Visits & medical services prices at Cache Valley Hospital
North Logan, UT · every code in this section with a posted price and a Medicare benchmark.
88 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) | $400.33 | $400.33 | 1.8× |
| Airway resistance by oscillometry (94728) | $454.32 | $454.32 | 3.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $39.53 | $39.53 | 2.8× |
| Application Modality 1/> Areas Infrared (97026) | $18.59 | $18.59 | 2.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $696.68 | $696.68 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $2,786.76 | $2,786.76 | 12.7× |
| Cbt 1st hour (94644) | $503.02 | $503.02 | 3.7× |
| Chemo IV infusion addl hr (96415) | $314.13 | $314.13 | 4.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,098.06 | $1,098.06 | 3.3× |
| Color/duplex Doppler, complete (93975) | $1,130.53 | $1,130.53 | 4.7× |
| Color/duplex Doppler, limited (93976) | $969.25 | $969.25 | 9.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$971.58–$2,019.27 | $971.58–$2,019.27 | varies |
| Cpt initial (94667) | $497.72 | $497.72 | 3.7× |
| Critical care first hour (99291) | $6,304.84 | $6,304.84 | 7.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$411.13–$887.40 | $411.13–$887.40 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,200.61 | $1,200.61 | 5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,198.36 | $1,198.36 | 11.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,216.48–$1,298.01 | $1,216.48–$1,298.01 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $912.65 | $912.65 | 8.6× |
| Duplex up extrem art unilat/ltd (93931) | $679.76 | $679.76 | 6.4× |
| Echo Heart Xthoracic,Limited (93308) | $1,975.81 | $1,975.81 | 8.2× |
| Electrocardiogram Tracing (93005) | $294.51 | $294.51 | 4.9× |
| Emergency Dept Visit Level 2 (99282) | $1,002.02 | $1,002.02 | 6.4× |
| Emergency Dept Visit Level 3 (99283) | $1,652.83 | $1,652.83 | 6.0× |
| Emergency Dept Visit Level 4 (99284) | $2,916.51 | $2,916.51 | 6.9× |
| Er level 1 (99281) range across 2 matching MRF lines |
$44.41–$609.13 | $44.41–$609.13 | varies |
| Er level v (99285) | $4,527.33 | $4,527.33 | 7.5× |
| Evaluate pt use of inhaler (94664) | $400.33 | $400.33 | 1.8× |
| Evaluate Swallowing Function (92610) | $470.55 | $470.55 | 5.5× |
| Extracranial Bilat Study (93880) | $1,055.03 | $1,055.03 | 4.4× |
| Group Therapeutic Procedures (97150) | $60.46 | $60.46 | 3.4× |
| Holter monitor recording (93225) | $368.02 | $368.02 | 2.7× |
| Immunization administration (90471) range across 2 matching MRF lines |
$140.53–$212.36 | $140.53–$212.36 | varies |
| Iontophoresis 15 min (97033) | $85.90 | $85.90 | 4.5× |
| Irrig Drug Delivery Device (96523) | $322.37 | $322.37 | 5.4× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$130.81–$707.80 | $130.81–$707.80 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$411.09–$1,051.56 | $411.09–$1,051.56 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$388.87–$1,115.32 | $388.87–$1,115.32 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$130.81–$707.80 | $130.81–$707.80 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$178.68–$236.17 | $178.68–$236.17 | varies |
| Low frequency non-thermal us (97610) | $887.69 | $887.69 | 4.4× |
| Mechanical chest wall oscillation per session (94669) | $944.65 | $944.65 | 4.3× |
| Motion Fluoroscopy/Swallow (92611) | $133.39 | $133.39 | 1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,298.66 | $1,298.66 | 3.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $414.21 | $414.21 | 2.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $887.40 | $887.40 | 2.2× |
| Neuromuscular Reeducation (97112) | $97.64 | $97.64 | 3.0× |
| Newborn resuscitation (99465) | $2,952.27 | $2,952.27 | 4.4× |
| Oral Function Therapy (92526) | $470.55 | $470.55 | 5.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $125.28 | $125.28 | 2.5× |
| Ot eval high complexity (97167) | $358.03 | $358.03 | 3.6× |
| Ot Eval Low Complex (97165) | $292.05 | $292.05 | 2.9× |
| Ot Eval Moderate Complexity (97166) | $311.76 | $311.76 | 3.1× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$84.52–$92.97 | $84.52–$92.97 | varies |
| Phlebotomy therapeutic (99195) | $512.52 | $512.52 | 3.8× |
| Physical Performance Test (97750) | $1,859.53 | $1,859.53 | 55.1× |
| Pt Eval High Complex (97163) | $393.83 | $393.83 | 4.0× |
| Pt eval low complex 20 min (97161) | $292.05 | $292.05 | 3.0× |
| Pt Eval Mod Complex (97162) | $342.94 | $342.94 | 3.5× |
| Pt gait training 15 min (97116) | $83.70 | $83.70 | 2.9× |
| Pt mechanical traction (97012) | $48.80 | $48.80 | 3.4× |
| Pt Re-Eval Est Plan Care (97164) | $247.81 | $247.81 | 3.7× |
| Pulm function test by gas (94727) | $456.62 | $456.62 | 2.1× |
| Pulmonary Stress Testing (94618) | $617.73 | $617.73 | 4.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $379.63 | $379.63 | 10.0× |
| Respiratory flow volume loop (94375) | $1,223.01 | $1,223.01 | 5.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$233.54–$447.37 | $233.54–$447.37 | varies |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$92.99–$102.29 | $92.99–$102.29 | varies |
| Sensory Integration Ea 15 Min (97533) | $86.02 | $86.02 | 1.4× |
| Speech sound lang comprehen (92523) | $470.55 | $470.55 | 2.1× |
| Spirometry (94010) | $540.14 | $540.14 | 2.5× |
| Standardized Cognitive Performance Testing (96125) | $470.55 | $470.55 | 4.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $34.62 | $34.62 | 1.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $470.55 | $470.55 | 22.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $113.89 | $113.89 | 3.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$182.47–$236.72 | $182.47–$236.72 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$700.01–$1,709.73 | $700.01–$1,709.73 | varies |
| Therapeutic Activities (97530) | $97.64 | $97.64 | 2.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $116.13 | $116.13 | 3.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $116.13 | $116.13 | 3.1× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$2,094.36–$2,261.91 | $2,094.36–$2,261.91 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $470.55 | $470.55 | 6.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$150.67–$203.93 | $150.67–$203.93 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$1,273.11–$1,689.93 | $1,273.11–$1,689.93 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,629.58 | $1,629.58 | 7.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,787.82 | $1,787.82 | 2.9× |
| Vital capacity, total (94150) | $295.20 | $295.20 | 2.3× |
| Whirlpool Therapy (97022) | $58.11 | $58.11 | 3.7× |
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.