Visits & medical services prices at Adventist Health Sierra Vista
San Luis Obispo, CA · every code in this section with a posted price and a Medicare benchmark.
147 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$28.71–$34.65 | $319–$385 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $46.80 | $520 | 3.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $166.68 | $1,852 | 0.3× |
| C motor evoked upr&lwr limbs (95939) | $416.43 | $4,627 | 0.4× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$270.72–$307.08 | $3,008–$3,412 | varies |
| Cardiopulmonary resuscitation (92950) | $235.62 | $2,618 | 0.8× |
| Cardioversion (92960) range across 3 matching MRF lines |
$522.81–$637.20 | $5,809–$7,080 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 2 matching MRF lines |
$34.92–$40.32 | $388–$448 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $2,383.11 | $26,479 | 0.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $1,983.33 | $22,037 | 0.5× |
| Cbt 1st hour (94644) | $64.98 | $722 | 0.4× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$142.02–$149.31 | $1,578–$1,659 | varies |
| Chemotherapy Into Cns (96450) | $258.57 | $2,873 | 0.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$131.58–$138.15 | $1,462–$1,535 | varies |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$60.84–$72.27 | $676–$803 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $779.22 | $8,658 | 1.6× |
| Color/duplex Doppler, complete (93975) | $298.89 | $3,321 | 1.0× |
| Coronary Art/Grft Angio S&I (93455) | $2,207.43 | $24,527 | 0.5× |
| Coronary Artery Angio S&I (93454) | $1,983.33 | $22,037 | 0.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$76.50–$96.66 | $850–$1,074 | varies |
| Critical care first hour (99291) | $882.90 | $9,810 | 0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$25.92–$42.66 | $288–$474 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$217.71–$758.43 | $2,419–$8,427 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $127.08 | $1,412 | 0.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$219.06–$285.57 | $2,434–$3,173 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$215.10–$218.79 | $2,390–$2,431 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$242.91–$252.36 | $2,699–$2,804 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$216.18–$290.61 | $2,402–$3,229 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $252.36 | $2,804 | 0.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $290.61 | $3,229 | 2.2× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$218.79–$284.85 | $2,431–$3,165 | varies |
| Duplex up extrem art bilat (93930) | $263.34 | $2,926 | 0.9× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$215.10–$218.79 | $2,390–$2,431 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$246.06–$383.76 | $2,734–$4,264 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$854.19–$1,112.49 | $9,491–$12,361 | varies |
| Eeg 41-60 Minutes (95812) | $173.97 | $1,933 | 0.6× |
| EEG awake and asleep (95819) | $685.35 | $7,615 | 2.5× |
| EEG awake drowsy (95816) | $225.45 | $2,505 | 0.8× |
| EEG cerebral death evaluation (95824) | $549.81 | $6,109 | 1.1× |
| EEG extended monitoring 61-119 minutes (95813) | $165.24 | $1,836 | 0.6× |
| Eeg Sleep Only (95822) | $383.40 | $4,260 | 1.4× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $310.95 | $3,455 | 0.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $162.09 | $1,801 | 0.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $293.67 | $3,263 | 0.6× |
| Electrical Stimulation Ea 15 Min (97032) | $46.80 | $520 | 3.2× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$122.22–$138.24 | $1,358–$1,536 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$120.87–$224.91 | $1,343–$2,499 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$247.68–$368.73 | $2,752–$4,097 | varies |
| Emergency Dept Visit Level 4 (99284) | $598.68 | $6,652 | 1.1× |
| Emg 4 Extremities (95864) | $129.87 | $1,443 | 0.8× |
| Endomyocardial Biopsy (93505) | $649.35 | $7,215 | 0.2× |
| Er level 1 (99281) range across 2 matching MRF lines |
$21.94–$49.77 | $243.75–$553 | varies |
| Er level v (99285) | $1,192.95 | $13,255 | 1.6× |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$42.66–$80.73 | $474–$897 | varies |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$109.08–$136.98 | $1,212–$1,522 | varies |
| Evoked Auditory Test,Limited (92587) | $58.05 | $645 | 0.2× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$497.07–$542.43 | $5,523–$6,027 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 3 matching MRF lines |
$123.66–$185.49 | $1,374–$2,061 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $416.43 | $4,627 | 0.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $568.89 | $6,321 | 0.6× |
| Immunization administration (90471) range across 4 matching MRF lines |
$7.92–$12.51 | $88–$139 | varies |
| Insert/Place Heart Catheter (93503) | $375.93 | $4,177 | 0.2× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,655.81 | $29,509 | 0.3× |
| Intracranial Complete Study (93886) | $345.96 | $3,844 | 1.1× |
| Irrig Drug Delivery Device (96523) | $11.43 | $127 | 0.2× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$68.22–$71.64 | $758–$796 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$126.99–$149.94 | $1,411–$1,666 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$66.15–$69.48 | $735–$772 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$51.30–$53.01 | $570–$589 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$52.02–$54.54 | $578–$606 | varies |
| L Hrt Art/Grft Angio (93459) | $2,207.43 | $24,527 | 0.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$77.76–$88.56 | $864–$984 | varies |
| Methacholine challenge (94070) | $204.84 | $2,276 | 0.4× |
| Motility study esophagus (91010) | $249.75 | $2,775 | 0.5× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$146.07–$154.89 | $1,623–$1,721 | varies |
| Muscle Test 2 Limbs (95861) | $195.21 | $2,169 | 1.1× |
| Muscle Test Nonparaspinal (95870) | $42.75 | $475 | 0.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $305.55 | $3,395 | 1.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $148.14 | $1,646 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $50.67 | $563 | 0.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $63.18 | $702 | 0.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $287.73 | $3,197 | 1.0× |
| Nerve Conduction Studies 11-12 Studies (95912) | $381.42 | $4,238 | 0.8× |
| Nerve conduction studies 13 or more studies (95913) | $407.43 | $4,527 | 0.8× |
| Nerve Conduction Studies 3-4 Studies (95908) | $299.61 | $3,329 | 1.1× |
| Nerve conduction studies 5-6 studies (95909) | $311.67 | $3,463 | 1.1× |
| Nerve conduction studies 7-8 studies (95910) | $334.53 | $3,717 | 0.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $358.02 | $3,978 | 0.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $266.94 | $2,966 | 1.6× |
| Neuromuscular Reeducation (97112) | $44.10 | $490 | 1.3× |
| Newborn resuscitation (99465) | $183.24 | $2,036 | 0.2× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $32.94 | $366 | 0.2× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$67.95–$79.47 | $755–$883 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$29.79–$33.66 | $331–$374 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$39.78–$42.93 | $442–$477 | varies |
| Ot eval high complexity (97167) | $72.72 | $808 | 0.7× |
| Ot Eval Low Complex (97165) | $69.39 | $771 | 0.7× |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$75.78–$94.86 | $842–$1,054 | varies |
| Ot manual therapy 15 min (97140) | $39.06 | $434 | 1.4× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$42.21–$46.80 | $469–$520 | varies |
| Ot Re-Eval Est Plan Care (97168) | $55.71 | $619 | 0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $31.32 | $348 | 0.1× |
| Phlebotomy therapeutic (99195) | $80.10 | $890 | 0.5× |
| Plethysmography (94726) | $111.15 | $1,235 | 0.2× |
| Pm device progr eval dual (93280) | $52.56 | $584 | 1.1× |
| Pm Device Progr Eval Sngl (93279) | $50.67 | $563 | 1.1× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$66.69–$71.55 | $741–$795 | varies |
| Pt eval low complex 20 min (97161) | $68.67 | $763 | 0.7× |
| Pt Eval Mod Complex (97162) | $79.47 | $883 | 0.8× |
| Pt gait training 15 min (97116) | $39.42 | $438 | 1.4× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$46.98–$51.03 | $522–$567 | varies |
| R hrt coronary artery angio (93456) | $2,690.28 | $29,892 | 0.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $2,384.10 | $26,490 | 0.6× |
| Respiratory flow volume loop (94375) | $109.44 | $1,216 | 0.4× |
| Right Heart Cath (93451) | $2,270.61 | $25,229 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$51.30–$54.36 | $570–$604 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $92.16 | $1,024 | 0.2× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$40.32–$47.16 | $448–$524 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $320.67 | $3,563 | 1.2× |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$69.84–$80.73 | $776–$897 | varies |
| Somatosensory Testing (95938) | $156.33 | $1,737 | 0.1× |
| Speech sound lang comprehen (92523) | $133.56 | $1,484 | 0.6× |
| Spirometry (94010) | $93.69 | $1,041 | 0.3× |
| Ssep lower limbs (95926) | $305.55 | $3,395 | 1.1× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$453.33–$556.83 | $5,037–$6,187 | varies |
| Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines |
$118.35–$140.58 | $1,315–$1,562 | varies |
| Temp transcutaneous pacing (92953) | $122.58 | $1,362 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $29.34 | $326 | 1.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $29.34 | $326 | 1.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $39.06 | $434 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$7.74–$13.05 | $86–$145 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$113.49–$149.94 | $1,261–$1,666 | varies |
| Therapeutic Activities (97530) | $40.32 | $448 | 1.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$375.48–$417.87 | $4,172–$4,643 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $163.71 | $1,819 | 1.2× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$925.11–$1,101.60 | $10,279–$12,240 | varies |
| Tte W/O Doppler Complete (93307) | $635.04 | $7,056 | 2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$69.84–$79.47 | $776–$883 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$21.78–$27.54 | $242–$306 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$89.28–$97.74 | $992–$1,086 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$201.51–$213.57 | $2,239–$2,373 | varies |
| Veeg ea 12-26hr cont mntr (95716) | $582.03 | $6,467 | 0.5× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$1,513.35–$1,699.92 | $16,815–$18,888 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$947.43–$1,125.18 | $10,527–$12,502 | varies |
| Visual Evoked Potential Test (95930) | $247.50 | $2,750 | 0.9× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $800.73 | $8,897 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $29.61 | $329 | 1.0× |
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.