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 →

ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $62.55 $69.50 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $35.10 $39 2.4×
Bedside Swallowing Eval (92610) $205.20 $228 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $192.60 $214 0.5×
Canalith Repositioning Procedure (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 IV push addl drug (96411) $277.20 $308 3.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $564.30 $627 1.7×
Chemother, IV infusion, 1 hr (96413) $576.90 $641 1.8×
Chemother, IV infusion, ea add hr (96415) $146.70 $163 2.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $217.80 $242 3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $296.10 $329 4.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $441 $490 1.4×
Color/duplex Doppler, complete (93975) $433.80 $482 1.8×
Color/duplex Doppler, limited (93976) $327.60 $364 3.2×
Cpap/bipap (94660) $181.80 $202 0.8×
Cpt initial (94667) $96.30 $107 0.7×
Critical care (99291) $940.05 $1,044.50 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $162 $180 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $288.45 $320.50 1.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $222.30 $247 2.2×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $342.45 $380.50 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $434.25 $482.50 1.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $327.15 $363.50 3.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $289.35 $321.50 1.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $318.15 $353.50 3.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $346.05 $384.50 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $238.05 $264.50 2.3×
Duplex scan extracranial art compl bi study (93880) $342.45 $380.50 1.5×
Duplex Scan Hemodialysis Access (93990) $256.05 $284.50 2.5×
EKG rhythm strip (93041) $99.90 $111 1.7×
Electrocardiogram Tracing (93005) $63 $70 1.1×
Er level 1 (99281) $132.30 $147 1.6×
Er level ii (99282) $232.20 $258 1.5×
Er level iii (99283) $483.30 $537 1.8×
Er level IV (99284) $830.70 $923 2.0×
Er level v (99285) $1,330.20 $1,478 2.3×
Eval speech sound production (92522) $259.20 $288 2.3×
Evaluate Pt Use Of Inhaler (94664) $59.40 $66 0.3×
Evaluation of speech fluency (92521) $311.40 $346 2.3×
External Ecg Scanning Analysis Report (93226) $517.50 $575 8.9×
Group Therapeutic Procedures (97150) $36.90 $41 2.0×
Holter Monitor (93225) $125.10 $139 1.0×
Immunization Admin (90471) $46.80 $52 0.7×
Inital newborn e/m (99460) $300.60 $334 2.3×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $459.90 $511 3.5×
Iontophoresis 15 min (97033) $67.50 $75 3.5×
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, therap/proph/diagnost,initial,1st hour (96365) $247.50 $275 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $95.40 $106 2.1×
IV push ea addl new drug (96375) $95.40 $106 2.1×
IV push initial (96374) $171 $190 0.8×
Manual therapy 15 min (97140) $65.70 $73 2.4×
Massage 15 min (97124) $54.90 $61 1.8×
Mechanical traction (97012) $41.40 $46 2.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $137.70 $153 3.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $243 $270 2.7×
Multiple Sleep Latency Test (95805) $1,172.70 $1,303 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $174.15 $193.50 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $150.30 $167 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $206.10 $229 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $71.10 $79 0.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $81 $90 1.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $83.70 $93 3.9×
Osteopathic manipulative tx 3-4 body regions (98926) $111.60 $124 5.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $63 $70 2.0×
Ot eval high complex 60 min (97167) $205.20 $228 2.0×
Ot eval low complex 30 min (97165) $146.70 $163 1.5×
Ot eval mod complex 45 min (97166) $176.40 $196 1.8×
Ot Prosthetic Training, Each 15 Min (97761) $69.30 $77 1.7×
Ot re-evaluation (97168) $77.40 $86 1.1×
Ot therapeutic activity 15 min (97530) $72.90 $81 2.1×
Paraffin bath pt (97018) $45 $50 7.5×
Phlebotomy therapeutic (99195) $329.40 $366 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,997.10 $2,219 2.4×
Psytx crisis initial 60 min (90839) $259.20 $288 1.5×
Pt Aquatic Therapy/Exercises (97113) $88.20 $98 2.4×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $75.60 $84 2.0×
Pt Electrical Stimulation (97032) $42.75 $47.50 2.9×
Pt eval high complex 45 min (97163) $275.40 $306 2.8×
Pt eval low complex 20 min (97161) $157.50 $175 1.6×
Pt eval mod complex 30 min (97162) $216 $240 2.2×
Pt gait training 15 min (97116) $61.20 $68 2.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $72 $80 2.2×
Pt Physical Performance Test (97750) $75.60 $84 2.2×
Pt re-evaluation (97164) $115.20 $128 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $72.90 $81 2.3×
Pt Whirlpool Therapy (97022) $63.90 $71 4.1×
Pulmonary Service/Procedure (94799) $39.60 $44 0.3×
Refill/Maint Portable Pump (96521) $918 $1,020 4.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $173.25 $192.50 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $125.10 $139 1.0×
Sensory Integration Ea 15 Min (97533) $61.20 $68 1.0×
Sleep study unattended (95806) $590.85 $656.50 2.8×
Speech sound lang comprehen (92523) $321.30 $357 1.4×
Spirometry (94010) $138.15 $153.50 0.6×
Standardized Cognitive Performance Testing (96125) $324.90 $361 3.2×
Temp transcutaneous pacing (92953) $393.30 $437 0.6×
Therapeutic prophylactic/dx injection subq/im (96372) $58.50 $65 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $129.60 $144 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $241.20 $268 2.9×
Vasc Duplex Scan Extracranial,Limited (93882) $179.10 $199 1.7×
Vasopneumatic device (97016) $51.30 $57 4.3×
Vent mgmt inpat init day (94002) $446.40 $496 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $63.90 $71 2.1×