Visits & medical services prices at Coulee Medical Center

Grand Coulee, WA · every code in this section with a posted price and a Medicare benchmark.

64 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) $235.31 $261.45 2.1×
Airway inhalation treatment (94640) $30.24 $33.60 0.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33.36 $37.07 2.3×
Canalith Repositioning Procedure (95992) $94.97 $105.52 2.3×
Cardiopulmonary resuscitation (92950) $3,089.20 $3,432.45 12.8×
Cardioversion (92960) $2,713.10 $3,014.55 3.7×
Continuous Glucose Monitoring (95250) $518.81 $576.45 3.5×
Critical care (99291) $2,549.14 $2,832.38 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $129.46 $143.85 0.6×
Electrocardiogram Tracing (93005) $69.93 $77.70 1.1×
Er level 1 (99281) $210.74 $234.15 2.2×
Er level ii (99282) $418.64 $465.15 2.4×
Er level iii (99283) $627.96 $697.72 2.1×
Er level IV (99284) $1,242.20 $1,380.22 2.7×
Er level v (99285) $1,982.61 $2,202.90 3.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,914.57 $2,127.30 2.0×
Immunization Admin (90471) $236.25 $262.50 2.9×
Inital newborn e/m (99460) $311.85 $346.50 2.1×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $360.99 $401.10 2.4×
Iontophoresis 15 min (97033) $4,459.50 $4,955.01 234.2×
Irrig drug delivery device (96523) $125.69 $139.65 1.9×
IV infusion hydration each additional hour (96361) $140.81 $156.45 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $367.61 $408.45 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $309.96 $344.40 3.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $458.33 $509.25 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $278.78 $309.75 5.3×
IV push ea addl new drug (96375) $157.82 $175.35 3.0×
IV push initial (96374) $204.12 $226.80 0.9×
Manual therapy 15 min (97140) $45.45 $50.50 1.6×
Massage 15 min (97124) $16.47 $18.30 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $64.26 $71.40 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $113.40 $126 3.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $261.76 $290.85 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $91.67 $101.85 0.2×
Newborn resuscitation (99465) $352.49 $391.65 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $420.53 $467.25 2.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $76.20 $84.66 1.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $31.18 $34.65 1.0×
Ot Contrast Bath Ea 15 Min (97034) $4,941.20 $5,490.22 352.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $29.56 $32.85 0.6×
Ot Prosthetic Training, Each 15 Min (97761) $91.72 $101.91 2.3×
Ot Range Motion Measure,Each Extrem (95851) $71.68 $79.64 2.8×
Ot re-evaluation (97168) $19.51 $21.68 0.3×
Ot therapeutic activity 15 min (97530) $860.39 $955.98 24.5×
Paraffin bath pt (97018) $27.98 $31.09 4.7×
Phlebotomy therapeutic (99195) $221.13 $245.70 1.5×
Psych diag eval w/med srvcs (90792) $415.80 $462 2.1×
Pt Electrical Stimulation (97032) $52.70 $58.56 3.6×
Pt eval high complex 45 min (97163) $6,976.84 $7,752.05 71.3×
Pt eval low complex 20 min (97161) $4,696.03 $5,217.81 48.0×
Pt eval mod complex 30 min (97162) $1,780.64 $1,978.49 18.2×
Pt gait training 15 min (97116) $3,109.48 $3,454.98 107.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $120.06 $133.40 3.7×
Pt Physical Performance Test (97750) $75.64 $84.04 2.2×
Pt re-evaluation (97164) $1,368.15 $1,520.17 20.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $42.42 $47.13 1.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $395.01 $438.90 9.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $363.83 $404.25 1.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $120.99 $134.43 5.7×
Sensory Integration Ea 15 Min (97533) $39.45 $43.84 0.6×
Therapeutic prophylactic/dx injection subq/im (96372) $264.60 $294 3.3×
Vent mgmt inpat init day (94002) $1,804.95 $2,005.50 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,184.09 $1,315.65 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $919.14 $1,021.27 29.6×