Visits & medical services prices at Barton Memorial Hospital
South Lake Tahoe, CA · every code in this section with a posted price and a Medicare benchmark.
200 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep neurodiagnostic i&r (92653) | $1,890 | $2,700 | 6.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,983.80 | $2,834 | 7.1× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$573.30–$1,719.90 | $819–$2,457 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $158.90 | $227 | 11.1× |
| Application Modality 1/> Areas Infrared (97026) | $91 | $130 | 13.6× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$592.90–$616.70 | $847–$881 | varies |
| Behavral qualit analys voice (92524) | $395.50 | $565 | 3.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $226.10 | $323 | 2.8× |
| Bfb training ea addl 15 min (90913) | $91 | $130 | 2.8× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$84.70–$88.20 | $121–$126 | varies |
| Breathing response to hypoxia (94450) | $354.20 | $506 | 2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$1,008.70–$1,049.30 | $1,441–$1,499 | varies |
| C motor evoked upr&lwr limbs (95939) | $2,274.30 | $3,249 | 2.0× |
| Canalith repositioning proc (95992) | $210.70 | $301 | 5.2× |
| Car seat/bed test 60 min (94780) | $87.50 | $125 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,887.90–$1,963.50 | $2,697–$2,805 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,775.90–$1,846.60 | $2,537–$2,638 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$3,138.80–$3,264.10 | $4,484–$4,663 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $45.50 | $65 | 1.7× |
| Cbt 1st hour (94644) | $466.20 | $666 | 2.7× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$438.20–$455.70 | $626–$651 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$438.20–$455.70 | $626–$651 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$441–$848.40 | $630–$1,212 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$1,404.20–$1,460.20 | $2,006–$2,086 | varies |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$378.70–$394.10 | $541–$563 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$2,249.10–$2,339.40 | $3,213–$3,342 | varies |
| Color/duplex Doppler, limited (93976) | $1,179.50 | $1,685 | 8.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $65.80 | $94 | 2.1× |
| Continuous Pulse Ox (94762) | $585.90 | $837 | 3.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$1,873.20–$1,948.10 | $2,676–$2,783 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$522.90–$543.90 | $747–$777 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$6,819.40–$7,092.40 | $9,742–$10,132 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$712.60–$910 | $1,018–$1,300 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,983.10 | $2,833 | 6.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,470 | $2,100 | 10.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,142 | $3,060 | 6.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,479.80 | $2,114 | 10.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,407.30 | $3,439 | 7.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,711.50 | $2,445 | 12.6× |
| Duplex up extrem art bilat (93930) | $2,372.30 | $3,389 | 7.7× |
| Duplex up extrem art unilat/ltd (93931) | $1,318.10 | $1,883 | 9.7× |
| ECG/monitoring and analysis (93271) | $506.80 | $724 | 4.1× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$3,473.40–$4,831.40 | $4,962–$6,902 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$1,850.10–$2,055.20 | $2,643–$2,936 | varies |
| Echo transesophageal (93312) | $3,996.30 | $5,709 | 5.6× |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 3 matching MRF lines |
$3,177.30–$3,236.10 | $4,539–$4,623 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,683.10 | $3,833 | 3.8× |
| Eeg 41-60 Minutes (95812) | $1,921.50 | $2,745 | 6.9× |
| EEG awake and asleep (95819) | $1,948.10 | $2,783 | 7.0× |
| EEG awake drowsy (95816) | $1,909.60 | $2,728 | 6.8× |
| EEG cerebral death evaluation (95824) | $2,379.30 | $3,399 | 4.9× |
| EEG cont rec w/video by tech min 8 channels (95700) | $438.20 | $626 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) | $3,087.70 | $4,411 | 11.0× |
| Eeg Sleep Only (95822) | $1,939 | $2,770 | 6.9× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,645 | $2,350 | 5.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $2,065 | $2,950 | 7.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,625 | $3,750 | 5.4× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,975 | $4,250 | 6.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,855 | $2,650 | 6.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $508.20 | $726 | 1.0× |
| Electrical Stimulation Ea 15 Min (97032) | $140.70 | $201 | 9.6× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$449.40–$467.60 | $642–$668 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$1,145.90–$1,191.40 | $1,637–$1,702 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$1,878.80–$1,953.70 | $2,684–$2,791 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$3,308.20–$6,616.40 | $4,726–$9,452 | varies |
| Emg 4 Extremities (95864) | $1,283.80 | $1,834 | 7.7× |
| Er level 1 (99281) range across 2 matching MRF lines |
$553–$575.40 | $790–$822 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$4,770.50–$4,961.60 | $6,815–$7,088 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$578.90–$602 | $827–$860 | varies |
| Evaluate Speech Production (92522) | $434.70 | $621 | 3.9× |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$75.60–$592.20 | $108–$846 | varies |
| Evaluation of speech fluency (92521) | $408.80 | $584 | 3.1× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$727.30–$756.70 | $1,039–$1,081 | varies |
| Extracranial Bilat Study (93880) | $2,476.60 | $3,538 | 8.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,164.80 | $1,664 | 1.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 3 matching MRF lines |
$1,699.60–$8,785.70 | $2,428–$12,551 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$4,200–$4,368 | $6,000–$6,240 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $3,184.30 | $4,549 | 3.6× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$692.30–$720.30 | $989–$1,029 | varies |
| Immunization administration (90471) range across 4 matching MRF lines |
$182–$244.30 | $260–$349 | varies |
| Iontophoresis 15 min (97033) | $186.90 | $267 | 9.8× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$353.50–$367.50 | $505–$525 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$307.30–$921.90 | $439–$1,317 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$807.80–$840 | $1,154–$1,200 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$417.20–$834.40 | $596–$1,192 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$371.70–$1,115.10 | $531–$1,593 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$481.60–$501.20 | $688–$716 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$188.30–$196 | $269–$280 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,585.50 | $2,265 | 5.7× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$688.80–$1,324.40 | $984–$1,892 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$56.70–$113.40 | $81–$162 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$63.70–$254.80 | $91–$364 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$118.30–$236.60 | $169–$338 | varies |
| Methacholine challenge (94070) | $1,186.50 | $1,695 | 2.4× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$697.20–$779.80 | $996–$1,114 | varies |
| Multiple Sleep Latency Test (95805) | $3,705.10 | $5,293 | 3.3× |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$665–$732.90 | $950–$1,047 | varies |
| Muscle Test One Limb (95860) | $762.30 | $1,089 | 4.4× |
| Nasopharyngoscopy (92511) | $695.10 | $993 | 2.7× |
| Needle electromyography larynx (95865) range across 2 matching MRF lines |
$280–$291.20 | $400–$416 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $546 | $780 | 1.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$2,173.40–$2,744.70 | $3,104.86–$3,921 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$361.90–$1,558.20 | $517–$2,226 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$727.30–$7,320.60 | $1,039–$10,458 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $882 | $1,260 | 3.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,101.80 | $1,574 | 2.3× |
| Nerve conduction studies 13 or more studies (95913) | $1,101.80 | $1,574 | 2.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $882 | $1,260 | 3.1× |
| Nerve conduction studies 5-6 studies (95909) | $882 | $1,260 | 3.1× |
| Nerve conduction studies 7-8 studies (95910) | $882 | $1,260 | 1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,100.40 | $1,572 | 2.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$732.90–$762.30 | $1,047–$1,089 | varies |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$188.30–$753.20 | $269–$1,076 | varies |
| Newborn resuscitation (99465) | $1,189.30 | $1,699 | 1.4× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $86.10 | $123 | 3.4× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $116.90 | $167 | 3.4× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $37.80 | $54 | 2.8× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$270.20–$369.60 | $386–$528 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$292.60–$585.20 | $418–$836 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $186.90 | $267 | 4.1× |
| Ot Contrast Bath Ea 15 Min (97034) | $106.40 | $152 | 7.6× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$476.70–$579.60 | $681–$828 | varies |
| Ot Eval Low Complex (97165) | $429.10 | $613 | 4.3× |
| Ot Eval Moderate Complexity (97166) | $532 | $760 | 5.3× |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$219.80–$879.20 | $314–$1,256 | varies |
| Ot paraffin bath (97018) | $86.80 | $124 | 14.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $221.90 | $317 | 5.5× |
| Ot Re-Eval Est Plan Care (97168) | $353.50 | $505 | 5.2× |
| Ot rom hand (95852) | $81.20 | $116 | 3.8× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$420–$436.80 | $600–$624 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$235.90–$707.70 | $337–$1,011 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$791–$822.50 | $1,130–$1,175 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$7,560.70–$7,863.10 | $10,801–$11,233 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$6,934.20–$7,211.40 | $9,906–$10,302 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $114.10 | $163 | 3.0× |
| Pt Eval High Complex (97163) | $539 | $770 | 5.5× |
| Pt eval low complex 20 min (97161) | $394.80 | $564 | 4.0× |
| Pt Eval Mod Complex (97162) | $484.40 | $692 | 4.9× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$197.40–$592.20 | $282–$846 | varies |
| Pt group caregiver training (97552) | $38.50 | $55 | 1.7× |
| Pt mechanical traction (97012) | $189.70 | $271 | 13.2× |
| Pt Re-Eval Est Plan Care (97164) | $308 | $440 | 4.6× |
| Pulm function test by gas (94727) | $631.40 | $902 | 2.3× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$1,096.20–$1,140.30 | $1,566–$1,629 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$905.80–$942.20 | $1,294–$1,346 | varies |
| Pure Tone Audiometry Air (92552) | $198.10 | $283 | 1.1× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $42 | $60 | 1.8× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $64.40 | $92 | 1.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $24.50 | $35 | 2.0× |
| Rem Ther Mntr Dev Sply Cbt (98978) | $68.60 | $98 | 1.4× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $68.60 | $98 | 1.4× |
| Rem ther mntr dev sply resp (98976) | $68.60 | $98 | 1.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $408.10 | $583 | 8.4× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $235.90 | $337 | 1.4× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $56 | $80 | 1.4× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $57.40 | $82 | 1.1× |
| Respiratory flow volume loop (94375) | $539.70 | $771 | 1.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$168.70–$194.60 | $241–$278 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$613.90–$638.40 | $877–$912 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $105 | $150 | 4.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $393.40 | $562 | 3.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $121.80 | $174 | 2.6× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$167.30–$501.90 | $239–$717 | varies |
| Sensory Integration Ea 15 Min (97533) | $166.60 | $238 | 2.7× |
| Short-latency somatosens ep std upr limbs (95925) | $2,149 | $3,070 | 7.7× |
| Sleep study unattended (95806) | $1,453.20 | $2,076 | 5.2× |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$92.40–$95.90 | $132–$137 | varies |
| Somatosensory Testing (95938) | $2,629.20 | $3,756 | 2.4× |
| Speech sound lang comprehen (92523) | $709.80 | $1,014 | 3.1× |
| Spirometry (94010) range across 2 matching MRF lines |
$451.50–$469.70 | $645–$671 | varies |
| Ssep lower limbs (95926) | $2,070.60 | $2,958 | 7.4× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$2,263.80–$2,354.10 | $3,234–$3,363 | varies |
| Surfactant Admin Thru Tube (94610) | $293.30 | $419 | 1.0× |
| Temp transcutaneous pacing (92953) | $1,444.10 | $2,063 | 1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $84 | $120 | 3.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $84 | $120 | 4.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 3 matching MRF lines |
$184.80–$554.40 | $264–$792 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$168.70–$337.40 | $241–$482 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $284.90 | $407 | 2.8× |
| Ther/Proph/Diag Inj Ia (96373) | $400.40 | $572 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $316.40 | $452 | 3.4× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$917.70–$1,835.40 | $1,311–$2,622 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$184.80–$739.20 | $264–$1,056 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$123.90–$128.80 | $177–$184 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$97.30–$101.50 | $139–$145 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$3,276–$3,785.60 | $4,680–$5,408 | varies |
| Tte W/O Doppler Complete (93307) | $2,198 | $3,140 | 7.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$274.40–$372.40 | $392–$532 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
$343.70–$1,718.50 | $491–$2,455 | varies |
| Unlisted cardiovascular service/procedure (93799) | $2,549.40 | $3,642 | 15.3× |
| Unlisted noninvasive vascular diagnostic study (93998) | $317.10 | $453 | 8.4× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$952–$1,007.30 | $1,360–$1,439 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,548.40 | $2,212 | 5.5× |
| Vasopneumatic device (97016) | $177.80 | $254 | 14.8× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$5,433.40–$5,650.40 | $7,762–$8,072 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $4,770.50 | $6,815 | 5.9× |
| Visual Evoked Potential Test (95930) | $1,775.90 | $2,537 | 6.3× |
| Vital capacity, total (94150) | $237.30 | $339 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$184.10–$368.20 | $263–$526 | varies |
| Whirlpool Therapy (97022) | $349.30 | $499 | 22.2× |
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.