Visits & medical services prices at Clearwater Valley Health
Orofino, ID · every code in this section with a posted price and a Medicare benchmark.
159 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $36 | $48 | 0.9× |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$51.75–$110.25 | $69–$147 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$25.50–$348 | $34–$464 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $106.50 | $142 | 7.4× |
| Assessment of aphasia per hr (96105) | $168 | $224 | 1.7× |
| Behavral qualit analys voice (92524) | $288 | $384 | 2.6× |
| Brief Emotional/Behav Assmt (96127) | $9.75 | $13 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$90–$283.50 | $120–$378 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$81.75–$84 | $109–$112 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $545.25 | $727 | 2.6× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$300.75–$1,021.50 | $401–$1,362 | varies |
| Cardioversion (92960) | $174.75 | $233 | 0.3× |
| Cbt 1st hour (94644) | $99 | $132 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $98.25 | $131 | 1.4× |
| Chemo IV infusion addl hr (96415) | $239.25 | $319 | 3.4× |
| Chemo IV push addl drug (96411) | $356.25 | $475 | 5.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $584.25 | $779 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $807 | $1,076 | 2.5× |
| Chest Wall Manipulation (94668) | $54 | $72 | 0.4× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) range across 3 matching MRF lines |
$5.25–$26.25 | $7–$35 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $58.50 | $78 | 0.6× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$123.75–$377.25 | $165–$503 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$81–$180.75 | $108–$241 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $91.50 | $122 | 2.9× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $138.75 | $185 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $223.50 | $298 | 1.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $78.75 | $105 | 1.4× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$40.50–$303.75 | $54–$405 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $141 | $188 | 0.7× |
| Cpt initial (94667) | $153.75 | $205 | 1.2× |
| Critical care first hour (99291) | $351.75 | $469 | 0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$23.25–$96 | $31–$128 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$45.75–$594 | $61–$792 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$43.50–$210.75 | $58–$281 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$87–$456.75 | $116–$609 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$55.50–$635.25 | $74–$847 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$43.50–$408 | $58–$544 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$48.75–$664.50 | $65–$886 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$43.50–$538.50 | $58–$718 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$43.50–$266.25 | $58–$355 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$60–$432 | $80–$576 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$43.50–$323.25 | $58–$431 | varies |
| Echo Congenital Complete (93303) | $643.50 | $858 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) | $872.25 | $1,163 | 3.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,199.75 | $2,933 | 4.1× |
| Electrical Stimulation Ea 15 Min (97032) | $61.50 | $82 | 4.2× |
| Electrocardiogram Tracing (93005) | $160.50 | $214 | 2.8× |
| Emergency Dept Visit Level 2 (99282) | $66 | $88 | 0.4× |
| Emergency Dept Visit Level 3 (99283) | $111.75 | $149 | 0.4× |
| Emergency Dept Visit Level 4 (99284) | $189 | $252 | 0.5× |
| Er level 1 (99281) | $36 | $48 | 0.4× |
| Er level v (99285) | $274.50 | $366 | 0.5× |
| Evaluate Speech Production (92522) | $153.75 | $205 | 1.4× |
| Evaluate Swallowing Function (92610) | $219 | $292 | 2.6× |
| External ECG rec>48hr<7d recording (93242) | $481.50 | $642 | 13.0× |
| External ECG rec>7d<15d recording (93246) | $627 | $836 | 17.0× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$87–$756 | $116–$1,008 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$43.50–$616.50 | $58–$822 | varies |
| Health Behavior Assessment/Re-Assessment (96156) range across 3 matching MRF lines |
$73.50–$157.50 | $98–$210 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 3 matching MRF lines |
$54–$115.50 | $72–$154 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 3 matching MRF lines |
$7.50–$16.50 | $10–$22 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 3 matching MRF lines |
$50.25–$107.25 | $67–$143 | varies |
| Holter monitor recording (93225) | $308.25 | $411 | 2.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $29.25 | $39 | 0.4× |
| Immunization administration (90471) range across 4 matching MRF lines |
$16.50–$98.25 | $22–$131 | varies |
| Inital newborn e/m (99460) | $135 | $180 | 1.0× |
| Iontophoresis 15 min (97033) | $56.25 | $75 | 3.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$42–$90 | $56–$120 | varies |
| IV infusion hydration each additional hour (96361) | $163.50 | $218 | 3.5× |
| IV infusion hydration initial 31 min-1 hour (96360) | $314.25 | $419 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $201.75 | $269 | 2.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $86.25 | $115 | 1.9× |
| IV push initial (96374) | $97.50 | $130 | 0.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$43.50–$239.25 | $58–$319 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $11.25 | $15 | 0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $11.25 | $15 | 0.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$786–$3,330 | $1,048–$4,440 | varies |
| Nasopharyngoscopy (92511) | $60.75 | $81 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$249–$666.75 | $332–$889 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 3 matching MRF lines |
$249.75–$856.50 | $333–$1,142 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$10.50–$42 | $14–$56 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$18–$58.50 | $24–$78 | varies |
| Neuromuscular Reeducation (97112) | $106.50 | $142 | 3.3× |
| Newborn resuscitation (99465) | $204 | $272 | 0.3× |
| Oral Function Therapy (92526) | $163.50 | $218 | 1.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $84.75 | $113 | 1.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$23.25–$48.75 | $31–$65 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$33–$71.25 | $44–$95 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$43.50–$93.75 | $58–$125 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
$53.25–$114.75 | $71–$153 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
$63.75–$136.50 | $85–$182 | varies |
| Ot eval high complexity (97167) | $226.50 | $302 | 2.3× |
| Ot Eval Low Complex (97165) | $226.50 | $302 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $226.50 | $302 | 2.3× |
| Ot manual therapy 15 min (97140) | $106.50 | $142 | 3.8× |
| Ot paraffin bath (97018) | $33 | $44 | 5.5× |
| Ot Re-Eval Est Plan Care (97168) | $108 | $144 | 1.6× |
| Ot rom hand (95852) | $27.75 | $37 | 1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $171 | $228 | 1.3× |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$43.50–$361.50 | $58–$482 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$115.50–$426.75 | $154–$569 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $45 | $60 | 0.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $30.75 | $41 | 0.5× |
| Physical Performance Test (97750) | $120 | $160 | 3.6× |
| Plethysmography (94726) | $303.75 | $405 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$786–$3,564 | $1,048–$4,752 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $14.25 | $19 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $15.75 | $21 | 0.3× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$57–$208.50 | $76–$278 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$51–$186.75 | $68–$249 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$69.75–$177 | $93–$236 | varies |
| Pt Eval High Complex (97163) | $204.75 | $273 | 2.1× |
| Pt eval low complex 20 min (97161) | $201 | $268 | 2.1× |
| Pt Eval Mod Complex (97162) | $204.75 | $273 | 2.1× |
| Pt gait training 15 min (97116) | $73.50 | $98 | 2.5× |
| Pt mechanical traction (97012) | $75.75 | $101 | 5.3× |
| Pt Re-Eval Est Plan Care (97164) | $106.50 | $142 | 1.6× |
| Pulm function test by gas (94727) | $420.75 | $561 | 2.0× |
| Pulmonary service/procedure (94799) | $442.50 | $590 | 3.5× |
| Pure Tone Audiometry Air (92552) | $47.25 | $63 | 0.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$123.75–$518.25 | $165–$691 | varies |
| Refill/Maint Portable Pump (96521) | $600 | $800 | 2.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $445.50 | $594 | 12.1× |
| Remote 30 Day Ecg Tech Supp (93229) | $3,900 | $5,200 | 10.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $42 | $56 | 0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$6.75–$40.50 | $9–$54 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $29.25 | $39 | 1.1× |
| Same day nb discharge (99463) | $172.50 | $230 | 1.3× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$90–$109.50 | $120–$146 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $15 | $20 | 0.5× |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$186.75–$644.25 | $249–$859 | varies |
| Speech sound lang comprehen (92523) | $311.25 | $415 | 1.4× |
| Spin/Brain Pump Refil & Main (95991) | $65.25 | $87 | 0.2× |
| Spirometry (94010) range across 2 matching MRF lines |
$54–$168.75 | $72–$225 | varies |
| Standardized Cognitive Performance Testing (96125) | $182.25 | $243 | 1.8× |
| Temp transcutaneous pacing (92953) | $15 | $20 | 0.0× |
| Tensilon Test (95857) | $69.75 | $93 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$100.50–$101.25 | $134–$135 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $93 | $124 | 2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $78.75 | $105 | 1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $448.50 | $598 | 2.1× |
| Therapeutic Activities (97530) | $97.50 | $130 | 2.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $39.75 | $53 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $21.75 | $29 | 0.6× |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$90–$196.50 | $120–$262 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$113.25–$258 | $151–$344 | varies |
| Tte w/doppler, complete (93306) | $1,650 | $2,200 | 3.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $180 | $240 | 2.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $39.75 | $53 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$57–$69 | $76–$92 | varies |
| Tympanometry (92567) | $19.50 | $26 | 0.5× |
| Unlisted cardiovascular service/procedure (93799) | $81.75 | $109 | 0.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$43.50–$191.25 | $58–$255 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$43.50–$447 | $58–$596 | varies |
| Vasopneumatic device (97016) | $40.50 | $54 | 3.4× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$148.50–$790.50 | $198–$1,054 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $357 | $476 | 0.6× |
| Vital capacity, total (94150) | $58.50 | $78 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $56.25 | $75 | 1.8× |
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.