Visits & medical services prices at Eastern Plumas Hospital - Portola Campus

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$100–$500 $125–$625 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $32 $40 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $212 $265 0.4×
Canalith repositioning proc (95992) $97.60 $122 2.4×
Cardioversion (92960)
range across 2 matching MRF lines
$251.20–$379.20 $314–$474 varies
Cbt 1st hour (94644) $267.20 $334 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $565.60 $707 2.0×
Critical care first hour (99291) $870.40 $1,088 0.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$159.20–$1,404.80 $199–$1,756 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$129.60–$1,016.80 $162–$1,271 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$224.80–$1,932.80 $281–$2,416 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$148–$1,235.20 $185–$1,544 varies
Duplex up extrem art unilat/ltd (93931) $729.60 $912 5.4×
Electrical Stimulation Ea 15 Min (97032) $52 $65 3.5×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$278.40–$556.80 $348–$696 varies
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$163.20–$760.80 $204–$951 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$280–$1,329.60 $350–$1,662 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$529.60–$2,044 $662–$2,555 varies
Er level 1 (99281)
range across 3 matching MRF lines
$80–$423.20 $100–$529 varies
Er level v (99285)
range across 3 matching MRF lines
$780–$2,943.20 $975–$3,679 varies
Evaluate Speech Production (92522) $446.40 $558 4.0×
Evaluate Swallowing Function (92610) $212.80 $266 2.5×
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$166.40–$1,234.40 $208–$1,543 varies
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$1,552–$1,874.40 $1,940–$2,343 varies
Immunization administration (90471)
range across 2 matching MRF lines
$72–$185.60 $90–$232 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$96–$152.80 $120–$191 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$488–$735.20 $610–$919 varies
IV infusion ther proph addl sequential to 1 hr (96367) $241.60 $302 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$96–$152.80 $120–$191 varies
IV push initial (96374)
range across 2 matching MRF lines
$488–$735.20 $610–$919 varies
Lung Function Test (Mbc/Mvv) (94200) $124.80 $156 1.6×
Neuromuscular Reeducation (97112) $86.40 $108 2.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $121.60 $152 2.6×
Ot eval high complexity (97167) $221.60 $277 2.2×
Ot Eval Low Complex (97165) $222.40 $278 2.2×
Ot Eval Moderate Complexity (97166) $221.60 $277 2.2×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$68.80–$137.60 $86–$172 varies
Ot Re-Eval Est Plan Care (97168) $153.60 $192 2.2×
Phlebotomy therapeutic (99195) $87.20 $109 0.5×
Plethysmography (94726) $594.40 $743 1.2×
Pt Eval High Complex (97163) $208.80 $261 2.1×
Pt eval low complex 20 min (97161) $208.80 $261 2.1×
Pt Eval Mod Complex (97162) $208.80 $261 2.1×
Pt gait training 15 min (97116) $73.60 $92 2.5×
Pt Re-Eval Est Plan Care (97164) $144 $180 2.1×
Pulm function test by gas (94727) $594.40 $743 2.1×
Pulmonary service/procedure (94799) $448 $560 2.7×
Pulmonary Stress Testing (94618) $80.80 $101 0.5×
Respiratory flow volume loop (94375) $182.40 $228 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $440 $550 1.7×
Self Care Mngment Training (97535) $83.20 $104 2.6×
Speech sound lang comprehen (92523) $472 $590 2.1×
Spirometry (94010) $313.60 $392 1.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$241.60–$488 $302–$610 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$488–$735.20 $610–$919 varies
Therapeutic Activities (97530) $96.80 $121 2.8×
Tte w/doppler, complete (93306)
range across 5 matching MRF lines
$325.60–$2,740 $407–$3,425 varies
Tte W/O Doppler Complete (93307) $1,989.60 $2,487 6.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$96–$152.80 $120–$191 varies
Vital capacity, total (94150) $316 $395 1.9×

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.