Visits & medical services prices at Bonner General Health

Sandpoint, ID · every code in this section with a posted price and a Medicare benchmark.

143 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $171.60 $214.50 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $26.24 $32.80 1.8×
Assessment of aphasia per hr (96105) $179.04 $223.80 1.8×
Bedside Swallowing Eval (92610) $131.68 $164.60 1.6×
Behavioral and qualitative analysis of voice and resonance (92524) $203.84 $254.80 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $268 $335 0.7×
Canalith Repositioning Procedure (95992) $65.84 $82.30 1.6×
Cardiac Stress Tst,Tracing Only (93017) $498.40 $623 2.3×
Cardiopulmonary resuscitation (92950) $476 $595 2.2×
Cardioversion (92960) $697.60 $872 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $46.40 $58 1.8×
Cbt 1st hour (94644) $206.40 $258 1.6×
Chemother, IV infusion, 1 hr (96413) $543.20 $679 1.7×
Chemother, IV infusion, ea add hr (96415) $169.60 $212 2.4×
Color/duplex Doppler, complete (93975) $346.40 $433 1.5×
Color/duplex Doppler, limited (93976) $324 $405 3.1×
Continuous Glucose Monitoring (95250) $250.40 $313 1.9×
Cpap/bipap (94660) $328.80 $411 1.5×
Cpt initial (94667) $206.40 $258 1.6×
Critical care (99291) $491.20 $614 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $70.80 $88.50 0.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $337.20 $421.50 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $323.20 $404 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $203.60 $254.50 2.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $346 $432.50 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $204 $255 2.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $329.20 $411.50 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $162.40 $203 1.6×
Duplex scan extracranial art compl bi study (93880) $336.80 $421 1.4×
Duplex Scan Hemodialysis Access (93990) $204 $255 2.0×
Echo Heart Xthoracic,Limited (93308) $412.80 $516 1.8×
Echo transesophageal (93312) $1,188.80 $1,486 2.2×
EKG rhythm strip (93041) $95.20 $119 1.6×
Electrocardiogram Tracing (93005) $98.40 $123 1.7×
EMG one extremity (95860) $198.72 $248.40 1.5×
Er level 1 (99281) $50.40 $63 0.6×
Er level ii (99282) $96.80 $121 0.6×
Er level iii (99283) $150.40 $188 0.6×
Er level IV (99284) $264 $330 0.6×
Er level v (99285) $383.20 $479 0.7×
Eval speech sound production (92522) $207.04 $258.80 1.9×
Eval to use/fit voice prosth (92597) $135.60 $169.50 1.9×
Evaluate Pt Use Of Inhaler (94664) $328.80 $411 1.5×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $229.52 $286.90 1.9×
Evaluation of speech fluency (92521) $249.20 $311.50 1.9×
External ECG rec>48hr<7d recording (93242) $63.20 $79 1.7×
External ECG rec>7d<15d recording (93246) $63.20 $79 1.7×
Group Therapeutic Procedures (97150) $33.20 $41.50 1.8×
Immune Admin Oral/Nasal (90473) $30.40 $38 0.4×
Immunization Admin (90471) $40 $50 0.6×
Injection intra arterial (96373) $90.40 $113 0.4×
Iontophoresis 15 min (97033) $35.36 $44.20 1.9×
Irrig drug delivery device (96523) $108 $135 1.9×
IV infusion hydration each additional hour (96361) $101.60 $127 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $240 $300 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $119.20 $149 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $420 $525 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $81.20 $101.50 1.8×
IV push ea addl new drug (96375) $79.20 $99 1.7×
IV push initial (96374) $119.60 $149.50 0.6×
Manual therapy 15 min (97140) $51.60 $64.50 1.9×
Massage 15 min (97124) $55.84 $69.80 1.9×
Maximum voluntary ventilation (94200) $93.60 $117 1.6×
Mechanical chest wall oscillation (94669) $298.40 $373 1.4×
Mechanical traction (97012) $27.04 $33.80 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24 $30 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $24 $30 0.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $153.32 $191.65 1.7×
Nasopharyngoscopy (92511) $63.20 $79 0.3×
Neg press wound tx >50 cm (97608) $48 $60 0.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $37.60 $47 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $66.40 $83 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $68 $85 0.2×
Nerve Conduction Studies 11-12 Studies (95912) $440 $550 1.2×
Nerve conduction studies 13/> studies (95913) $515.60 $644.50 1.4×
Nerve Conduction Studies 3-4 Studies (95908) $199.84 $249.80 0.9×
Nerve Conduction Studies 5-6 Studies (95909) $240.40 $300.50 1.1×
Nerve Conduction Studies 7-8 Studies (95910) $314.48 $393.10 0.9×
Nerve Conduction Studies 9-10 Studies (95911) $377.68 $472.10 1.0×
Nerve conduction studies; 1-2 studies (95907) $160.16 $200.20 0.8×
Neurobehavioral Status Exam (96116) $147.68 $184.60 0.7×
Newborn resuscitation (99465) $992 $1,240 1.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $238.40 $298 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $86.08 $107.60 1.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $60.16 $75.20 1.9×
Ot Contrast Bath Ea 15 Min (97034) $25.68 $32.10 1.8×
Ot eval high complex 60 min (97167) $190.72 $238.40 1.9×
Ot eval low complex 30 min (97165) $152.56 $190.70 1.5×
Ot eval mod complex 45 min (97166) $171.60 $214.50 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $93.60 $117 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $76.16 $95.20 1.9×
Ot re-evaluation (97168) $131.12 $163.90 1.9×
Ot therapeutic activity 15 min (97530) $65.20 $81.50 1.9×
Paraffin bath pt (97018) $11.20 $14 1.9×
Phlebotomy therapeutic (99195) $132 $165 1.0×
Plethysmography (94726) $264.40 $330.50 0.7×
Pt Aquatic Therapy/Exercises (97113) $68.96 $86.20 1.9×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $71.28 $89.10 1.9×
Pt Electrical Stimulation (97032) $27.04 $33.80 1.8×
Pt eval high complex 45 min (97163) $186 $232.50 1.9×
Pt eval low complex 20 min (97161) $148.80 $186 1.5×
Pt eval mod complex 30 min (97162) $167.44 $209.30 1.7×
Pt gait training 15 min (97116) $54.64 $68.30 1.9×
Pt group caregiver training (97552) $19.92 $24.90 0.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $60.88 $76.10 1.9×
Pt Physical Performance Test (97750) $62.88 $78.60 1.9×
Pt re-evaluation (97164) $127.92 $159.90 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $60.56 $75.70 1.9×
Pt Whirlpool Therapy (97022) $29 $36.25 1.8×
Pulm function test by gas (94727) $121.60 $152 0.6×
Pulmonary Service/Procedure (94799) $238.40 $298 1.9×
Pulmonary stress test simple (94618) $206.40 $258 1.6×
Refill/Maint Portable Pump (96521) $376.80 $471 1.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $60 $75 1.6×
Respiratory flow volume loop (94375) $352.80 $441 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $90 $112.50 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $206.40 $258 1.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $89.92 $112.40 1.9×
Sensory Integration Ea 15 Min (97533) $112.40 $140.50 1.8×
Slp caregiver training 1st 30 min (97550) $86.16 $107.70 1.6×
Speech sound lang comprehen (92523) $425.84 $532.30 1.9×
Spirometry (94010) $137.20 $171.50 0.6×
Standardized Cognitive Performance Testing (96125) $189.60 $237 1.8×
Stress echo (93350) $508 $635 0.9×
Temp transcutaneous pacing (92953) $372 $465 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $38.60 $48.25 1.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $191.04 $238.80 1.9×
Therapeutic prophylactic/dx injection subq/im (96372) $89.60 $112 1.3×
Tilt table evaluation (93660) $634.40 $793 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $35.20 $44 1.0×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $156.32 $195.40 1.2×
Tte w/doppler, complete (93306) $1,480 $1,850 2.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $508.80 $636 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $143.12 $178.90 1.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $44.56 $55.70 1.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $157.52 $196.90 1.9×
Unlisted otorhinolaryngological service (92700) $48 $60 1.7×
Vasc Duplex Scan Extracranial,Limited (93882) $264 $330 2.6×
Vasopneumatic device (97016) $21.92 $27.40 1.8×
Vent mgmt inpat init day (94002) $600 $750 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $829.20 $1,036.50 1.4×
Vital capacity, total (94150) $238.40 $298 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $58.40 $73 1.9×