.0× |
| Insert/Place Heart Catheter (93503) range across 3 matching MRF lines |
$838.24–$1,639.75 | $931.38–$1,821.94 | varies |
| Iontophoresis 15 min (97033) | $79.82 | $88.69 | 4.2× |
| Irrig Drug Delivery Device (96523) | $115.97 | $128.86 | 2.1× |
| IV infusion hydration each additional hour (96361) | $64.49 | $71.66 | 1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) | $187.84 | $208.72 | 0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $64.49 | $71.66 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $64.49 | $71.66 | 1.5× |
| IV push initial (96374) range across 6 matching MRF lines |
$113.64–$170.63 | $126.27–$189.59 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $7.72 | $8.57 | 0.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $515.86 | $573.18 | 2.5× |
| Mechanical chest wall oscillation per session (94669) | $110.41 | $122.67 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$2.22–$40.04 | $2.46–$44.49 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$2.22–$40.04 | $2.46–$44.49 | varies |
| Microvolt T-Wave Assess (93025) | $2,201.11 | $2,445.67 | 18.1× |
| Motion Fluoroscopy/Swallow (92611) | $1,015.52 | $1,128.35 | 11.1× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $10.73 | $11.93 | 0.0× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$464.93–$2,616.80 | $516.59–$2,907.55 | varies |
| Muscle Test 2 Limbs (95861) | $119.46 | $132.74 | 0.9× |
| Muscle Test One Limb (95860) | $119.46 | $132.74 | 0.9× |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$278.80–$598.42 | $309.78–$664.90 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $5.89 | $6.54 | 0.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $255.22 | $283.58 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $255.11 | $283.46 | 1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$278.45–$278.61 | $309.39–$309.57 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$154.99–$178.03 | $172.21–$197.81 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$504.87–$514.34 | $560.97–$571.49 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$504.87–$581.61 | $560.97–$646.24 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$245.15–$282.96 | $272.39–$314.40 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$282.96–$312.48 | $314.40–$347.19 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$282.96–$379.64 | $314.40–$421.82 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$447.01–$505.28 | $496.68–$561.42 | varies |
| Neuromuscular Reeducation (97112) | $151.10 | $167.89 | 4.6× |
| Newborn resuscitation (99465) | $473.53 | $526.15 | 0.8× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 3 matching MRF lines |
$2.91–$52.55 | $3.23–$58.39 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 5 matching MRF lines |
$4.92–$88.69 | $5.47–$98.54 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 4 matching MRF lines |
$1.83–$32.85 | $2.03–$36.50 | varies |
| Oral Function Therapy (92526) | $259.27 | $288.08 | 3.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $111.36 | $123.74 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$107.82–$109.03 | $119.80–$121.15 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $4.50 | $5 | 0.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $6.15 | $6.83 | 0.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $40.70 | $45.22 | 2.9× |
| Ot eval high complexity (97167) | $192.40 | $213.78 | 1.9× |
| Ot Eval Low Complex (97165) | $168 | $186.67 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $180.20 | $200.22 | 1.8× |
| Ot manual therapy 15 min (97140) | $86.06 | $95.62 | 3.1× |
| Ot paraffin bath (97018) | $70.56 | $78.41 | 11.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $121.48 | $134.98 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $119.15 | $132.39 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $204.91 | $227.68 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $168.97 | $187.74 | 1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $764.04 | $848.93 | 3.7× |
| Peripheral arterial disease rehab per session (93668) | $92.93 | $103.26 | 1.7× |
| Phlebotomy therapeutic (99195) | $172 | $191.11 | 1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $131.97 | $146.63 | 2.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $131.97 | $146.63 | 2.4× |
| Physical Performance Test (97750) | $207.74 | $230.82 | 6.2× |
| Plethysmography (94726) range across 2 matching MRF lines |
$39.69–$235.12 | $44.10–$261.25 | varies |
| Pm device eval in person (93288) | $4.26 | $4.74 | 0.1× |
| Pm device progr eval dual (93280) | $10.90 | $12.11 | 0.3× |
| Pm Device Progr Eval Sngl (93279) | $123.35 | $137.06 | 3.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | — | $47.89 | — |
| Positional nystagmus test (92542) | $251.84 | $279.81 | 2.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $93.84 | $104.26 | 2.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $157.22 | $174.69 | 4.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$31.79–$34.02 | $35.33–$37.79 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$45.91–$47.74 | $51–$53.04 | varies |
| Psychiatric diagnostic evaluation (90791) | $1.04 | $1.04 | 0.0× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $92.33 | $102.59 | 2.4× |
| Pt Eval High Complex (97163) | $183.85 | $204.28 | 1.9× |
| Pt eval low complex 20 min (97161) | $159.40 | $177.11 | 1.6× |
| Pt Eval Mod Complex (97162) | $171.60 | $190.66 | 1.8× |
| Pt gait training 15 min (97116) | $82.31 | $91.45 | 2.8× |
| Pt mechanical traction (97012) | $70.16 | $77.95 | 4.9× |
| Pt Re-Eval Est Plan Care (97164) | $82.31 | $91.45 | 1.2× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $58.97 | $65.52 | 1.7× |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$43.88–$182.99 | $48.76–$203.32 | varies |
| Pulmonary service/procedure (94799) | $1.04 | $1.04 | 0.0× |
| Pulmonary Stress Testing (94618) | — | $7.29 | — |
| Pure Tone Audiometry Air (92552) | $59.22 | $65.80 | 0.5× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $66.82 | $74.25 | 2.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $119.36 | $132.62 | 3.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $44.90 | $49.89 | 3.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $230.57 | $256.18 | 0.7× |
| Refill/Maint Portable Pump (96521) | $388.30 | $431.44 | 1.9× |
| Refill/Maint Pump/Resvr Syst (96522) | $226.42 | $251.58 | 1.1× |
| Rem interrog icpms <30 d phys/qhp (93297) | $76.02 | $84.47 | 2.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $35.99 | $39.99 | 1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $74.96 | $83.29 | 1.3× |
| Right Heart Cath (93451) | $5,365.45 | $5,961.61 | 1.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$180.15–$216.60 | $200.17–$240.67 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $466.91 | $518.78 | 3.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$121.99–$164.87 | $135.54–$183.19 | varies |
| Same day nb discharge (99463) range across 2 matching MRF lines |
$352.63–$374.19 | $391.81–$415.77 | varies |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$135.11–$544.45 | $150.11–$604.95 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$79.37–$83.12 | $88.19–$92.35 | varies |
| Sleep study attended (95807) | $2,690.49 | $2,989.44 | 7.6× |
| Sleep study unattended (95806) | $27.92 | $31.02 | 0.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$30.88–$741.97 | $34.31–$824.41 | varies |
| Speech Audiometry Complete (92556) | $101.29 | $112.54 | 1.8× |
| Speech audiometry threshold (92555) | $71.07 | $78.97 | 1.3× |
| Speech sound lang comprehen (92523) | $480.68 | $534.08 | 2.1× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$16.24–$539.24 | $18.05–$599.15 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$52.56–$388.24 | $58.41–$431.38 | varies |
| Standardized Cognitive Performance Testing (96125) | $293.33 | $325.93 | 2.9× |
| Stenger Test, Pure Tone (92565) | $53.35 | $59.28 | 1.0× |
| Stress Tte Only (93350) | $40.82 | $45.35 | 0.1× |
| Temp transcutaneous pacing (92953) | $70.56 | $78.41 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $79.73 | $88.59 | 3.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $79.73 | $88.59 | 3.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $110.70 | $123 | 3.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$83.57–$84.55 | $92.86–$93.94 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $288.43 | $320.48 | 2.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $90 | $100 | 1.3× |
| Ther/Proph/Diag Iv Inf Init (96365) | $187.84 | $208.72 | 0.9× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$83.12–$92.73 | $92.35–$103.03 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,190.36 | $1,322.62 | 3.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $8.58 | $9.54 | 0.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $6.45 | $7.17 | 0.2× |
| Trans Care Mgmt 14 Day Disch (99495) | $17.46 | $19.41 | 0.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $23.68 | $26.31 | 0.2× |
| Tte w/doppler, complete (93306) | $62.14 | $69.05 | 0.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $205.41 | $228.24 | 2.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $109.79 | $121.99 | 4.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$113.64–$170.63 | $126.27–$189.59 | varies |
| Tympanometry (92567) | $79.92 | $88.81 | 2.3× |
| Tympanometry and reflex threshold measurements (92550) | $219.08 | $243.42 | 1.1× |
| Unlisted otorhinolaryngological service (92700) | $1.64 | $1.83 | 0.1× |
| Unlisted Special Dermatological Service/Px (96999) | $9.34 | $10.38 | 0.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $9.73 | $10.82 | 0.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$160.57–$673.54 | $178.40–$748.37 | varies |
| Vasopneumatic device (97016) | $43.94 | $48.82 | 3.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,586.09 | $1,762.32 | 2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,349.35 | $1,499.27 | 2.3× |
| Visual reinforcement audiometry (vra) (92579) | $219.08 | $243.42 | 1.1× |
| Vital capacity, total (94150) | $113.99 | $126.66 | 0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $82.66 | $91.84 | 2.7× |
| Whirlpool Therapy (97022) | $63.27 | $70.30 | 4.0× |
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.