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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $74.40 | $93 | 1.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $98.40 | $123 | 2.2× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$220–$525.60 | $275–$657 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$67.20–$720 | $84–$900 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $138.40 | $173 | 9.6× |
| Brief Emotional/Behav Assmt (96127) | $23.20 | $29 | 0.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$85.60–$256.80 | $107–$321 | varies |
| Canalith repositioning proc (95992) | $116.80 | $146 | 2.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $407.20 | $509 | 1.7× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$652–$2,185.60 | $815–$2,732 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$1,026.40–$1,592.80 | $1,283–$1,991 | varies |
| Cbt 1st hour (94644) | $504 | $630 | 3.4× |
| Chest Wall Manipulation (94668) | $106.40 | $133 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $259.20 | $324 | 2.3× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$2,064.80–$2,390.40 | $2,581–$2,988 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $120.80 | $151 | 3.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $626.40 | $783 | 3.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $790.40 | $988 | 12.0× |
| Continuous Pulse Ox (94762) | $264 | $330 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$489.60–$608 | $612–$760 | varies |
| Cpt initial (94667) | $283.20 | $354 | 1.9× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,888.80–$1,965.60 | $2,361–$2,457 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$668.80–$774.40 | $836–$968 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$193.60–$1,532 | $242–$1,915 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$1,894.40–$2,192.80 | $2,368–$2,741 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$927.20–$1,195.20 | $1,159–$1,494 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$647.20–$2,032.80 | $809–$2,541 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$408–$1,301.60 | $510–$1,627 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$2,199.20–$2,544.80 | $2,749–$3,181 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$788.80–$912.80 | $986–$1,141 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$188–$1,147.20 | $235–$1,434 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $135.20 | $169 | 9.2× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$252.80–$277.60 | $316–$347 | varies |
| Emergency Dept Visit Level 2 (99282) | $587.20 | $734 | 3.4× |
| Emergency Dept Visit Level 3 (99283) | $950.40 | $1,188 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,252.80 | $1,566 | 2.7× |
| Er level 1 (99281) | $146.40 | $183 | 1.6× |
| 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× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$709.60–$1,697.60 | $887–$2,122 | varies |
| 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) range across 2 matching MRF lines |
$49.73–$96 | $62.16–$120 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$21.57–$23.20 | $26.96–$29 | varies |
| Holter monitor recording (93225) | $688 | $860 | 4.6× |
| Icd Device Interrogate (93289) | $281.60 | $352 | 6.8× |
| Icd device progr eval dual (93283) | $258.40 | $323 | 6.2× |
| Icd Device Progr Eval Mult (93284) | $189.60 | $237 | 4.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$65.60–$109.60 | $82–$137 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$65.60–$109.60 | $82–$137 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $300.80 | $376 | 0.7× |
| Inital newborn e/m (99460) | $312.80 | $391 | 2.1× |
| 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) range across 3 matching MRF lines |
$65.60–$290.40 | $82–$363 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$144–$745.60 | $180–$932 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$334.40–$387.20 | $418–$484 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$107.20–$315.20 | $134–$394 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$720–$813.60 | $900–$1,017 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$60–$73.60 | $75–$92 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$85.60–$97.60 | $107–$122 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$176.80–$231.20 | $221–$289 | varies |
| Multiple Family Group Psychotherapy (90849) range across 2 matching MRF lines |
$33.59–$57.60 | $41.99–$72 | varies |
| Nasopharyngoscopy (92511) | $366.40 | $458 | 1.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,640 | $2,050 | 3.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,882.40 | $2,353 | 4.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$246.40–$700 | $308–$875 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $780 | $975 | 1.7× |
| Neurobehavioral Status Exam (96116) | $64.58 | $80.72 | 0.3× |
| Neuromuscular Reeducation (97112) | $179.20 | $224 | 5.5× |
| 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× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $145.60 | $182 | 2.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $160 | $200 | 3.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$76–$88 | $95–$110 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $100.80 | $126 | 4.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $135.20 | $169 | 9.6× |
| Ot eval high complexity (97167) | $467.20 | $584 | 4.6× |
| Ot Eval Low Complex (97165) | $364 | $455 | 3.6× |
| Ot Eval Moderate Complexity (97166) | $407.20 | $509 | 4.1× |
| Ot manual therapy 15 min (97140) | $197.60 | $247 | 7.1× |
| Ot paraffin bath (97018) | $135.20 | $169 | 22.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $127.20 | $159 | 3.1× |
| Ot Re-Eval Est Plan Care (97168) | $209.60 | $262 | 3.1× |
| Ot rom hand (95852) | $161.60 | $202 | 7.6× |
| 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× |
| Physical Performance Test (97750) | $166.40 | $208 | 4.9× |
| 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× |
| 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× |
| Psych diag eval w/med srvcs (90792) range across 4 matching MRF lines |
$145.93–$443.20 | $182.41–$554 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$119.63–$336 | $149.54–$420 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $67.25 | $84.06 | 0.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $20.19 | $25.24 | 0.0× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $24.45 | $30.56 | 0.2× |
| Pt Eval High Complex (97163) | $410.40 | $513 | 4.2× |
| Pt eval low complex 20 min (97161) | $364 | $455 | 3.7× |
| Pt Eval Mod Complex (97162) | $368 | $460 | 3.8× |
| Pt gait training 15 min (97116) | $140 | $175 | 4.8× |
| Pt mechanical traction (97012) | $121.60 | $152 | 8.5× |
| Pt Re-Eval Est Plan Care (97164) | $209.60 | $262 | 3.1× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$69.60–$247.20 | $87–$309 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$96.80–$434.40 | $121–$543 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$430.40–$498.40 | $538–$623 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $161.60 | $202 | 6.2× |
| Same day nb discharge (99463) | $336.80 | $421 | 2.3× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$168–$181.60 | $210–$227 | varies |
| Sensory Integration Ea 15 Min (97533) | $177.60 | $222 | 2.9× |
| Spirometry (94010) range across 2 matching MRF lines |
$48–$187.20 | $60–$234 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $177.60 | $222 | 7.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $135.20 | $169 | 4.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$15.34–$276.80 | $19.17–$346 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$209.60–$813.60 | $262–$1,017 | varies |
| Therapeutic Activities (97530) | $179.20 | $224 | 5.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$93.60–$108 | $117–$135 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$56–$64.80 | $70–$81 | varies |
| 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) range across 2 matching MRF lines |
$539.20–$3,547.20 | $674–$4,434 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$270.40–$292 | $338–$365 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$624.80–$723.20 | $781–$904 | varies |
| Vasopneumatic device (97016) | $120.80 | $151 | 10.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$623.20–$908 | $779–$1,135 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $589.60 | $737 | 0.9× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$60.80–$175.20 | $76–$219 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $145.60 | $182 | 4.7× |
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.