Visits & medical services prices at Dameron Hospital

Stockton, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,347.05 $14,104.55 0.6×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$528.75–$700.79 $1,175–$1,557.31 varies
Analyze neurostim complex (95972) $178.30 $396.23 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$58.19–$72.30 $129.32–$160.67 varies
Behavral qualit analys voice (92524) $413.09 $917.98 3.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,521.41 $3,380.91 3.1×
Bundle of his recording (93600) $6,347.05 $14,104.55 0.6×
Cardiac Stress Tst,Tracing Only (93017) $2,189.34 $4,865.19 7.7×
Cardiopulmonary resuscitation (92950) $5,795.42 $12,878.70 20.3×
Cardioversion (92960)
range across 2 matching MRF lines
$1,125.72–$1,193.27 $2,501.60–$2,651.70 varies
Cardioversion elective internal (92961) $1,631.34 $3,625.20 1.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $26,730.36 $59,400.81 6.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $24,090.89 $53,535.30 5.6×
Cbt 1st hour (94644) $1,154.84 $2,566.30 6.6×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$266.64–$333.71 $592.54–$741.58 varies
Color/duplex Doppler, complete (93975) $1,687.86 $3,750.81 5.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $98.74 $219.42 3.1×
Continuous Pulse Ox (94762) $834.78 $1,855.06 4.9×
Coronary Art/Grft Angio S&I (93455) $15,186.78 $33,748.39 3.6×
Coronary Artery Angio S&I (93454) $17,321.90 $38,493.11 4.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,015.29 $2,256.19 3.5×
Cpt initial (94667) $426.24 $947.19 2.4×
Critical care first hour (99291) $5,740.81 $12,757.35 5.3×
Debridement Open Wound 20 Sq Cm< (97597) $713.93 $1,586.52 2.7×
Dialysis One Evaluation (90945)
range across 3 matching MRF lines
$6,860.25–$8,053.52 $15,245–$17,896.70 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $965.14 $2,144.75 3.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $2,243.31 $4,985.13 16.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,169.68 $4,821.52 6.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,811.07 $4,024.61 13.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,329.96 $5,177.68 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,585.69 $3,523.76 11.5×
Duplex Scan Hemodialysis Access (93990) $836.42 $1,858.71 6.1×
Echo Congenital Complete (93303) $1,168.17 $2,595.94 1.6×
Echo Heart Xthoracic,Limited (93308) $864.61 $1,921.36 2.7×
Echo r-t 2d w/probe placement only (93313)
range across 2 matching MRF lines
$791.82–$990.51 $1,759.60–$2,201.13 varies
Echo transesophag montr cardiac pump functj (93318) $3,215.46 $7,145.46 4.5×
Echo transesophageal (93312) $3,879.62 $8,621.38 5.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,513.56 $7,807.90 4.9×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$411.17–$485.59 $913.72–$1,079.08 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,347.05 $14,104.55 0.6×
Electrophysiology Evaluation (93642) $1,256.97 $2,793.27 0.8×
Emergency Dept Visit Level 2 (99282) $980.40 $2,178.66 4.8×
Emergency Dept Visit Level 3 (99283) $1,426.36 $3,169.68 4.0×
Emergency Dept Visit Level 4 (99284) $2,107.93 $4,684.29 3.8×
Ep & ablate supravent arrhyt (93653) $21,565.71 $47,923.79 0.6×
Ep & ablate ventric tachy (93654) $21,565.71 $47,923.79 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,347.05 $14,104.55 0.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,347.05 $14,104.55 0.6×
Er level 1 (99281) $709.38 $1,576.41 6.4×
Er level v (99285) $2,914.90 $6,477.55 3.7×
Evaluate pt use of inhaler (94664) $612.81 $1,361.80 2.1×
Evaluate Speech Production (92522) $420.68 $934.84 3.8×
Evaluate Swallowing Function (92610) $434.84 $966.30 5.1×
Evaluation of speech fluency (92521) $505.62 $1,123.60 3.8×
Extracranial Bilat Study (93880) $2,116.09 $4,702.43 6.7×
Extracranial Uni/Ltd Study (93882) $759.79 $1,688.42 5.5×
F-up/limited tthrc echo congenital car anomaly (93304) $522.32 $1,160.70 0.7×
Group Therapeutic Procedures (97150) $130.95 $291.01 7.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $30,944.02 $68,764.48 7.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$5,868.05–$6,627.67 $13,040.12–$14,728.15 varies
Icd device progr eval dual (93283) $74.41 $165.36 1.5×
Immunization administration (90471) $134.51 $298.92 1.4×
Insert/Place Heart Catheter (93503) $4,514.81 $10,032.90 2.2×
Intra-atrial pacing (93610) $6,347.05 $14,104.55 0.6×
Intra-atrial recording (93602) $6,347.05 $14,104.55 0.6×
Intraventricular pacing (93612) $6,347.05 $14,104.55 0.6×
Iontophoresis 15 min (97033) $76.80 $170.66 4.0×
Irrig Drug Delivery Device (96523) $655.79 $1,457.31 8.4×
IV infusion hydration each additional hour (96361) $398.93 $886.52 6.5×
IV infusion hydration initial 31 min-1 hour (96360) $428.76 $952.81 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $203.26 $451.69 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$379.22–$401.97 $842.70–$893.26 varies
IV push initial (96374)
range across 2 matching MRF lines
$280–$296.80 $622.22–$659.55 varies
L Hrt Art/Grft Angio (93459) $27,243.74 $60,541.64 6.4×
Motion Fluoroscopy/Swallow (92611) $500.06 $1,111.24 5.5×
Neuromuscular Reeducation (97112) $137.03 $304.50 4.2×
Newborn resuscitation (99465) $2,254.56 $5,010.13 2.6×
Oral Function Therapy (92526) $320.06 $711.24 3.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $101.63 $225.84 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $110.22 $244.94 2.4×
Ot Contrast Bath Ea 15 Min (97034) $44.84 $99.64 3.2×
Ot eval high complexity (97167) $339.27 $753.94 3.4×
Ot Eval Low Complex (97165) $267.98 $595.51 2.7×
Ot Eval Moderate Complexity (97166) $298.31 $662.92 3.0×
Ot manual therapy 15 min (97140) $123.37 $274.16 4.5×
Ot paraffin bath (97018) $80.39 $178.65 13.4×
Ot Prosthetic Training, Each 15 Min (97761) $101.63 $225.84 2.5×
Ot Re-Eval Est Plan Care (97168) $171.41 $380.90 2.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $18,272.01 $40,604.47 2.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $30,469.71 $67,710.47 2.0×
Physical Performance Test (97750) $134.50 $298.88 4.0×
Pm device eval in person (93288) $113.76 $252.81 2.3×
Pm Device Progr Eval Sngl (93279) $69.64 $154.76 1.4×
Prq Card Angio/Athrect 1 Art (92924) $30,469.71 $67,710.47 2.0×
Prq Card Stent W/Angio 1 Vsl (92928) $21,660.76 $48,135.02 1.4×
Prq Card Stent/Ath/Angio (92933) $40,272.35 $89,494.10 1.7×
Prq Revasc Byp Graft 1 Vsl (92937) $21,333.71 $47,408.24 1.4×
Pt Eval High Complex (97163) $339.27 $753.94 3.5×
Pt eval low complex 20 min (97161) $236.12 $524.72 2.4×
Pt Eval Mod Complex (97162) $259.38 $576.41 2.7×
Pt gait training 15 min (97116) $175.95 $391.01 6.1×
Pt mechanical traction (97012) $103.65 $230.34 7.2×
Pt Re-Eval Est Plan Care (97164) $171.41 $380.90 2.5×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$959.67–$2,254.56 $2,132.59–$5,010.13 varies
R hrt coronary artery angio (93456) $15,186.78 $33,748.39 3.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $24,090.89 $53,535.30 5.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $306.23 $680.52 3.9×
Right Heart Cath (93451) $13,367.19 $29,704.86 3.1×
Right ventricular recording (93603) $1,681.19 $3,735.97 1.0×
Self Care Mngment Training (97535) $138.03 $306.74 4.3×
Sensory Integration Ea 15 Min (97533) $118.82 $264.05 2.0×
Speech sound lang comprehen (92523) $869.16 $1,931.47 3.8×
Spirometry (94010) $205.79 $457.31 0.7×
Standardized Cognitive Performance Testing (96125) $394.89 $877.53 3.8×
Stress Tte Only (93350) $2,416.96 $5,371.02 3.4×
Surfactant Admin Thru Tube (94610) $965.93 $2,146.50 3.3×
Temp transcutaneous pacing (92953) $1,417.25 $3,149.45 1.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $130.45 $289.89 4.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$280–$296.80 $622.22–$659.55 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$323.55–$428.76 $719–$952.81 varies
Therapeutic Activities (97530) $190.11 $422.47 5.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $227.03 $504.50 4.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $110.22 $244.94 2.2×
Tte w/doppler, complete (93306) $3,022.60 $6,716.88 4.2×
Tte W/O Doppler Complete (93307) $1,731.24 $3,847.21 5.5×
Tx atrial fib pulm vein isol (93656) $21,565.71 $47,923.79 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $330.17 $733.71 4.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $250.79 $557.31 4.1×
Upr/L Xtremity Art 2 Levels (93922) $1,493.03 $3,317.85 8.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $2,943.99 $6,542.21 10.3×
Vent Mgmt Inpat Init Day (94002) $5,300.92 $11,779.82 6.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,735.01 $8,300.03 4.6×
Vital capacity, total (94150) $288.71 $641.58 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $82.92 $184.27 2.7×

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.