Visits & medical services prices at Benewah Community Hospital
St. Maries, ID · every code in this section with a posted price and a Medicare benchmark.
110 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 2 matching MRF lines |
$62.10–$63 | $69–$70 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$27–$43.20 | $30–$48 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $192.60 | $214 | 0.5× |
| Canalith repositioning proc (95992) | $127.80 | $142 | 3.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $208.80 | $232 | 1.0× |
| Cardiopulmonary resuscitation (92950) | $400.50 | $445 | 1.9× |
| Cardioversion (92960) | $629.10 | $699 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $217.80 | $242 | 3.1× |
| Chemo IV infusion addl hr (96415) | $146.70 | $163 | 2.1× |
| Chemo IV push addl drug (96411) | $277.20 | $308 | 3.9× |
| Chemother Prolong Infuse W/Pump (96416) | $564.30 | $627 | 1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $296.10 | $329 | 4.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $576.90 | $641 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $441 | $490 | 1.4× |
| Chest Wall Manipulation (94668) | $125.10 | $139 | 1.0× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$378–$729.90 | $420–$811 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$250.20–$497.70 | $278–$553 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $63 | $70 | 2.0× |
| Continuous Pulse Ox (94762) | $71.10 | $79 | 0.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $181.80 | $202 | 0.8× |
| Cpt initial (94667) | $96.30 | $107 | 0.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$865.80–$1,014.30 | $962–$1,127 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $162 | $180 | 0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$140.40–$680.40 | $156–$756 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 4 matching MRF lines |
$94.50–$399.60 | $105–$444 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$173.70–$511.20 | $193–$568 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$132.30–$736.20 | $147–$818 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$84.60–$569.70 | $94–$633 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$176.40–$515.70 | $196–$573 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$112.50–$363.60 | $125–$404 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$88.20–$423.90 | $98–$471 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$134.10–$444.60 | $149–$494 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$66.60–$569.70 | $74–$633 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$40.50–$45 | $45–$50 | varies |
| Electrocardiogram Tracing (93005) | $63 | $70 | 1.1× |
| Emergency Dept Visit Level 2 (99282) | $232.20 | $258 | 1.5× |
| Emergency Dept Visit Level 3 (99283) | $483.30 | $537 | 1.8× |
| Emergency Dept Visit Level 4 (99284) | $830.70 | $923 | 2.0× |
| Er level 1 (99281) | $132.30 | $147 | 1.6× |
| Er level v (99285) | $1,330.20 | $1,478 | 2.3× |
| Evaluate pt use of inhaler (94664) | $59.40 | $66 | 0.3× |
| Evaluate Speech Production (92522) | $259.20 | $288 | 2.3× |
| Evaluate Swallowing Function (92610) | $205.20 | $228 | 2.4× |
| Evaluation of speech fluency (92521) | $311.40 | $346 | 2.3× |
| External Ecg Scanning Analysis Report (93226) | $517.50 | $575 | 8.9× |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$126.90–$678.60 | $141–$754 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$86.40–$271.80 | $96–$302 | varies |
| Group Therapeutic Procedures (97150) | $36.90 | $41 | 2.0× |
| Holter monitor recording (93225) | $125.10 | $139 | 1.0× |
| Immunization administration (90471) | $46.80 | $52 | 0.7× |
| Inital newborn e/m (99460) | $300.60 | $334 | 2.3× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$65.70–$69.30 | $73–$77 | varies |
| Irrig Drug Delivery Device (96523) | $98.10 | $109 | 1.7× |
| IV infusion hydration each additional hour (96361) | $73.80 | $82 | 1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $204.30 | $227 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $144.90 | $161 | 2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $95.40 | $106 | 2.1× |
| IV push initial (96374) | $171 | $190 | 0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $137.70 | $153 | 3.7× |
| Motion Fluoroscopy/Swallow (92611) | $243 | $270 | 2.7× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$300.60–$2,044.80 | $334–$2,272 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$117–$231.30 | $130–$257 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $150.30 | $167 | 0.4× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$70.20–$73.80 | $78–$82 | varies |
| Oral Function Therapy (92526) | $241.20 | $268 | 2.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$78.30–$83.70 | $87–$93 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $83.70 | $93 | 3.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$107.10–$116.10 | $119–$129 | varies |
| Ot eval high complexity (97167) | $205.20 | $228 | 2.0× |
| Ot Eval Low Complex (97165) | $146.70 | $163 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $176.40 | $196 | 1.8× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$63–$68.40 | $70–$76 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$44.10–$45.90 | $49–$51 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $69.30 | $77 | 1.7× |
| Ot Re-Eval Est Plan Care (97168) | $77.40 | $86 | 1.1× |
| Phlebotomy therapeutic (99195) | $329.40 | $366 | 2.5× |
| Physical Performance Test (97750) | $75.60 | $84 | 2.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$561.60–$3,432.60 | $624–$3,814 | varies |
| Psytx Crisis Initial 60 Min (90839) | $259.20 | $288 | 1.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $75.60 | $84 | 2.0× |
| Pt Eval High Complex (97163) | $275.40 | $306 | 2.8× |
| Pt eval low complex 20 min (97161) | $157.50 | $175 | 1.6× |
| Pt Eval Mod Complex (97162) | $216 | $240 | 2.2× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$59.40–$63 | $66–$70 | varies |
| Pt mechanical traction (97012) | $41.40 | $46 | 2.9× |
| Pt Re-Eval Est Plan Care (97164) | $115.20 | $128 | 1.7× |
| Pulmonary service/procedure (94799) | $39.60 | $44 | 0.3× |
| Refill/Maint Portable Pump (96521) | $918 | $1,020 | 4.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $99.90 | $111 | 1.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$115.20–$231.30 | $128–$257 | varies |
| Same day nb discharge (99463) | $459.90 | $511 | 3.5× |
| Self Care Mngment Training (97535) | $72.90 | $81 | 2.3× |
| Sensory Integration Ea 15 Min (97533) | $61.20 | $68 | 1.0× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$252–$929.70 | $280–$1,033 | varies |
| Speech sound lang comprehen (92523) | $321.30 | $357 | 1.4× |
| Spirometry (94010) range across 2 matching MRF lines |
$115.20–$161.10 | $128–$179 | varies |
| Standardized Cognitive Performance Testing (96125) | $324.90 | $361 | 3.2× |
| Temp transcutaneous pacing (92953) | $393.30 | $437 | 0.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $88.20 | $98 | 2.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $54.90 | $61 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $58.50 | $65 | 0.8× |
| Ther/Proph/Diag Iv Inf Init (96365) | $247.50 | $275 | 1.2× |
| Therapeutic Activities (97530) | $72.90 | $81 | 2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $129.60 | $144 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $95.40 | $106 | 2.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$53.10–$359.10 | $59–$399 | varies |
| Vasopneumatic device (97016) | $51.30 | $57 | 4.3× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$416.70–$476.10 | $463–$529 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $63.90 | $71 | 2.1× |
| Whirlpool Therapy (97022) | $63.90 | $71 | 4.1× |
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.