Visits & medical services prices at Ferry County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $133.45 $157 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $85.85 $101 6.0×
Assessment of aphasia per hr (96105) $445.40 $524 4.6×
Bedside Swallowing Eval (92610) $445.40 $524 5.2×
Biofeedback training any modality (90901) $232.90 $274 5.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $315.16 $370.78 0.8×
Canalith Repositioning Procedure (95992) $130.90 $154 3.2×
Cardiac Stress Tst,Tracing Only (93017) $756.50 $890 3.1×
Cardiopulmonary resuscitation (92950) $492.15 $579 2.0×
Cardioversion (92960) $805.80 $948 1.1×
Cbt 1st hour (94644) $119 $140 0.8×
Chemother, IV infusion, 1 hr (96413) $891.65 $1,049 2.4×
Chemother, IV infusion, ea add hr (96415) $277.95 $327 3.5×
Color/duplex Doppler, complete (93975) $1,365.52 $1,606.50 5.1×
Color/duplex Doppler, limited (93976) $775.20 $912 6.7×
Cpap/bipap (94660) $754.80 $888 3.1×
Cpt initial (94667) $39.95 $47 0.3×
Critical care (99291) $2,476.90 $2,914 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $160.65 $189 0.7×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $82.45 $97 0.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $974.95 $1,147 3.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $577.15 $679 5.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,586.10 $1,866 6.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $708.05 $833 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $926.50 $1,090 3.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $776.05 $913 6.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,353.20 $1,592 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,029.35 $1,211 8.8×
Duplex scan extracranial art compl bi study (93880) $1,226.55 $1,443 4.6×
Echo Heart Xthoracic,Limited (93308) $101.15 $119 0.4×
EKG rhythm strip (93041) $311.10 $366 4.7×
Electrocardiogram Tracing (93005) $250.75 $295 3.8×
Er level 1 (99281) $142.80 $168 1.5×
Er level ii (99282) $191.25 $225 1.1×
Er level iii (99283) $301.75 $355 1.0×
Er level IV (99284) $427.55 $503 0.9×
Er level v (99285) $631.55 $743 1.0×
Evaluate Pt Use Of Inhaler (94664) $83.30 $98 0.3×
Group Therapeutic Procedures (97150) $342.55 $403 19.0×
Holter Monitor (93225) $252.45 $297 1.7×
Inital newborn e/m (99460) $229.50 $270 1.5×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $390.15 $459 2.6×
Iontophoresis 15 min (97033) $112.20 $132 5.9×
Irrig drug delivery device (96523) $168.30 $198 2.6×
IV infusion hydration each additional hour (96361) $26.35 $31 0.5×
IV infusion hydration initial 31 min-1 hour (96360) $69.70 $82 0.3×
IV infusion ther proph addl sequential to 1 hr (96367) $245.65 $289 3.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $131.75 $155 0.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $42.50 $50 0.8×
IV push ea addl new drug (96375) $32.30 $38 0.6×
IV push initial (96374) $76.50 $90 0.3×
Low frequency non-thermal us (97610) $45.05 $53 0.2×
Manual therapy 15 min (97140) $125.80 $148 4.5×
Massage 15 min (97124) $80.75 $95 2.7×
Mechanical traction (97012) $102 $120 7.1×
Neg press wound tx >50 cm (97608) $62.05 $73 0.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $55.25 $65 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $62.90 $74 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $68.85 $81 0.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $617.95 $727 4.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $263.50 $310 1.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $54.40 $64 2.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $79.05 $93 2.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $28.05 $33 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $128.35 $151 2.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $78.20 $92 2.4×
Ot Contrast Bath Ea 15 Min (97034) $78.20 $92 5.6×
Ot eval high complex 60 min (97167) $344.25 $405 3.4×
Ot eval low complex 30 min (97165) $266.05 $313 2.6×
Ot eval mod complex 45 min (97166) $302.60 $356 3.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $119 $140 2.4×
Ot re-evaluation (97168) $137.70 $162 2.0×
Ot therapeutic activity 15 min (97530) $117.30 $138 3.3×
Paraffin bath pt (97018) $114.75 $135 19.1×
Phlebotomy therapeutic (99195) $553.35 $651 3.7×
Pt Electrical Stimulation (97032) $133.45 $157 9.1×
Pt eval high complex 45 min (97163) $294.10 $346 3.0×
Pt eval low complex 20 min (97161) $237.15 $279 2.4×
Pt eval mod complex 30 min (97162) $283.90 $334 2.9×
Pt gait training 15 min (97116) $122.40 $144 4.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $153.85 $181 4.7×
Pt Physical Performance Test (97750) $122.40 $144 3.6×
Pt re-evaluation (97164) $114.75 $135 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $143.65 $169 4.4×
Pure Tone Audiometry Air Only (92552) $126.65 $149 0.9×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $133.45 $157 3.9×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $40.80 $48 3.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98971) $84.15 $99 3.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $198.90 $234 0.9×
Sensory Integration Ea 15 Min (97533) $94.35 $111 1.6×
Spirometry (94010) $143.22 $168.49 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $130.05 $153 5.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $130.05 $153 6.2×
Therapeutic prophylactic/dx injection subq/im (96372) $102.85 $121 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30.60 $36 0.7×
Tte w/doppler, complete (93306) $294.95 $347 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $342.55 $403 4.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,088 $1,280 4.5×
Vasopneumatic device (97016) $70.55 $83 5.9×
Vent mgmt inpat init day (94002) $296.65 $349 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $215.05 $253 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $119.85 $141 3.9×