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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (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) range across 3 matching MRF lines |
$32.38–$3,393.60 | $35.98–$3,770.67 | varies |
| Canalith repositioning proc (95992) | $94.97 | $105.52 | 2.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$2,910.60–$3,267.81 | $3,234–$3,630.90 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$820.26–$3,655.26 | $911.40–$4,061.40 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$16.92–$45.45 | $18.80–$50.50 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $518.81 | $576.45 | 3.5× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$888.30–$4,209.98 | $987–$4,677.75 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$117.18–$141.75 | $130.20–$157.50 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$19.08–$1,302.47 | $21.20–$1,447.19 | varies |
| Electrocardiogram Tracing (93005) | $69.93 | $77.70 | 1.1× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$134.19–$703.08 | $149.10–$781.20 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$201.29–$1,054.62 | $223.65–$1,171.80 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$378.95–$2,105.46 | $421.05–$2,339.40 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$68.99–$352.49 | $76.65–$391.65 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$557.55–$3,407.67 | $619.50–$3,786.30 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,914.57 | $2,127.30 | 2.0× |
| Immunization administration (90471) | $236.25 | $262.50 | 2.9× |
| Inital newborn e/m (99460) | $311.85 | $346.50 | 2.1× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$1,204.24–$7,714.77 | $1,338.05–$8,571.97 | varies |
| 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 therapy prophylaxis/dx ea hour (96366) | $278.78 | $309.75 | 5.3× |
| IV push initial (96374) | $204.12 | $226.80 | 0.9× |
| 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) range across 2 matching MRF lines |
$204.12–$319.41 | $226.80–$354.90 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $91.67 | $101.85 | 0.2× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$16.63–$2,432.96 | $18.48–$2,703.28 | varies |
| Newborn resuscitation (99465) | $352.49 | $391.65 | 0.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$13.68–$45.45 | $15.20–$50.50 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$45.45–$22,071.60 | $50.50–$24,524 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$2,113.93–$7,768.47 | $2,348.81–$8,631.64 | varies |
| Ot manual therapy 15 min (97140) range across 7 matching MRF lines |
$15.67–$54,526.77 | $17.41–$60,585.30 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$17.31–$38.65 | $19.23–$42.94 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$45.45–$137.99 | $50.50–$153.32 | varies |
| Ot Re-Eval Est Plan Care (97168) | $19.51 | $21.68 | 0.3× |
| Ot rom hand (95852) range across 2 matching MRF lines |
$91.94–$150.04 | $102.15–$166.71 | varies |
| Phlebotomy therapeutic (99195) | $221.13 | $245.70 | 1.5× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$19.13–$138.29 | $21.26–$153.65 | varies |
| Psych diag eval w/med srvcs (90792) | $415.80 | $462 | 2.1× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$504.85–$13,448.84 | $560.94–$14,943.16 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$102.78–$9,289.28 | $114.20–$10,321.42 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$12.80–$3,548.48 | $14.22–$3,942.76 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$152.87–$23,300.90 | $169.86–$25,889.88 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$56.41–$2,679.89 | $62.68–$2,977.66 | varies |
| Remote 30 Day Ecg Rev/Report (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 Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$12.28–$131.07 | $13.65–$145.63 | varies |
| Same day nb discharge (99463) | $360.99 | $401.10 | 2.4× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$31.34–$873.45 | $34.82–$970.50 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$35.80–$43.10 | $39.78–$47.89 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 5 matching MRF lines |
$3.60–$153.85 | $4–$170.94 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $264.60 | $294 | 3.3× |
| Ther/Proph/Diag Iv Inf Init (96365) | $458.33 | $509.25 | 1.9× |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$48–$25,083.38 | $53.33–$27,870.42 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $157.82 | $175.35 | 3.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $420.53 | $467.25 | 2.8× |
| 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) range across 4 matching MRF lines |
$148.70–$18,640.17 | $165.22–$20,711.30 | varies |
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.