UH Procedures and Services

Our Commitment to Quality

Helping ensure our patients receive the highest level of care, delivered with dignity and compassion, is our goal with every patient and family member, every time. Our Board challenges us to remain in the Top 10 percent of hospitals in the country in quality scores, and they meet monthly with physicians and clinical staff to analyze the data and develop a plan to better serve our patients. It is this goal-driven mindset that has earned us recognition in key areas for our quality strides. Learn more about our quality awards and recognition.

NOTE: Charges are displayed for the procedure only. These do not include any medications, supplies or pre-procedure laboratory tests that may be needed prior to the study (for example - CT Scan of the Abdomen with Contrast does not include the contrast medication given. If the contrast is IV, you may have additional charges for the IV supplies). Please contact Scheduling and Benefits for a more accurate estimate of what the procedure will cost.

University Hospital/University Summerville: 706-774-8209 or 706-774-8210
University Hospital McDuffie: 706-597-5219

Service Charge Code Charge Description Charge
Procedurals 36000827 HC INJ SPINE L/S W/IMAGE GUIDANCE $835
Procedurals 36000828 HC INJ W/CATH C/T WO IMAGE GUIDANCE $1,370
Procedurals 36000829 HC INJ W/CATH C/T W/IMAGE GUIDE $1,370
Procedurals 36000830 HC INJ L/S W/CATH CAUDAL W/IMAGE GUIDE $1,370
Procedurals 36000831 HC TRNSCATH STENT PLCMNT, CTRL DIALYSIS SEGMNT $6,197
Procedurals 36000832 HC VASC EMBOLIZ OR OCCLUSION, PERM DIALYSIS CIRCUIT $6,197
Procedurals 36000833 HC MOCA, ABLATION THRPY 1ST VEIN $4,708
Procedurals 36000834 HC MOCA, ABLATION THRPY ADDL VEINS $2,608
Procedurals 36000835 HC UNLISTED SURGICAL PROCEDURE  
Procedurals 36000836 HC TRANSCATH AORTIC VALVE REPLCMNT (TAVR) $8,680
Procedurals 36000837 HC INJ PARAVERTEBRAL C/T 2 LEVELS $924
Procedurals 36000838 HC INJ PARAVERTEBRAL C/T 3 LEVELS $924
Procedurals 36000839 HC INJ PARAVERTEBRAL L/S 2 LEVELS $813
Procedurals 36000840 HC INJ PARAVERTEBRAL L/S 3 LEVELS $813
Procedurals 36000841 HC INJ SGL TENDON SHTH OR LIGAMENT $379
Procedurals 36000842 HC INSERT ANT SEGMNT DRAIN INT, W/O EXTRAOCULAR RESERVOIR $4,392
Procedurals 36000843 HC CRYOABLATION OF PULM TUMORS $5,395
Procedurals 36000844 HC PVB THORACIC SINGLE INJ SITE $652
Procedurals 36000845 HC ENDOVAS RPR A-AO NDGFT OTH THAN RUPTURE $3,706
Procedurals 36000846 HC ENDOVAS RPR A-AO NDGFT FOR RUPTURE $3,706
Procedurals 36000847 HC ENDOVAS RPR AO OR ILIAC NDGFT OTH THAN RUPTURE $3,706
Procedurals 36000848 HC ENDOVAS RPR AO OR ILIAC NDGFT FOR RUPTURE $3,706
Procedurals 36000849 HC ENDOVAS RPR AO/ILIAC BY A-BIILIAC NDGFT OTH THAN RUPTURE $3,706
Procedurals 36000850 HC ENDOVAS RPR AO/ILIAC BY A-BIILIAC NDGFT FOR RUPTURE $3,706
Procedurals 36000851 HC ENDOVAS RPR ILIAC BY ILIO-ILIAC NDGFT OTH THAN RUPTURE $3,706
Procedurals 36000852 HC ENDOVAS RPR ILIAC BY ILIO-ILIAC NDGFT FOR RUPTURE $3,706
Procedurals 36000853 HC PLACEMENT XTN PROSTH ENDOVAS PER VESS TREATED $2,350
Procedurals 36000854 HC DELAYED PLMT XTN PROSTH 1ST VESSEL $2,350
Procedurals 36000855 HC DELAYED PLMT XTEN PROSTH EACH ADDL VESSEL $2,350
Procedurals 36000856 HC ENDOVAS RPR ILIAC ARTERY BIFUR $2,350
Procedurals 36000857 HC ABDOM PLEURX CATH PLACE W/CUFF $3,803
Procedurals 36000858 HC ABDOM PLEURX CATH REMOVAL W/CUFF $3,256
Procedurals 36000859 HC PLACE FEM-FEM GRATH AT AA REP $3,000
Procedurals 36000860 HC OPEN ILIAC ART EXPOS $3,706
Procedurals 36000861 HC VISC & INFRAREN ABD 4+ PROST $2,350
Procedurals 36000862 HC PROSTATE NEEDLE PUNCH BX $2,216
Procedurals 36000863 HC INJ ANESTH; PUDENDAL NERVE $941
Procedurals 36000864 HC VISC & INFRAREN ABD 3 PROSTH $2,350
Procedurals 36000865 HC PVB THORACIC 2ND+ INJ SITE $150
Endoscopy 36000866 HC BEDSIDE BRONCH $2,621
Endoscopy 36000867 HC BEDSIDE BRONCH W/OTHER PROCEDURES $2,621
Procedurals 36000868 HC STENT PLACEMT ANTE CAROTID $8,017
Procedurals 36000869 HC INSERT VAD ART&VEIN ACCESS  
Procedurals 36000870 HC REMOVE VAD DIFFERENT SESSION  
Procedurals 36000871 HC REPOSITION VAD DIFF SESSION  
Procedurals 36000872 HC NB INJ HYPOGAS PLXS $1,680
Endoscopy 36000873 HC NAVIGATIONAL BRONCHOSCOPY $2,561
Procedurals 36000803 HC HOLDING/TREATMENT ROOM PROCEDURE $625
Anesthesia 37000001 HC ANESTHESIA FIRST 30 MINUTES $151
Anesthesia 37000002 HC OH ANESTHESIA FIRST 30 MINUTES $160
Anesthesia 37000003 HC ANESTHESIA PER MINUTE $7
Anesthesia 37000004 HC OH ANESTHESIA PER MINUTE $8
Anesthesia 37000005 HC MOD SED SAME PHYS/QHP 5/>YRS INITIAL 15 MIN $151
Anesthesia 37000006 HC MOD SED SAME PHYS/QHP 5/>YRS EA ADDL 15 MIN $7
Anesthesia 37000007 HC MOD SED OTH PHYS/QHP 5/>YRS INITIAL 15 MIN $151
Anesthesia 37000008 HC MOD SED OTH PHYS/QHP 5/>YRS EA ADDL 15 MIN $7
Blood Transfusion 39100014 HC TRANSFUS BLD OR COMP $588
Mammogram 40100002 HC MAMMOGRAM DIAG UNILAT/CALLBACK $258
Mammogram 40100003 HC MAMMOGRAM DIAG UNILAT GG $250
Mammogram 40100004 HC MAMMOGRAM DIAGNOSTIC BILAT DIG (INCLUDES CAD) $273
Mammogram 40100005 HC MAMMOGRAM DIAGNOSTI UNILAT DIG (INCLUDES CAD) $229
Mammogram 40100006 HC DIAG DIGITAL TOMOSYNTHESIS, UNILAT OR BILAT $42
Mammogram 40100007 HC MAMMOGRAM DIAG BILAT/CALLBACK $258
Mammogram 40100008 HC MAMMOGRAM DIAG BILAT GG $250
Ultrasound 40200001 HC US ABCESS DRAINAGE $496
Ultrasound 40200002 HC US ECHOENCEPHALOGRAPHY/NEURO $142
Ultrasound 40200003 HC US SOFT ISSUE NECK, THYROID $574
Ultrasound 40200004 HC US CHEST $667
Ultrasound 40200005 HC US BREAST COMPLETE (LEFT) $348
Ultrasound 40200006 HC US BREAST COMPLETE (RIGHT) $348
Ultrasound 40200007 HC US INSERTION MAMMOSITE $649
Ultrasound 40200008 HC US ABDOMEN COMPLETE $667
Ultrasound 40200009 HC US ABDOMEN LIMITED $667
Ultrasound 40200010 HC US RETROPERITONEAL LIMITED $667
Ultrasound 40200011 HC US TRANSPLANTED KIDNEY W/DUPLX $205
Ultrasound 40200012 HC US SPINE INFANT $669
Ultrasound 40200013 HC US OB 1ST TRIMESTER TA $593
Ultrasound 40200014 HC US OB 1ST TRIMESTER TA EA ADD $393
Ultrasound 40200015 HC US OBSTETRIC COMPLETE $593
Ultrasound 40200016 HC US OBSTETRIC MULTI GESTATIONS $393
Ultrasound 40200017 HC US OB 1ST TRIMESTER TV OR TA $593
Ultrasound 40200020 HC OB US LIMITED 1+FETUS(S) $299
Ultrasound 40200020 HC US OBSTETRIC LIMITED $299
Ultrasound 40200021 HC US OB 1ST TRIMESTER TV $593
Ultrasound 40200022 HC US TRANSVAGINAL $667
Ultrasound 40200023 HC US PELVIC COMPLETE $608
Ultrasound 40200024 HC ULTRASOUND PELVIS, LTD OR F/U $130
Ultrasound 40200025 HC US SCROTUM $519
Ultrasound 40200026 HC US TRANSRECTAL $667
Ultrasound 40200027 HC PROSTATE VOLUME STUDY/SEED TX $385
Ultrasound 40200028 HC US XTR NON-VASC COMPLETE $574
Ultrasound 40200029 HC US XTR NON-VASC LMTD $368
Ultrasound 40200030 HC US HIPS INFANT $669
Ultrasound 40200031 HC ULTRASONIC PERICARDIOCENTESIS $184
Ultrasound 40200032 HC PSEUDOANEURYSM ULTRASOUND/COMP $1,074
Ultrasound 40200033 HC ULTRASOUND GUIDE VASC ACCESS $519
Ultrasound 40200034 HC US GUIDANCE / MONITOR VISC ABL $179
Ultrasound 40200035 HC US NEEDLE GUIDANCE $583
Ultrasound 40200036 HC US AMNIOCENTESIS GUIDANCE $519
Ultrasound 40200037 HC US AMNIOCENTESIS, TWINS $760
Ultrasound 40200038 HC INTRAOPERATIVE ULTRASOUND $817
Ultrasound 40200039 HC AAA ULTRASOUND SCREENING $214
Cardiac Diagnostics 40200040 HC 3D RENDERING W/ POST-PROCESS $588
Ultrasound 40200042 HC INTRAOPERATIVE ULTRASOUND $202
Ultrasound 40200043 HC ULTRASOUND GUIDE VASC ACCESS $533
Ultrasound 40200046 HC US ABDOMEN LIMITED $667
Ultrasound 40200047 HC US NEEDLE GUIDANCE $583
Ultrasound 40200048 HC INTRAOPERATIVE ULTRASOUND $202
Ultrasound 40200049 HC ULTRASOUND GUIDE VASC ACCESS $533
Ultrasound 40200051 HC AAA ULTRASOUND SCREENING $214
Ultrasound 40200052 HC ULTRASOUND GUIDE VASC ACCESS $533
Ultrasound 40200053 HC US NEEDLE GUIDANCE $583
Ultrasound 40200054 HC US NEEDLE GUIDANCE $583
Ultrasound 40200055 HC US GUIDE - ENDOMYOCARDIAL BX $583
Ultrasound 40200056 HC US EXAM ABDO BACK WALL COMP $667
Mammogram 40200057 HC US BREAST LIMITED (LEFT) $267
Mammogram 40200058 HC US BREAST LIMITED (RIGHT) $267
Ultrasound 40200061 HC OB US DETAILED SINGLE FETUS $250
Ultrasound 40200060 HC US BONE DENSITY - PERIPHERAL $69
Procedurals 40200063 HC US ABDOMEN W/CONTRAST $332
Ultrasound 40200065 HC ULTRASOUND ELASTOGRAPHY $200
Mammogram 40300002 HC SCRN MAMMO DIR DIGITAL $213
Mammogram 40300003 HC HEALTH DEPT SCRN MAMM $213
Mammogram 40300004 HC SCREENING DIGITAL TOMOSYNTHESIS, BILAT $49
Mammogram 40300005 HC SCREENING DIGITAL TOMOSYNTHESIS, UNILAT (RIGHT) $49
Mammogram 40300007 HC SCREENING DIGITAL TOMOSYNTHESIS, UNILAT (LEFT) $49
Pet Scan 40400001 HC PET MYOCARDIAL METABOLIC EVAL $5,072
Pet Scan 40400002 HC PET BRAIN $5,072
Pet Scan 40400003 HC PET BRAIN PERFUSION EVALUATION $5,072
Pet Scan 40400012 HC PET IMAGE SKULL - THIGH $4,900
Pet Scan 40400013 HC PET FULL BODY $4,900
Pet Scan 40400014 HC ABSL QUAN AMYOCARD BLD FLO PET $2,536
Respiratory Therapy 41000001 HC INTUBATION $786
Respiratory Therapy 41000004 HC VENTILATOR INITIAL DAY $1,025
Respiratory Therapy 41000007 HC VENTILATOR SUBSEQUENT DAY $947
Respiratory Therapy 41000009 HC INHALATION TREATMENT $261
Respiratory Therapy 41000024 HC JET NEB PENTAMIDINE OUTPATIENT $238
Respiratory Therapy 41000025 HC CONTINUOUS JET NEB INITIAL $299
Respiratory Therapy 41000026 HC CONT JET NEB SUBSEQUENT HOUR $141
Respiratory Therapy 41000027 HC NON-INVASIVE VENT SUBSEQUENT DAY $589
Respiratory Therapy 41000028 HC NON-INVASIVE VENT INITIAL DAY $745
Respiratory Therapy 41000031 HC ACAPELLA/PEP, INITIAL THERAPY $64
Respiratory Therapy 41000032 HC PD WITH P INITIAL DAY $156
Respiratory Therapy 41000033 HC CHEST PT $200
Respiratory Therapy 41000036 HC ACAPELLA/PEP, SUBSEQUENT THERAPY $64
Respiratory Therapy 41000037 HC PD WITH P SUBSEQUENT $156
Respiratory Therapy 41000039 HC CHEST PT SUBSEQUENT $200
Respiratory Therapy 41000041 HC N/N TRANSCUTANEOUS MONITORING INITIAL $205
Respiratory Therapy 41000043 HC CARDIOPUL REHAB ED/REFERRAL $55
Respiratory Therapy 41000044 HC APNEA LINK $369
Respiratory Therapy 41000045 HC N/N BUBBLE CPAP SUBSEQUENT DAY $672
Respiratory Therapy 41000046 HC N/N BUBBLE CPAP INITIAL DAY $850
Respiratory Therapy 41000047 HC PUL REHAB THERAPY $150
Respiratory Therapy 41000048 HC PUL REHAB THERAPY GROUP $100
Respiratory Therapy 41000049 HC PUL REHAB COPD W EXER $525
Respiratory Therapy 41000050 HC APNEA TEST $67
Respiratory Therapy 41000051 HC INHALATION TREATMENT SUBSEQUENT $170
Respiratory Therapy 41000053 HC OSCILLATOR INITIAL DAY $1,025
Respiratory Therapy 41000054 HC OSCILLATOR SUBSEQUENT DAY $947
Respiratory Therapy 41000055 HC MDI INHALATION INITIAL $110
Respiratory Therapy 41000056 HC MDI INHALATION SUBSEQUENT $99
Respiratory Therapy 41000057 HC IPPB INITIAL $156
Respiratory Therapy 41000058 HC IPPB SUBSEQUENT $148
Respiratory Therapy 41000067 HC CPAP AUTOSET SLEEP STUDY $745
Respiratory Therapy 41000068 HC VEST THERAPY INITIAL $205
Respiratory Therapy 41000069 HC VEST THERAPY SUBSEQUENT $205
Respiratory Therapy 41000070 HC N/N TRANSCUTANEOUS MONITORING SUBSEQUENT $205
Respiratory Therapy 41000072 HC INHALATION TREATMENT $210
Respiratory Therapy 41000073 HC CARDIOPULMONARY RESUSCITATION - ER $666
Respiratory Therapy 41000074 HC PULM REHAB COPD PHASE II EDUC $525
Respiratory Therapy 41000075 HC PR PHASE II COPD DISCHARGE PLANNING $525
Respiratory Therapy 41000076 HC PR PHASE II COPD EVALUATION $525
Hyperbaric 41300001 HC HYPERBARIC OXYGEN 0-30MN $409
Hyperbaric 41300002 HC HYPERBARIC OXYGEN 31-60MN $817
Hyperbaric 41300003 HC HYPERBARIC OXYGEN 61-90MN $1,225
Hyperbaric 41300004 HC HYPERBARIC OXYGEN 91-120MN $1,633
Hyperbaric 41300005 HC HYPERBARIC OXYGEN PER 30 MIN $409
Pulmonary Rehab 41900001 HC PULMONARY REHAB TRAINING 15 MI $125
Pulmonary Rehab 41900002 HC CAR SEAT/BED TEST 60 MIN $41
Pulmonary Rehab 41900003 HC CAR SEAT/BED TEST EA ADDL 30 MIN $20
Physical Therapy 42000001 HC MUSCLE TESTING MANUAL PT $108
Physical Therapy 42000002 HC ROM MEASUREMENTS EXT/TRUNK $108
Physical Therapy 42000003 HC DEVELOPMENTAL TEST LIM PT $73
Physical Therapy 42000004 HC HOT PACK THERAPY PT $35
Physical Therapy 42000005 HC TRACTION MECHANICAL,PT $87
Physical Therapy 42000006 HC VASOPNEUMATIC DEVICE $109
Physical Therapy 42000007 HC FLUIDOTHERAPY $99
Physical Therapy 42000008 HC WHIRLPOOL $110
Physical Therapy 42000009 HC IONTOPHORESIS PT(15 MIN UNITS) $62
Physical Therapy 42000010 HC ULTRASOUND PT (15MIN UNITS) $68
Physical Therapy 42000011 HC US W/MEDS PT (15 MIN UNITS) $77
Physical Therapy 42000012 HC HUBBARD TANK, EACH 15MIN. $92
Physical Therapy 42000013 HC THERAPEUTIC EXERCISE PT $98
Physical Therapy 42000014 HC NEUROMUSCULAR RE-ED(15MIN UTS) $98
Physical Therapy 42000015 HC GAIT TRAINING PT(15 MIN UNITS) $98
Physical Therapy 42000016 HC MASSAGE PT (15 MIN UNITS) $85
Physical Therapy 42000017 HC MANUAL TX TECH-PT(15MIN UNITS) $98
Physical Therapy 42000018 HC THERAPEUTIC PROCEDURE, GROUP $98
Physical Therapy 42000019 HC THERAPEUTIC ACT DIR(15MIN UTS $98
Physical Therapy 42000020 HC SELECTIVE DEBRIDEMENT SMALL $242
Physical Therapy 42000021 HC PULSAVAC DEBRIDEMENT 1ST 15 MN $313
Physical Therapy 42000022 HC NON-SELECTIVE DEBRIDEMENT $71
Physical Therapy 42000023 HC PHYSICAL PERF TEST/MEASURE $108
Physical Therapy 42000024 HC PROSTHETIC TRAINING EA 15 MIN $103
Physical Therapy 42000026 HC PREPLACEMENT SCREENING(EA 15M) $84
Wound Therapy 42000027 HC WOUND ULTRASOUND $352
Physical Therapy 42000028 HC ELECTRICAL STIMULATION UNATTENDED $78
Physical Therapy 42000029 HC DEVELOPMENTAL TEST EXT PT $288
Physical Therapy 42000030 HC COLD PACK THERAPY PT $35
Physical Therapy 42000049 HC PT ELECTRICAL STIMULATION MANUAL $78
Physical Therapy 42000050 HC PT SELF CARE/HOME MANAGEMENT $110
Physical Therapy 42000051 HC PT ORTHOTICS FITTING/TRAINING $119
Physical Therapy 42000052 HC PT WHEELCHAIR MGMT TRAINING $34
Physical Therapy 42000053 HC PT TRANSCUTANEOUS NEUROSTIM $67
Physical Therapy 42000054 HC PT HEEL WEDGE SMALL $16
Physical Therapy 42000055 HC PT HEEL WEDGE MEDIUM OR LARGE $14
Physical Therapy 42000056 HC PT HEAT PACKS CERVICAL $27
Physical Therapy 42000057 HC PT HEAT PACKS STD $31
Physical Therapy 42000058 HC PT WRIST BRACE MEDIUM $25
Physical Therapy 42000060 HC PT SENSORY INTEGRATION THERAPY $60
Physical Therapy 42400001 HC EVAL PT LOW COMPLEXITY $163
Physical Therapy 42400002 HC EVAL PT MOD COMPLEXITY $212
Physical Therapy 42400003 HC EVAL PT HIGH COMPLEXITY $245
Physical Therapy 42400004 HC PT RE-EVALUATION $212
Occupational Therapy 43000001 HC OT TENS/ESTIM HOME INSTRUCT 15 ONE UNIT CHARGE $100
Occupational Therapy 43000002 HC OT TENS/ESTIM HOME INSTRUCT 30 ONE UNIT CHARGE $199
Occupational Therapy 43000003 HC OT TENS/ESTIM HOME INSTRUCT 45 ONE UNIT CHARGE $298
Occupational Therapy 43000004 HC OT TENS/ESTIM HOME INSTRUCT 60 ONE UNIT CHARGE $397
Occupational Therapy 43000005 HC OT IP DEVELOPMENTAL EXT EVAL (45) $262
Occupational Therapy 43000007 HC OT HOT/COLD PACK THERAPY 15 MIN $61
Occupational Therapy 43000008 HC OT FLUIDOTHERAPY/WHIRLPOOL-15 MIN(1 UNIT CHARGE) $46
Occupational Therapy 43000009 HC OT FLUIDOTHERAPY/WHIRLPOOL -30 MIN(1 UNIT CHARGE) $90
Occupational Therapy 43000010 HC OT E-STIM OT-15MIN UNITS ATTENDED NMES $63
Occupational Therapy 43000011 HC OT E-STIM OT W/NEW SET ELECTRODES ATTENDED NMES $82
Occupational Therapy 43000012 HC OT IONTOPHORESIS OT 1 SITE (15 MIN) $56
Occupational Therapy 43000013 HC OT IONTOPHORESIS OT 2 SITES(15MIN) $62
Occupational Therapy 43000014 HC OT IONTOPHORESIS OT 3 SITES(15MIN) $70
Occupational Therapy 43000015 HC OT IONTOPHORESIS OT 4 SITES(15MIN) $78
Occupational Therapy 43000016 HC OT CONTRAST BATH (PER 15 MIN) $31
Occupational Therapy 43000017 HC OT ULTRASOUND OT 15MIN UNITS $61
Occupational Therapy 43000018 HC OT ULTRASOUND W/MEDS 15MIN UNITS $70
Occupational Therapy 43000021 HC OT THERAPEUTIC EXER OT15MIN UNITS NOT W OFF $89
Occupational Therapy 43000022 HC OT MANUAL THERAPY 15MIN UNITS NOT W TH AC OFF $97
Occupational Therapy 43000023 HC OT THERAPEUTIC GROUP ONE UNIT CHARGE ONLY RX $89
Occupational Therapy 43000024 HC OT THERAPEUTIC ACTIVITY OT-15MIN UNITS NOT W SC, MAN THER $89
Occupational Therapy 43000025 HC OT SELFCARE/HOME MGT TRAIN-15M UNITS NOT WITH THER ACT $102
Occupational Therapy 43000026 HC WORK CONDITIONING(UP TO 2 HRS) $651
Occupational Therapy 43000027 HC WORK CONDITIONING(EA ADD'L HR) $326
Occupational Therapy 43000028 HC OT FUNCT CAPACITY EVAL 1-25 $134
Occupational Therapy 43000029 HC OT ORTHO FAB FIT 15MIN UNITS NOT WITH ORTHO CHECK OR THER EX $85
Occupational Therapy 43000030 HC OT ORTHO CHECK 15MIN UNITS NOT WITH ORTHO FAB FIT $85
Occupational Therapy 43000032 HC OT IMPAIRMENT RATING 45 $210
Occupational Therapy 43000033 HC OT IMPAIRMENT RATING 60 $280
Occupational Therapy 43000034 HC OT IMPAIRMENT RATING 75 $350
Occupational Therapy 43000035 HC IMPAIRMENT RATING UPPER EXTREMITY $420
Occupational Therapy 43000036 HC OT ESTIM UNATTENDED - 1 UNIT CHARGE ONLY TENS $60
Occupational Therapy 43000037 HC OT IP DEVELOPMENTAL EXT EVAL-(60) $262
Occupational Therapy 43000038 HC OT FUNCT CAPAC EVAL 26+ $134
Occupational Therapy 43000039 HC OT IMPAIRMENT RATING SPINE $140
Occupational Therapy 43000040 HC OT IMPAIRMENT RATING 30 $140
Occupational Therapy 43000041 HC OT IMPAIRMENT RATING 90 $140
Occupational Therapy 43000042 HC OT PREPLACEMENT SCREENING(EA 15M) $76
Occupational Therapy 43000043 HC OT MASTECTOMY THERAPEUTIC EXER OT(15MIN UNITS) $89
Occupational Therapy 43000044 HC OT HOT/COLD PACK THERAPY 30 MIN $61
Occupational Therapy 43000063 HC OT NEUROMUSCULAR RE-EDUC $105
Occupational Therapy 43000064 HC OT COGNITIVE SKILLS $86
Occupational Therapy 43000031 HC OT IMPAIR RATE SPINE $140
Occupational Therapy 43000065 HC OT SENSORY INTEGRATION THERAPY $60
Occupational Therapy 43400001 HC OT EVAL MOD COMPLEXITY $212
Occupational Therapy 43400006 HC OT REEVALUATION $212
Occupational Therapy 43400010 HC OT EVAL LOW COMPLEXITY $163
Occupational Therapy 43400018 HC OT EVAL HIGH COMPLEXITY $245
Audiology 44000001 HC AUD REHAB POSTLING HEAR LOSS $130
Audiology 44000002 HC AUD REHAB PRE-LING HEAR LOSS $130
Audiology 44000003 HC AUDITORY FUNCTION ADDTL 15 MIN $64
Audiology 44000004 HC EVAL AUD REHAB STATUS $194
Audiology 44000005 HC EVAL AUD STATUS EA ADDL 15 MIN $64
Speech Therapy 44000006 HC FEEDING THERAPY - 1 $158
Speech Therapy 44000007 HC FEEDING THERAPY - 2 $158
Speech Therapy 44000008 HC FEEDING THERAPY - 3 $158
Speech Therapy 44000009 HC FEEDING THERAPY - 4 $313
Speech Therapy 44000010 HC FEEDING THERAPY - 5 $313
Speech Therapy 44000011 HC FEEDING THERAPY - 6 $466
Speech Therapy 44000012 HC FEEDING THERAPY - 7 $466
Speech Therapy 44000013 HC MOD-VOICE PROTHESIS $224
Speech Therapy 44000021 HC SENSORY INTEGRATIVE TECHNIQUES $62
Speech Therapy 44000022 HC SENSORY INTEGRATION EA 15M $69
Speech Therapy 44000023 HC SPEECH THERAPY - 1 $160
Speech Therapy 44000024 HC SPEECH THERAPY - 2 $160
Speech Therapy 44000025 HC SPEECH THERAPY - 3 $160
Speech Therapy 44000026 HC SPEECH THERAPY - 4 $316
Speech Therapy 44000027 HC SPEECH THERAPY - 5 $316
Speech Therapy 44000028 HC SPEECH THERAPY - 6 $472
Speech Therapy 44000029 HC SPEECH THERAPY - 7 $472
Speech Therapy 44000030 HC SPEECH THERAPY - 8 $629
Speech Therapy 44000032 HC SWALLOW THER VITALSTIM BRIEF $184
Speech Therapy 44000033 HC SWALLOW THER VITALSTIM STANDARD $368
Speech Therapy 44000034 HC SWALLOWING THERAPY - 1 $158
Speech Therapy 44000035 HC SWALLOWING THERAPY - 2 $158
Speech Therapy 44000036 HC SWALLOWING THERAPY - 3 $158
Speech Therapy 44000037 HC SWALLOWING THERAPY - 4 $313
Speech Therapy 44000038 HC SWALLOWING THERAPY - 5 $313
Speech Therapy 44000039 HC SWALLOWING THERAPY - 6 $466
Speech Therapy 44000040 HC SWALLOWING THERAPY - 7 $466
Speech Therapy 44000042 HC VIDEO FLUORO SWAL EVAL $563
Speech Therapy 44000067 HC SP EVAL VOICE 1 $160
Speech Therapy 44000068 HC SP EVAL VOICE 2 $160
Speech Therapy 44000069 HC SP EVAL VOICE 3 $160
Speech Therapy 44000070 HC SP EVAL VOICE 4 $316
Speech Therapy 44000071 HC SP EVAL VOICE 5 $316
Speech Therapy 44000072 HC SP EVAL VOICE 6 $472
Speech Therapy 44000073 HC SP EVAL VOICE 7 $472
Speech Therapy 44000074 HC SP EVAL VOICE 8 $629
Speech Therapy 44000075 HC SP EVAL VOICE 9 $629
Speech Therapy 44000076 HC SPEECH DISORDER IND $280
Speech Therapy 44000077 HC SWALLOW/ORAL FEEDING THERAPY $320
Speech Therapy 44000078 HC EVAL ORAL/PHAR SWALLOW $254
Speech Therapy 44000079 HC MOTION FLOUROSCOPY SWALLOW $383
Speech Therapy 44100001 HC INFANT STIMULATION $123
Speech Therapy 44300001 HC SPEECH DEVELOPMENT GROUP 1 $160
Speech Therapy 44300002 HC SPEECH DEVELOPMENT GROUP 2 $160
Speech Therapy 44300003 HC SPEECH DEVELOPMENT GROUP 3 $160
Speech Therapy 44300004 HC SPEECH DEVELOPMENT GROUP 4 $316
Speech Therapy 44300005 HC SPCH DEVEL DELAY STIMUL GROUP $108
Speech Therapy 44400001 HC AUG/ALT COMM - 1 $154
Speech Therapy 44400002 HC AUG/ALT COMM - 2 $154
Speech Therapy 44400003 HC AUG/ALT COMM - 3 $154
Speech Therapy 44400004 HC AUG/ALT COMM - 4 $306
Speech Therapy 44400005 HC AUG/ALT COMM - 5 $306
Speech Therapy 44400006 HC AUG/ALT COMM - 6 $457
Speech Therapy 44400007 HC AUG/ALT COMM - 7 $457
Speech Therapy 44400008 HC AUG/ALT COMM EVAL - 1 $220
Speech Therapy 44400009 HC AUG/ALT COMM EVAL - 2 $220
Speech Therapy 44400010 HC AUG/ALT COMM EVAL - 3 $220
Speech Therapy 44400011 HC AUG/ALT COMM EVAL - 4 $306
Speech Therapy 44400015 HC EVAL/FIT OP VOICE PROTHESIS $299
Speech Therapy 44400016 HC FEEDING EVAL - 1 $209
Speech Therapy 44400017 HC FEEDING EVAL - 2 $209
Speech Therapy 44400018 HC FEEDING EVAL - 3 $209
Speech Therapy 44400019 HC FEEDING EVAL - 4 $413
Speech Therapy 44400020 HC FEEDING EVAL - 5 $413
Speech Therapy 44400021 HC FEEDING EVAL - 6 $615
Speech Therapy 44400022 HC FEEDING EVAL - 7 $615
Speech Therapy 44400023 HC FEEDING EVAL - 8 $820
Speech Therapy 44400024 HC FEEDING EVAL - 9 $820
Speech Therapy 44400025 HC NEONATAL ASSESSMENT - 1 $209
Speech Therapy 44400026 HC NEONATAL ASSESSMENT - 2 $209
Speech Therapy 44400027 HC NEONATAL ASSESSMENT - 3 $209
Speech Therapy 44400028 HC NEONATAL ASSESSMENT - 4 $413
Speech Therapy 44400029 HC NEONATAL ASSESSMENT - 5 $413
Speech Therapy 44400030 HC NEONATAL ASSESSMENT - 6 $615
Speech Therapy 44400031 HC NEONATAL ASSESSMENT - 7 $615
Speech Therapy 44400032 HC NEONATAL ASSESSMENT - 8 $820
Speech Therapy 44400033 HC NEONATAL ASSESSMENT - 9 $820
Speech Therapy 44400034 HC PRE FLUORO SWAL EVAL - 1 $209
Speech Therapy 44400034 HC PRE-FLUORO SWAL EVAL - 1 $209
Speech Therapy 44400035 HC PRE FLUORO SWAL EVAL - 2 $209
Speech Therapy 44400036 HC PRE-FLUORO SWAL EVAL - 3 $209
Speech Therapy 44400037 HC PRE FLUORO SWAL EVAL - 4 $413
Speech Therapy 44400038 HC PRE-FLUORO SWAL EVAL - 5 $413
Speech Therapy 44400041 HC SPEECH EVAL - 1 $160
Speech Therapy 44400042 HC SPEECH EVAL - 2 $160
Speech Therapy 44400043 HC SPEECH EVAL - 3 $160
Speech Therapy 44400044 HC SPEECH EVAL - 4 $316
Speech Therapy 44400045 HC SPEECH EVAL - 5 $316
Speech Therapy 44400046 HC SPEECH EVAL - 6 $472
Speech Therapy 44400047 HC SPEECH EVAL - 7 $472
Speech Therapy 44400048 HC SPEECH EVAL - 8 $629
Speech Therapy 44400049 HC SPEECH EVAL - 9 $629
Speech Therapy 44400052 HC AUG/ALT COMM EVAL EA ADD 30MIN $52
Speech Therapy 44400053 HC SP EVAL FLUENCY 1 $160
Speech Therapy 44400054 HC SP EVAL FLUENCY 2 $160
Speech Therapy 44400055 HC SP EVAL FLUENCY 3 $160
Speech Therapy 44400056 HC SP EVAL FLUENCY 4 $316
Speech Therapy 44400057 HC SP EVAL FLUENCY 5 $316
Speech Therapy 44400058 HC SP EVAL FLUENCY 6 $472
Speech Therapy 44400059 HC SP EVAL FLUENCY 7 $472
Speech Therapy 44400060 HC SP EVAL FLUENCY 8 $629
Speech Therapy 44400061 HC SP EVAL FLUENCY 9 $629
Speech Therapy 44400062 HC SP EVAL SOUND PROD 1 $160
Speech Therapy 44400063 HC SP EVAL SOUND PROD 2 $160
Speech Therapy 44400064 HC SP EVAL SOUND PROD 3 $160
Speech Therapy 44400065 HC SP EVAL SOUND PROD 4 $316
Speech Therapy 44400066 HC SP EVAL SOUND PROD 5 $316
Speech Therapy 44400067 HC SP EVAL SOUND PROD 6 $472
Speech Therapy 44400068 HC SP EVAL SOUND PROD 7 $472
Speech Therapy 44400069 HC SP EVAL SOUND PROD 8 $629
Speech Therapy 44400070 HC SP EVAL SOUND PROD 9 $629
Speech Therapy 44400071 HC SP EVAL LANG 1 $160
Speech Therapy 44400072 HC SP EVAL LANG 2 $160
Speech Therapy 44400073 HC SP EVAL LANG 3 $160
Speech Therapy 44400074 HC SP EVAL LANG 4 $316
Speech Therapy 44400075 HC SP EVAL LANG 5 $316
Speech Therapy 44400076 HC SP EVAL LANG 6 $472
Speech Therapy 44400077 HC SP EVAL LANG 7 $472
Speech Therapy 44400078 HC SP EVAL LANG 8 $629
Speech Therapy 44400080 HC SP EVAL LANG 9 $629
Speech Therapy 44400081 HC EVALUATION OF SPEECH FLUENCY $160
Speech Therapy 44400082 HC EVALUATE SPEECH PRODUCTION $160
Speech Therapy 44400083 HC SPEECH SOUND LANG COMPREHEN $316
Speech Therapy 44400084 HC BEHAVRAL QUALIT ANALYS VOICE $160
Speech Therapy 44400085 HC EVAL SPEECH,VOICE,COMM $558
Speech Therapy 44400086 HC ASSESSMENT OF APHASIA 1HR $145
Speech Therapy 44400087 HC DEVELOPMENTAL TESTING, EXTENDED $173
Speech Therapy 44000080 HC STANDARD COGNITIVE PERFORM TESTING 1HR $158
Emergency Department 45000001 HC ER LEVEL 1 $225
Emergency Department 45000002 HC ER LEVEL 2 $270
Emergency Department 45000003 HC ER LEVEL 3 $394
Emergency Department 45000004 HC ER LEVEL 4 $825
Emergency Department 45000005 HC ER LEVEL 5 $1,080
Emergency Department 45000006 HC ER COMPLEX $1,418
Pulmonary Function 46000001 HC SPIROMETRY $159
Pulmonary Function 46000002 HC ADULT SPIROMETRY FULL MEASURE $169
Pulmonary Function 46000003 HC SINGLE-SPIROMETRY-PFT $309
Pulmonary Function 46000004 HC BRONCHOSPASM EVALUATION $169
Pulmonary Function 46000005 HC SPIROMETRY- B AND A BRONCHODIL $648
Pulmonary Function 46000006 HC BRONCHIAL CHALLENGE $759
Pulmonary Function 46000007 HC MAXIMUM BREATHING CAPACITY $185
Pulmonary Function 46000010 HC NITROGEN LUNG VOLUMES $197
Pulmonary Function 46000011 HC HIGH ALTITUDE SIM $132
Pulmonary Function 46000012 HC HIGH ALTITUDE SIM WITH OXYGEN $132
Pulmonary Function 46000013 HC N/N SURFACTANT ADMINISTRATION $154
Pulmonary Function 46000014 HC 6 MINUTE WALK $150
Pulmonary Function 46000015 HC PULMONARY STRESS TEST - SIMPLE $150
Pulmonary Function 46000016 HC PULMONARY STRESS TEST-COMPLEX $730
Pulmonary Function 46000017 HC CLOSED SYSTEM O2-INCL CO2 AND $268
Pulmonary Function 46000018 HC CALORIMETRY-O2 UPTAKE INDIRECT $662
Pulmonary Function 46000019 HC DLCO-DIFFUSION- PL $441
Pulmonary Function 46000020 HC OXYGEN SATURATION $34
Pulmonary Function 46000022 HC OXIMETER N200 MULTIPLE ER $103
Pulmonary Function 46000023 HC SLEEP OXIMETRY STUDY $498
Pulmonary Function 46000024 HC ETCO2 MONITORING $108
Pulmonary Function 46000025 HC PULMONARY REHAB PHASE II MOD $30
Pulmonary Function 46000026 HC PULM FUNCT TEST PLETHYSMOGRAPY $536
Pulmonary Function 46000027 HC FLOW VOLUME LOOP $309
Pulmonary Function 46000030 HC PULSE OX O2 DESAT STUDY ADULT $98
Pulmonary Function 46000031 HC PULM REHAB EDUCATION ASSISTANCE $30
Audiology 47000001 HC OTOACOUSTIC EMISSIONS-SCREEN $130
Audiology 47000002 HC REPRGRAM COCHLEAR IMPLANT >7YR $170
Audiology 47000004 HC AUD REHAB PRE-LING HEAR LOSS $130
Audiology 47000005 HC AUD REHAB POSTLING HEAR LOSS $130
Audiology 47100008 HC SCREENING-PURE TONE AIR ONLY $57
Audiology 47100009 HC AIR CONDUCTION AUDIOGRAM $91

See Part 5 of this list.