Visits & medical services prices at Forks Community Hospital

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

135 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) $372.80 $466 3.3×
Airway inhalation treatment (94640) $393.60 $492 1.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $138.40 $173 9.6×
Brief Emotional/Behavioral Assessment (96127) $23.20 $29 0.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $156 $195 0.4×
Canalith Repositioning Procedure (95992) $116.80 $146 2.9×
Cardiac Stress Tst,Tracing Only (93017) $407.20 $509 1.7×
Cardiopulmonary resuscitation (92950) $1,453.20 $1,816.50 6.0×
Cardioversion (92960) $1,178 $1,472.50 1.6×
Cbt 1st hour (94644) $504 $630 3.4×
Chronic care management services 1st 20 min (99490) $259.20 $324 2.3×
Color/duplex Doppler, complete (93975) $2,227.60 $2,784.50 8.4×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $626.40 $783 3.2×
Cont Gluc Monitoring Patient Provided Equipment (95249) $790.40 $988 12.0×
Cpap/bipap (94660) $548.80 $686 2.2×
Cpt initial (94667) $283.20 $354 1.9×
Critical care (99291) $1,927.20 $2,409 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $721.60 $902 3.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $862.80 $1,078.50 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,043.60 $2,554.50 7.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,061.20 $1,326.50 9.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $2,372 $2,965 8.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $850.80 $1,063.50 7.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,340 $1,675 5.0×
Dup-scan xtr veins unilateral/limited study (93971) $854.80 $1,068.50 7.3×
Duplex scan extracranial art compl bi study (93880) $1,203.60 $1,504.50 4.5×
Echo Heart Xthoracic,Limited (93308) $606.40 $758 2.3×
Electrocardiogram Tracing (93005) $265.20 $331.50 4.0×
Er level 1 (99281) $146.40 $183 1.6×
Er level ii (99282) $587.20 $734 3.4×
Er level iii (99283) $950.40 $1,188 3.1×
Er level IV (99284) $1,252.80 $1,566 2.7×
Er level v (99285) $1,641.60 $2,052 2.5×
External ECG rec>48hr<7d recording (93242) $960 $1,200 23.1×
External ECG rec>7d<15d recording (93246) $800 $1,000 19.2×
External Ecg Scanning Analysis Report (93226) $548 $685 8.3×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $611.20 $764 4.0×
Group Therapeutic Procedures (97150) $135.20 $169 7.5×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $72.86 $91.08 1.7×
Health behavior ivntj group f2f 1st 30 min (96164) $22.38 $27.98 0.5×
Holter Monitor (93225) $688 $860 4.6×
Imm admn sarscov2 vaccine single dose (90480) $98.40 $123 2.2×
Immune Admin Oral/Nasal (90473) $87.60 $109.50 1.1×
Immunization Admin (90471) $91.20 $114 1.1×
Inhalation bronchial challenge testing (95070) $300.80 $376 0.7×
Inital newborn e/m (99460) $312.80 $391 2.1×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $336.80 $421 2.3×
Interrog device eval heart (93289) $281.60 $352 6.8×
Interrogation eval in person wr defibrillator (93292) $190.40 $238 4.6×
Iontophoresis 15 min (97033) $101.60 $127 5.3×
Irrig drug delivery device (96523) $503.20 $629 7.7×
IV infusion hydration each additional hour (96361) $281.60 $352 5.4×
IV infusion hydration initial 31 min-1 hour (96360) $592 $740 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $360.80 $451 4.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $720 $900 3.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $280 $350 5.4×
IV push ea addl new drug (96375) $281.20 $351.50 5.4×
IV push initial (96374) $766.80 $958.50 3.2×
Manual therapy 15 min (97140) $197.60 $247 7.1×
Massage 15 min (97124) $135.20 $169 4.5×
Mechanical traction (97012) $121.60 $152 8.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $66.80 $83.50 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $91.60 $114.50 2.5×
Methacholine challenge (94070) $204 $255 0.5×
Multiple Family Group Psychotherapy (90849) $45.60 $57 0.2×
Nasopharyngoscopy (92511) $366.40 $458 1.6×
Neg press wound tx >50 cm (97608) $1,882.40 $2,353 4.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,640 $2,050 3.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $284.80 $356 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $780 $975 1.7×
Neurobehavioral Status Exam (96116) $64.58 $80.72 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $674 $842.50 4.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $264 $330 1.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $72 $90 2.9×
Nonphysician Telephone Assessment 21-30 Min (98968) $105.60 $132 3.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $36 $45 2.6×
Nrpsyc tst eval phys/qhp 1st (96132) $72.98 $91.23 0.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $160 $200 3.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $82 $102.50 3.4×
Osteopathic manipulative tx 3-4 body regions (98926) $100.80 $126 4.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $120.80 $151 3.8×
Ot Contrast Bath Ea 15 Min (97034) $135.20 $169 9.6×
Ot eval high complex 60 min (97167) $467.20 $584 4.6×
Ot eval low complex 30 min (97165) $364 $455 3.6×
Ot eval mod complex 45 min (97166) $407.20 $509 4.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $145.60 $182 2.9×
Ot Prosthetic Training, Each 15 Min (97761) $127.20 $159 3.1×
Ot Range Motion Measure,Each Extrem (95851) $161.60 $202 6.2×
Ot re-evaluation (97168) $209.60 $262 3.1×
Ot therapeutic activity 15 min (97530) $179.20 $224 5.1×
Paraffin bath pt (97018) $135.20 $169 22.5×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $316.80 $396 0.6×
Phlebotomy therapeutic (99195) $201.60 $252 1.4×
Pm device eval in person (93288) $156 $195 3.8×
Pm device progr eval dual (93280) $220 $275 5.3×
Pm device progr eval multi (93281) $326.40 $408 7.8×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $189.60 $237 4.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $73.60 $92 1.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $96.80 $121 1.9×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $258.40 $323 6.2×
Psych diag eval w/med srvcs (90792) $289.60 $362 1.5×
Psychiatric diagnostic evaluation (90791) $238.40 $298 1.2×
Psycl tst eval phys/qhp 1st (96130) $67.25 $84.06 0.3×
Psycl/nrpsyc tech 1st (96138) $20.19 $25.24 0.0×
Psycl/nrpsyc tst phy/qhp 1st (96136) $24.45 $30.56 0.2×
Pt Electrical Stimulation (97032) $135.20 $169 9.2×
Pt eval high complex 45 min (97163) $410.40 $513 4.2×
Pt eval low complex 20 min (97161) $364 $455 3.7×
Pt eval mod complex 30 min (97162) $368 $460 3.8×
Pt gait training 15 min (97116) $140 $175 4.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $179.20 $224 5.5×
Pt Physical Performance Test (97750) $166.40 $208 4.9×
Pt re-evaluation (97164) $209.60 $262 3.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $174.80 $218.50 5.4×
Pulm function test by gas (94727) $158.40 $198 0.7×
Pulmonary stress test simple (94618) $177.60 $222 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $464.40 $580.50 2.1×
Rom meas&reprt hand w/wo comparison normal sid (95852) $161.60 $202 7.6×
Rt Chest Wall Manipulation,Subsequent (94668) $106.40 $133 0.7×
Sensory Integration Ea 15 Min (97533) $177.60 $222 2.9×
Smoking cessation > 10 min (99407) $100.80 $126 2.4×
Spirometry (94010) $117.60 $147 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $177.60 $222 7.9×
Therapeutic prophylactic/dx injection subq/im (96372) $239.20 $299 3.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $60.40 $75.50 1.4×
Trans Care Mgmt 14 Day Disch (99495) $576 $720 3.9×
Trans Care Mgmt 7 Day Disch (99496) $781.60 $977 5.3×
Transtelephonic rhythm strip pacemaker eval (93293) $223.20 $279 5.4×
Tte w/doppler, complete (93306) $2,043.20 $2,554 3.4×
Ultraviolet Light Therapy (96900) $74.40 $93 1.8×
Vasopneumatic device (97016) $120.80 $151 10.0×
Vent mgmt inpat init day (94002) $765.60 $957 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $589.60 $737 0.9×
Vital capacity, total (94150) $71.20 $89 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $145.60 $182 4.7×