Visits & medical services prices at Garfield County Memorial Hospital
Pomeroy, WA · every code in this section with a posted price and a Medicare benchmark.
59 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $46.75 | $55 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $136 | $160 | 1.2× |
| Airway Inhalation Treatment (94640) | $13.60 | $16 | 0.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $72.25 | $85 | 5.0× |
| Cardiopulmonary resuscitation (92950) | $881.45 | $1,037 | 3.7× |
| Cardioversion (92960) | $1,415.25 | $1,665 | 1.9× |
| Chron Care Mgmt Srvc 20 Min (99490) | $103.70 | $122 | 0.9× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$149.60–$912.05 | $176–$1,073 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$149.60–$1,191.70 | $176–$1,402 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $227.80 | $268 | 1.2× |
| Critical care first hour (99291) | $431.80 | $508 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$78.20–$168.30 | $92–$198 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$149.60–$1,068.45 | $176–$1,257 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$149.60–$533.80 | $176–$628 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$149.60–$1,285.20 | $176–$1,512 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$149.60–$745.45 | $176–$877 | varies |
| Duplex Scan Hemodialysis Access (93990) | $520.20 | $612 | 4.5× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$149.60–$973.25 | $176–$1,145 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$149.60–$487.90 | $176–$574 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$149.60–$762.45 | $176–$897 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $71.40 | $84 | 4.9× |
| Electrocardiogram Tracing (93005) | $257.55 | $303 | 3.9× |
| Emergency Dept Visit Level 2 (99282) | $70.55 | $83 | 0.4× |
| Emergency Dept Visit Level 3 (99283) | $106.25 | $125 | 0.3× |
| Emergency Dept Visit Level 4 (99284) | $193.80 | $228 | 0.4× |
| Er level 1 (99281) | $37.40 | $44 | 0.4× |
| Er level v (99285) | $264.35 | $311 | 0.4× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$149.60–$1,291.15 | $176–$1,519 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$149.60–$473.45 | $176–$557 | varies |
| Holter monitor recording (93225) | $310.25 | $365 | 2.1× |
| Immunization administration (90471) range across 3 matching MRF lines |
$25.50–$37.40 | $30–$44 | varies |
| Irrig Drug Delivery Device (96523) | $169.15 | $199 | 2.6× |
| IV infusion hydration each additional hour (96361) | $119.85 | $141 | 2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $404.60 | $476 | 1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $172.55 | $203 | 3.3× |
| IV push initial (96374) | $263.50 | $310 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$73.10–$198.90 | $86–$234 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$86.70–$323 | $102–$380 | varies |
| Neuromuscular Reeducation (97112) | $106.25 | $125 | 3.2× |
| Ot manual therapy 15 min (97140) | $100.30 | $118 | 3.6× |
| Psych diag eval w/med srvcs (90792) | $322.15 | $379 | 1.6× |
| Psychiatric diagnostic evaluation (90791) | $286.45 | $337 | 1.4× |
| Pt Eval High Complex (97163) | $294.10 | $346 | 3.0× |
| Pt eval low complex 20 min (97161) | $243.10 | $286 | 2.5× |
| Pt Eval Mod Complex (97162) | $264.35 | $311 | 2.7× |
| Pt gait training 15 min (97116) | $100.30 | $118 | 3.5× |
| Pt Re-Eval Est Plan Care (97164) | $147.90 | $174 | 2.2× |
| Refill/Maint Pump/Resvr Syst (96522) | $251.60 | $296 | 1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $311.10 | $366 | 1.4× |
| Self Care Mngment Training (97535) | $104.55 | $123 | 3.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$23.80–$136.85 | $28–$161 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $498.95 | $587 | 2.1× |
| Therapeutic Activities (97530) | $109.65 | $129 | 3.1× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$149.60–$1,708.50 | $176–$2,010 | varies |
| Tte W/O Doppler Complete (93307) | $946.05 | $1,113 | 3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $197.20 | $232 | 3.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$149.60–$473.45 | $176–$557 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$149.60–$528.70 | $176–$622 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $41.65 | $49 | 1.3× |
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.