Visits & medical services prices at Boundary Community Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $137.60 $172 1.4×
Airway inhalation treatment (94640) $175.20 $219 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $25.60 $32 1.8×
Assessment of aphasia per hr (96105) $193.60 $242 2.0×
Bedside Swallowing Eval (92610) $144.80 $181 1.7×
Behavioral and qualitative analysis of voice and resonance (92524) $161.60 $202 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $233.20 $291.50 0.6×
Canalith Repositioning Procedure (95992) $58 $72.50 1.4×
Cardiac Stress Tst,Tracing Only (93017) $418.40 $523 2.0×
Cardiopulmonary resuscitation (92950) $331.20 $414 1.6×
Cardioversion (92960) $630 $787.50 1.0×
Cbt 1st hour (94644) $262.80 $328.50 2.0×
Chemother, IV infusion, 1 hr (96413) $366.40 $458 1.1×
Chemother, IV infusion, ea add hr (96415) $98.40 $123 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $291.20 $364 0.9×
Color/duplex Doppler, complete (93975) $414.40 $518 1.8×
Color/duplex Doppler, limited (93976) $352.40 $440.50 3.4×
Cpap/bipap (94660) $260 $325 1.2×
Cpt initial (94667) $173.60 $217 1.3×
Critical care (99291) $388 $485 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $64.80 $81 0.3×
Developmental tst admin phys/qhp 1st hour (96112) $200 $250 1.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $336 $420 1.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $224 $280 2.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $335.60 $419.50 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $214.40 $268 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $389.20 $486.50 1.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $248.60 $310.76 2.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $326.40 $408 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $212.40 $265.50 2.1×
Duplex scan extracranial art compl bi study (93880) $336.40 $420.50 1.4×
Echo Heart Xthoracic,Limited (93308) $173.60 $217 0.7×
Echo Transthoracic - Congenital Tte Complete (93303) $1,193.60 $1,492 2.2×
Echo Transthoracic - Congenital Tte Limited (93304) $861.20 $1,076.50 1.6×
EEG awake and asleep (95819) $580 $725 2.7×
EEG awake drowsy (95816) $540 $675 2.5×
EEG cont rec w/video by tech min 8 channels (95700) $197.60 $247 0.9×
EEG greater than 1 hour (95813) $713.20 $891.50 3.3×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $3,076 $3,845 8.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,537.60 $1,922 7.2×
EKG rhythm strip (93041) $92.80 $116 1.6×
Electrocardiogram Tracing (93005) $241.60 $302 4.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $600 $750 2.8×
Er level 1 (99281) $20.80 $26 0.2×
Er level ii (99282) $68 $85 0.4×
Er level iii (99283) $109.60 $137 0.4×
Er level IV (99284) $219.20 $274 0.5×
Er level v (99285) $318.40 $398 0.5×
Eval speech sound production (92522) $167.20 $209 1.5×
Evaluate Pt Use Of Inhaler (94664) $68 $85 0.3×
Evaluation of speech fluency (92521) $200 $250 1.5×
External ECG rec>48hr<7d recording (93242) $204.80 $256 5.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $336.80 $421 2.6×
External ECG rec>7d<15d recording (93246) $204.80 $256 5.6×
Immunization Admin (90471) $72.80 $91 1.0×
Injection intra arterial (96373) $210.40 $263 1.0×
Iontophoresis 15 min (97033) $52 $65 2.7×
Irrig drug delivery device (96523) $102.40 $128 1.8×
IV infusion hydration each additional hour (96361) $86.40 $108 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $262.80 $328.50 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $134.40 $168 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $350.80 $438.50 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $79.20 $99 1.7×
IV push ea addl new drug (96375) $108.80 $136 2.4×
IV push initial (96374) $158.80 $198.50 0.8×
Manual therapy 15 min (97140) $59.20 $74 2.1×
Massage 15 min (97124) $61.60 $77 2.1×
Mechanical traction (97012) $32 $40 2.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $9.60 $12 0.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $12 $15 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $34.40 $43 0.2×
Neurobehavioral Status Exam (96116) $172.80 $216 0.8×
Newborn resuscitation (99465) $257.60 $322 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $252.80 $316 1.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $252.80 $316 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $75.20 $94 1.6×
Ot eval high complex 60 min (97167) $209.60 $262 2.1×
Ot eval low complex 30 min (97165) $125.60 $157 1.2×
Ot eval mod complex 45 min (97166) $168 $210 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $93.60 $117 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $79.60 $99.50 2.0×
Ot re-evaluation (97168) $104 $130 1.5×
Ot therapeutic activity 15 min (97530) $68.80 $86 2.0×
Paraffin bath pt (97018) $21.60 $27 3.6×
Phlebotomy therapeutic (99195) $144.80 $181 1.1×
Plethysmography (94726) $170.40 $213 0.5×
Pm device eval in person (93288) $32 $40 0.9×
Pt diathermy (97024) $12.80 $16 1.7×
Pt Electrical Stimulation (97032) $38.40 $48 2.6×
Pt eval high complex 45 min (97163) $186.40 $233 1.9×
Pt eval low complex 20 min (97161) $120 $150 1.2×
Pt eval mod complex 30 min (97162) $152 $190 1.6×
Pt gait training 15 min (97116) $56 $70 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $67.20 $84 2.1×
Pt Physical Performance Test (97750) $65.60 $82 1.9×
Pt re-evaluation (97164) $83.20 $104 1.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $69.60 $87 2.1×
Pt Whirlpool Therapy (97022) $46.40 $58 3.0×
Pulmonary Service/Procedure (94799) $28.80 $36 0.2×
Pulmonary stress test simple (94618) $121.60 $152 0.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $93.60 $117 2.5×
Rt Chest Wall Manipulation,Subsequent (94668) $180.80 $226 1.4×
Sensory Integration Ea 15 Min (97533) $85.20 $106.50 1.4×
Smoking cessation > 10 min (99407) $45.60 $57 1.2×
Speech sound lang comprehen (92523) $192 $240 0.8×
Spirometry (94010) $142 $177.50 0.7×
Therapeutic prophylactic/dx injection subq/im (96372) $95.20 $119 1.3×
Trans Care Mgmt 14 Day Disch (99495) $386.40 $483 2.9×
Trans Care Mgmt 7 Day Disch (99496) $523.20 $654 4.0×
Tte w/doppler, complete (93306) $893.60 $1,117 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $100.40 $125.50 1.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $171.20 $214 2.0×
Unlisted Cardiovascular Service/Procedure (93799) $94.40 $118 0.7×
Vasc Duplex Scan Extracranial,Limited (93882) $320.40 $400.50 3.1×
Vent mgmt inpat init day (94002) $270.40 $338 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $107.32 $134.15 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $61.60 $77 2.0×